§ 4-15
Purpose of verification. 

§ 4-16
Acceptable methods of verification. 

§ 4-17
Verification of social security numbers. 

§ 4-18
Verification of age and relationship. 

§ 4-19
Verification of citizenship or immigrant status. 

§ 4-20
Verification of income. 

§ 4-21
Verification of mandatory deductions. 

The WHA is required to verify factors that affect applicants' and residents' determination of eligibility and level of assistance. Prior to admission, the WHA will verify the accuracy and completeness of information related to admission preferences, eligibility, screening, and level of benefits. Items related to eligibility for continued occupancy and rent determination shall also be periodically reviewed and verified. Verification ensures that all information used during admission and occupancy is correct.

A. 

Information to be verified. Information to be verified includes but is not limited to:

Income (included and excluded)
Assets
Deductions
Admission preferences
Disability status
Need for a live-in aide or reasonable accommodation
Employment or student status
Social security numbers
Citizenship/eligible noncitizen status
B. 

Family obligations.

(1) 

Applicants must cooperate fully in obtaining or providing the necessary verifications.

(2) 

Each member of the family of an assistance applicant or participant who is at least 18 years of age and each family head and spouse, regardless of age, shall sign one or more consent forms. Consent forms used by the WHA include, but are not limited to:

(a) 

HUD Form 9886.

[1] 

HUD Form 9886 authorizes HUD and the WHA to obtain third-party verification of the following:

[a] 

Any income information or materials from state wage information collection agencies (SWICA).

[b] 

Income information obtained from previous or current employers.

[2] 

The HUD Form 9886 authorizes HUD only to obtain third-party verification of the following:

[a] 

Income information from the Social Security Administration (SSA).

[b] 

Income tax return information from the Internal Revenue Service (IRS).

[3] 

The HUD Form 9886 may not be used to obtain any other information.

(b) 

Other consent forms will be created by the WHA as needed to provide for third-party verification of income and assets or conditions.

A. 

Definition of verification methods.

(1) 

Up-front income verification.

(a) 

Up-front income verification (UTV) is the verification of income before or during a family reexamination through an independent source that systematically and uniformly maintains income information in computerized form for a large number of individuals.

(b) 

To prevent fraud and abuse in HUD programs, the United States Code (U.S.C.) and Code of Federal Regulations (CFR) allow HUD and public housing agencies to obtain information about applicants and participants to determine their eligibility or level of benefits. Most importantly, the U.S.C. authorizes computer-matching agreements of income information.

(c) 

Types of income that may be verified using up-front income verification are:

[1] 

Gross wages and salaries (including overtime pay, commission, fees, tips, bonuses, and other compensation for personal services);

[2] 

Unemployment compensation;

[3] 

Welfare benefits;

[4] 

Social security benefits (including federal and state benefits, black lung benefits, dual benefits): social security and supplemental security income; and

[5] 

Other income types (i.e., child support, pensions, etc.) should be verified using UTV techniques if the resources are available.

(d) 

The WHA may obtain UTV through the following methods:

[1] 

Computer-matching agreements with a federal, state or local government agency or private agency;

[2] 

Use of HUD's Tenant Assessment Subsystem (TASS) or Enterprise Income Verification (EIV) System; or

[3] 

Submit direct requests for income verifications to federal, state or local government agencies or a private agency.

(2) 

Third-party verification. Third-party verification is used to supplement or complement up-front income verification. It is also used to confirm other (non-income-related) applicant/tenant claims.

(a) 

Written third-party verification.

[1] 

Written third-party verification is the most acceptable form of documentation to substantiate applicant or resident claims. The verification documents are supplied directly to the independent source by the WHA and must be returned directly to the WHA from the independent source.

[2] 

Third-party written verification may include reports or other documents generated automatically or upon request from the WHA by government agencies, employers, former landlords, caseworkers, references, etc.

(b) 

Third-party oral verification.

[1] 

If attempts to obtain third-party written verification are unsuccessful, the WHA may use third-party oral verifications by contacting the independent source(s) via telephone or in-person visit. The WHA will document in the applicant/tenant's file the date and time of the conversation, the name and telephone number of the person contacted, and the confirmed verified information.

[2] 

This verification method is used in the event that the independent source does not respond to the WHA's faxed, mailed, or e-mailed request for information in a reasonable time frame.

(c) 

Document review.

[1] 

When the WHA is unable to obtain up-front income verification or third-party written or oral verification, the WHA will review original documents provided by the applicant/tenant in support of his/her claim. This verification method can only be used as the sole source of income verification when third-party verification cannot be obtained within a period of four weeks.

[2] 

When the WHA uses applicant/tenant-provided documents as verification, the WHA will document in the case file why third-party verification was not available.

[3] 

In support of the applicant/tenant's declaration, the WHA may review original (authentic) documents provided by the applicant/tenant. All documents should be dated within the last 60 days of the interview. The WHA will make a photocopy of the original document(s) and maintain the copy in the participant case file. The WHA will also document in the case file the receipt, copy, and review of the original document.

[4] 

The following are acceptable participant-provided documentation:

Consecutive and original pay stubs
Social Security Administration award letter
Bank statements
Pension benefit statements
Temporary Assistance to Needy Families (TANF) award letter
Other official and authentic documents from a federal, state, or local agency
(3) 

Self-certification.

(a) 

If no other form of verification is available, self-certification may be used as a last resort to verify information. The applicant/tenant must submit an affidavit or notarized statement.

(b) 

When the WHA utilizes applicant/tenant certification, the WHA will document in the case file why third-party verification was not available.

B. 

Documentation of verification. Verification will be properly documented in the tenant's file, which may include third-party written verification, notes from telephone conversations with third parties, photocopies of documents provided by the family, and applicant self-certifications. Verification information must be dated within 90 days of certification or reexamination.

C. 

Frequency of obtaining verification.

(1) 

For each family member, citizenship/eligibility noncitizen status will be verified only once. This verification will be obtained prior to admission. If the status of any family member was not determined prior to admission, verification of his or her status will be obtained at the next regular recertification. Prior to a new member joining the family, his or her citizenship/eligible noncitizen status will be verified.

(2) 

For each family member age six and above, verification of social security number will be obtained only once. This verification will be accomplished prior to admission. When a family member who did not have a social security number at admission receives a social security number, that number will be verified at the next regular recertification. Likewise, when a child turns six, his or her verification will be obtained by the next regular recertification.

(3) 

Each member of the household regardless of age or familial status must have either a valid social security number or an alternate ID as generated by the HUD PIC system. Each SSN will be verified through the SSA, and a report on all invalid SSNs and duplicate SSNs will be generated monthly by the WHA. This report will be used to contact tenants who appear and will be used to verify the status of the SSNs reported by the members of the household; any tenant failing this data match with the SSA will have to prove that his or her information is true and correct and submit such proof back to WHA no later than 30 days following notification of invalid or duplicate status.

(4) 

All other information will be verified annually at the resident's annual reexamination.

(5) 

When an interim reexamination is conducted, the WHA will verify and update all information related to family circumstances and level of assistance.

A. 

Documentation provided directly by the family is generally acceptable for the verification of social security numbers.

B. 

The standard verification for a social security number is an original social security card issued by the Social Security Administration (SSA). If a social security card is not available, the WHA will accept a letter from the SSA or documentation from other governmental agencies that establishes and states the individual's social security number.

C. 

An individual who states he/she does not have a social security number will be required to sign a statement to this effect.

D. 

If a member of an applicant family indicates he/she has a social security number but cannot readily verify it, the family member will be issued an alternate ID number until verification is provided; once the verification of the SSN is provided, the alternate ID will be replaced in the PIC

NOTE: PIC is the HUD Public and Indian Housing Information Center.
system with the valid social security number.

E. 

If the individual fails to provide the verification within the time allowed, the lease will be terminated or the application for admission will be rejected.

Documentation provided directly by the family is generally acceptable for the verification of age and relationship. Acceptable forms of verification include: birth certificates; state-issued identification cards; and drivers' licenses.

A. 

Citizenship. Citizens are permitted to certify to their status by signing a declaration under penalty of perjury of their status as a citizen of the United States.

B. 

Immigrant status.

(1) 

Verification of eligible immigration status is carried out pursuant to 24 CFR 5.5.

(a) 

All citizens and nationals are required to sign a declaration of their status under penalty of perjury. They are required to show proof of their status by such means as a social security card, birth certificate, military ID, or military DD 214 Form.

(b) 

All eligible noncitizens 62 years of age or older are required to sign a declaration under penalty of perjury. They are also required to show proof of age.

(c) 

All eligible noncitizens must sign a declaration of their status and verification consent form and provide their original Immigration and Naturalization Service (INS) documentation. A copy of the individual's INS documentation will be placed in the family's file. The WHA will also verify their status through the INS Systematic Alien Verification for Entitlements (SAVE) system. If the INS SAVE system cannot confirm eligibility, the WHA will mail a request to the INS to obtain manual verification.

(2) 

Family members who do not claim to be citizens, nationals, or eligible noncitizens are listed on a statement of noneligible members. Any family member who does not choose to declare their status must be listed on the statement of noneligible members. The head of household must sign the list.

(3) 

If no family member is determined to be eligible under this section, the family's eligibility will be denied.

(4) 

The family's assistance will not be denied, delayed, reduced, or terminated because of a delay in the process of determining eligible status under this section, except to the extent that the family causes the delay.

(5) 

If the WHA determines a family member has knowingly permitted an ineligible noncitizen (other than an ineligible noncitizen listed on the lease) to permanently reside in his/her public housing unit, the lease will be terminated. Such family will not be eligible to be admitted to public housing for a period of 24 months from the date of lease termination.

C. 

Aliens not lawfully present in the United States. Per § 404 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, the WHA is required to notify the INS of any alien the WHA "knows" is not lawfully resident in the United States.

(1) 

Definition.

(a) 

The WHA will know that an alien is not lawfully present in the United States only when:

[1] 

The unlawful presence is a "finding of fact" that is made by the WHA as part of a formal determination that is subject to administrative review on an alien's claim for assistance; and

[2] 

There is receipt by the WHA of a determination from the INS, such as a Final Order of Deportation, supporting the WHA's finding of fact on the alien's unlawful presence.

(b) 

If an alien admits to unlawful presence or there is other evidence to that effect, upon which the WHA makes a finding that the alien is unlawfully present, and that finding is a basis of the WHA's denial of assistance, either at the time of application or recertification, then the WHA has made a "finding of fact."

(c) 

However, such a finding of fact is not a sufficient basis for the WHA to report such alien to the INS unless there is supporting documentation from the INS or the Executive Office of Immigration Review that the alien is unlawfully present. A SAVE response showing no INS record on an alien, or an immigration status making the alien ineligible for assistance, is not a finding of fact that the individual is not lawfully present.

(2) 

Reporting. The WHA shall only report "known" not "suspected" unlawfully present aliens to the INS. Within 45 days of the close of the calendar-year quarter, the WHA will report the name, address, and any other identifying factors in the WHA's possession regarding the alien unlawfully present in the United States. This report will be sent to: Director, Policy Directives and Instructions Branch, Immigration and Naturalization Service, 425 I Street NW, Room 4024, Washington, DC 20536, Attn: INS No. 2070-00.

A. 

The WHA will attempt to ensure that all available resources, including up-front income verification techniques, are used to obtain verification of applicant/tenant income.

B. 

Up-front income verification is the preferred method of income verification. When the WHA is unable to obtain up-front income verification after a period of 10 business days, third-party verification will be acceptable. If third-party verification is not available, the WHA will document in the case file the reason why it was not available.

C. 

The following guidelines are used by the WHA to verify various types of income:

(1) 

Wages/salaries.

(a) 

Up-front income verification.

[1] 

Use of computer-matching agreements with a state wage information collection agency (SWICA) to obtain wage information electronically, by mail or fax, or in person.

[2] 

Agreements with private vendor agencies to obtain wage and salary information.

(b) 

Written third-party verification.

[1] 

The WHA mails, faxes, or e-mails a verification form directly to the independent sources to obtain wage information.

[2] 

The WHA may have the tenant/applicant sign a Request for Earnings Statement from the SSA to confirm past earnings. The WHA mails the form to the SSA and the statement will be sent to the address the WHA specifies on the form.

(c) 

Oral third-party verification. In the event the independent source does not respond to the WHA's written request for information, the WHA may contact the independent source by telephone or make an in-person visit to obtain the requested information.

(d) 

Document review. When neither form of third-party verification can be obtained, the WHA may accept original documents such as consecutive pay stubs, W-2 forms, etc.

(e) 

Tenant declaration.

[1] 

The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares the family's total annual income from earnings.

[2] 

The WHA will obtain the following information about the applicant/tenant's employment whenever possible: start date, termination date, pay frequency, pay rate, anticipated pay increases in the next 12 months, year-to-date earnings, bonuses, overtime, company name, address, and telephone number, and the name and position of the person completing the verification.

(2) 

Self-employment income.

(a) 

Up-front income verification: Not available.

(b) 

Written third-party verification. The WHA mails or faxes a verification form directly to the sources identified by the family to obtain income information.

(c) 

Oral third-party verification. The WHA may call the source to verify the information.

(d) 

Document review. The WHA may accept any documents (i.e., tax returns, invoices, and letters from customers) provided by the applicant/tenant to verify self-employment income.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares the family's total annual income from self-employment. The declaration includes a perjury statement.

(3) 

Social security benefits.

(a) 

Up-front income verification:

[1] 

Per Notice PIH 2004-18, for current residents and household members, all public housing authorities are required to use HUD's Tenant Assessment Subsystem (TASS) or Enterprise Income Verification (EIV) System to verify social security/social security income benefits of current participants and household members.

[2] 

Up-front income verification is unavailable for applicants.

(b) 

Written third-party verification: Not available: The SSA will no longer furnish verification via telephone, mail, or fax.

(c) 

Oral third-party verification: Not available: The SSA will no longer furnish verification via telephone, mail, or fax.

(d) 

Document review.

[1] 

For applicants and for current participants for whom current benefit information is unavailable through TASS or EIV System, the WHA requests an original SSA verification letter for each household member that receives social security benefits. The letter must be dated within the last 60 days. The applicant/resident may request a SSA benefit verification letter by calling the SSA at 1-800-772-1213 or visiting the website at www.ssa.gov. The WHA will make a photocopy of the letter for the file and return the original to the applicant/resident.

[2] 

In the event that third-party verification is not available, the WHA will document in the applicant/resident file why third-party verification was not available. Below are some examples of acceptable file documentation:

[a] 

New admission, information not available in TASS.

[b] 

New tenant, information not available in TASS.

[c] 

Current tenant, information not available in TASS due to change in reexamination date.

[d] 

Current tenant, information not available in TASS due to discrepancy with name, date of birth, or social security number in SSA file.

[e] 

Current tenant, information not available in TASS, reason unknown.

(e) 

Tenant declaration: not available.

(4) 

Welfare benefits.

(a) 

Up-front income verification. Use of computer-matching agreements with the Department of Human Services to obtain current benefit amount electronically, by mail or fax, or in person.

(b) 

Written third-party verification. The WHA mails, faxes, or e-mails a verification form directly to the Department of Human Services to obtain welfare benefit information.

(c) 

Oral third-party verification. The WHA may call the Department of Human Services to obtain current benefit amount.

(d) 

Document review. The WHA may review an original award notice or printout from the Department of Human Services.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares monthly welfare benefits.

(5) 

Child support.

(a) 

Up-front income verification. Use of agreement with the local child support enforcement agency to obtain current child support amount and payment status electronically, by mail or fax, or in person.

(b) 

Written third-party verification. The WHA mails, faxes, or e-mails a verification form directly to the local child support enforcement agency or child support payer to obtain current child support amount and payment status.

(c) 

Oral third-party verification. The WHA may call the local child support enforcement agency or child support payer to obtain current child support amount and payment status.

(d) 

Document review. The WHA may review an original court order, notice, or printout from the local child support enforcement agency provided by the applicant/tenant to verify current child support amount and payment status.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares current child support amount and payment status.

(6) 

Unemployment benefits.

(a) 

Up-front income verification.

[1] 

Use of computer-matching agreements with a state wage information collection agency (SWICA) to obtain unemployment compensation electronically, by mail or fax, or in person.

[2] 

Use of HUD systems, when available.

(b) 

Written third-party verification. The WHA mails, faxes, or e-mails a verification form directly to the state wage information collection agency (SWICA) to obtain unemployment compensation.

(c) 

Oral third-party verification. The WHA may call the state wage information collection agency (SWICA) to obtain current benefit amount.

(d) 

Document review. The WHA may review an original benefit notice or unemployment check stub, or printout from the state wage information collection agency (SWICA) provided by the applicant/tenant.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares unemployment benefits.

(7) 

Pensions.

(a) 

Up-front income verification. Use of computer-matching agreements with a federal, state, or local government agency to obtain pension information electronically, by mail or fax, or in person.

(b) 

Written third-party verification. The WHA mails, faxes, or e-mails a verification form directly to the pension provider to obtain pension information.

(c) 

Oral third-party verification. The WHA may call the pension provider to obtain current benefit amount.

(d) 

Document review. The WHA may review an original benefit notice from the pension provider provided by the applicant/tenant.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares monthly pension amounts.

(8) 

Assets.

(a) 

Up-front income verification. Use of cooperative agreements with sources to obtain asset and asset income information electronically, by mail or fax, or in person.

(b) 

Written third-party verification. The WHA mails, faxes, or e-mails a verification form directly to the source to obtain asset and asset income verification.

(c) 

Oral third-party verification. The WHA may call the source to obtain asset and asset income information.

(d) 

Document review. The WHA may review original documents provided by the applicant/tenant.

(e) 

Tenant declaration. The WHA may accept a notarized statement or affidavit from the applicant/tenant that declares assets and asset income.

(9) 

Verification of zero income. Applicants reporting zero income will be asked to complete a family expense form to document how much they spend on food, transportation, health care, child care, debts, household items, etc. and what the source of income is for these expenses.

In determining adjusted income, in accordance with 24 CFR 5.611(a), the WHA is required to deduct the following amounts from annual income: $480 for each dependent; $400 for any elderly or disabled family; any reasonable child-care expenses necessary to enable a member of the family to be employed or to further his or her education; the sum of the following, to the extent that the sum exceeds 3% of annual income: unreimbursed medical expenses of any elderly family or disabled family and unreimbursed reasonable attendant care and auxiliary apparatus expenses for each member of the family who is a person with disabilities, to the extent necessary to enable any member of the family (including the member who is a person with disabilities) to be employed. (This deduction may not exceed the earned income received by family members who are 18 years of age or older and who are able to work because of such attendant care or auxiliary apparatus.)

A. 

Dependent deduction.

(1) 

A dependent is defined as a member of the family (except foster children and foster adults) other than the family head or spouse, who is under 18 years of age, or is a person with a disability, or is a full-time student. A full-time student is a person attending school or vocational training on a full-time basis. The school or vocational training center defines full-time status.

(2) 

To verify a family member's eligibility for the dependent deduction, the WHA will obtain a copy of each family member's birth certificate, social security card, and/or appropriate documentation to verify the name, sex, social security number, date of birth, disability, and relationship to the head of household. Each family member who is under 18, or who has a disability, or is over the age of 18 and a full-time student, is entitled to the four-hundred-eighty-dollar dependent deduction.

(3) 

The WHA uses third-party verification (upon consent by the family member) to verify full-time student status. Documentation may include a current enrollment status letter, which includes the school's name and address, dates of enrollment and total number of classes or credits attempted in a given quarter/semester, current school transcript, most recent grade report, etc. The WHA mails verification requests directly to the school and receives the completed verification directly from the school.

B. 

Disabled family deduction.

(1) 

A disabled family is defined as a family whose head, spouse, or sole member is a person with disabilities. It may include two or more persons with disabilities living together or one or more persons with disabilities living with one or more live-in aides.

(2) 

A person with disabilities is defined as a person who:

(a) 

Has a disability, as defined in 42 U.S.C. § 423;

(b) 

Is determined, pursuant to HUD regulations, to have a physical, mental, or emotional impairment that is expected to be of a long-continued and indefinite duration; substantially impedes his or her ability to live independently; and is of such a nature that the ability to live independently could be improved by more suitable housing conditions; or

(c) 

Has a developmental disability, as defined in 42 U.S.C. § 6001.

(3) 

If the head, spouse, or sole member is receiving disability benefits from the SSA, the family member is disabled. The WHA will verify payment of SSA disability benefits to the family member as described in Article IV, § 4-20C(3) above.

(4) 

For those individuals with disabilities that do not receive disability payments from the SSA, the WHA will use a disability verification form to document that the applicant/tenant meets the HUD eligibility definition of a person with a disability. The WHA will send the form directly to a qualified professional having knowledge of the person's disability, who can verify the person's status. The WHA will also accept doctor statements, but such statements must meet the disability definition requirements as outlined in U.S.C. Title 42, Chapter 7, Subchapter II, § 423.

(5) 

If the household is classified as a disabled family and an elderly family, the household is entitled to only one four-hundred-dollar deduction.

C. 

Elderly family deduction.

(1) 

An elderly family is defined as a family whose head, spouse, or sole member is a person who is at least 62 years of age.

(2) 

The WHA maintains a copy of each family member's birth certificate and social security card to verify the name, sex, SSN, date of birth, and relationship to the head. If the head, spouse, or sole member is at least 62 years of age, then the family is eligible for the elderly family deduction. If the household is classified as an elderly family and a disabled family, the household is entitled to only one four-hundred-dollar deduction.

D. 

Child-care expense deduction.

(1) 

Child-care expenses are defined as amounts anticipated to be paid by the family for the care of children under 13 years of age during the period for which annual income is computed, but only where such care is necessary to enable a family member to actively seek employment, be gainfully employed, or to further his or her education and only to the extent such amounts are not reimbursed. The amount deducted shall reflect reasonable charges for child care. In the case of child care necessary to permit employment, the amount deducted shall not exceed the amount of employment income that is included in annual income.

(2) 

Determining a family's eligible for the child-care expense deduction is a two-step process:

(a) 

First the WHA must verify that the incurred child-care expense enables a family member to actively seek employment, to be gainfully employed, or to further his/her education.

[1] 

For family members that are gainfully employed, the WHA will use the employment verification to confirm the family's eligibility for the child-care expense deduction.

[2] 

Typically, adequate verification of a family member actively seeking work may consist of written or oral third-party verification from a local or state government agency that governs work-related activities. In the event that third-party verification is not available, the WHA may rely on applicant/tenant-provided documents along with a notarized statement that indicates his or her efforts to seek employment.

(b) 

Second, the WHA must verify that the incurred child-care expense is for a child (or children) under the age of 13.

(3) 

The WHA will inquire about child-care expenses that may be incurred for before-school care and for after-school care and during the summer months. The WHA may not choose the type of child care to be provided for the head of household's children. The WHA may not refuse to give a family the child-care expense deduction because there is an adult family member in the household that may be available to provide child care.

(4) 

Child-care expenses for a disabled family member who is 13 years of age or older are not deductible child-care expenses. However, the child-care expenses may be an allowable disability expense deduction.

E. 

Medical expense deduction.

(1) 

Disabled or elderly families are entitled to a deduction for unreimbursed medical expenses. The allowable medical expense is that portion that exceeds 3% of annual income.

(2) 

The medical expense deduction is permitted only for households in which the head or spouse is at least 62 years of age or disabled. A disabled family is defined as a family whose head, spouse, or sole member is a person with disabilities. It may include two or more persons with disabilities living together or one or more persons with disabilities living with one or more live-in aides. An elderly family is defined as a family whose head, spouse, or sole member is a person who is at least 62 years of age.

(3) 

Medical expenses are defined as the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for treatments affecting any part or function of the body. The medical-care expenses must be primarily to alleviate or prevent a physical or mental defect or illness.

(4) 

Medical expenses include dental expenses. Medical expenses do not include expenses that are merely beneficial to general health, such as vitamins or a vacation.

(5) 

Medical expenses include the premiums you pay for insurance that covers the expenses of medical care and the amounts you pay for transportation to get medical care. Medical expenses also include amounts paid for qualified long-term-care services and limited amounts paid for any qualified long-term-care insurance contract.

(6) 

Examples of allowable medical expenses include, but are not limited to:

Acupuncture Laboratory fees
Artificial limbs Long-term care
Braille books and magazines Monthly payment on medical bills
Chiropractor Prescription medicines
Crutches Nursing home
Dental treatment Optometrist
Hearing aids Oxygen
Health insurance premiums Surgery
Home care Therapy
Hospital services Transportation
(7) 

The WHA will use a verification form to obtain third-party verification of unreimbursed medical expenses. In the event the health care provider does not respond to the WHA's verification request, the WHA may review tenant-provided documents.

(8) 

The WHA will review all medical expense documents provided by the family very closely to ensure that the WHA is accurately anticipating regular, ongoing, and anticipated expenses during the coming year. The WHA will be careful not to include medical bills from previous years that were recently paid in full during the current year.

(9) 

If the household is eligible for the medical expense deduction, the medical expenses of all family members may be counted. If a family has medical expenses and no disability assistance expenses, the allowable medical expense is that portion of total medical expenses that exceeds 3% of annual income.

(10) 

The WHA will not include expenses that are reimbursed by insurance or another third party.

(11) 

When a participant's social security benefit is reduced for medicare insurance premiums, the WHA will always use the full gross benefit amount in determining annual income.

F. 

Disability assistance expense deduction.

(1) 

Families are entitled to a deduction for unreimbursed medical expenses to cover care attendants and auxiliary apparatus expenses for each member of the family who is a person with disabilities, to the extent necessary to enable any member of the family (including the member who is a person with disabilities) to be employed. This deduction may not exceed the earned income received by family members who are 18 years of age or older, and who are able to work because of such attendant care or auxiliary apparatus. The allowable disability assistance expense is that portion that exceeds 3% of annual income.

(2) 

Examples of auxiliary apparatus items include, but are not limited to: wheelchairs; ramps; adaptations to vehicles; and special equipment to enable a blind person to read or type.

(3) 

These items must be directly related to permitting the disabled person or other family member to work.

G. 

When a family is eligible for medical and disability assistance expense deductions.

(1) 

If an elderly family or disabled family has both medical expenses and disability assistance expenses, the WHA will ensure that the family's portion that exceeds 3% of annual income is only applied one time. Since the allowable disability assistance expense is limited by the amount earned by the person that is enabled to work, the allowable disability expense must be calculated before the allowable medical expenses are calculated.

(2) 

When disability assistance expenses exceed the amount earned by the person who was enabled to work, the allowance for the disability assistance expense is capped at the amount earned by that family member. When the family is also eligible for the medical expense deduction, the 3% is typically exhausted in the first calculation and will not be applied when calculating the allowable medical expense deduction.

(3) 

When a family's disability assistance expenses are less than 3% of annual income, the family will receive no deduction for the disability assistance expense. However, the medical expense deduction will be equal to the amount by which the sum of both disability and medical expenses exceed 3% of annual income.

H. 

Privacy in verification of medical/health-related issues. Patient privacy protections, part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), require patients sign a specific authorization before a covered entity can release their medical information to a third party for purposes not related to the patients' health care. Many verification requests will therefore not be completed and returned directly to the WHA. The WHA will then have to rely on applicant/tenant-provided documentation and document in the case file why third-party verification was not available. Note: The WHA is not permitted to inquire about the nature or extent of a person's disability. The WHA may not inquire about a person's diagnosis or details of treatment for a disability or medical condition. If the WHA receives a verification document that provides such information, the WHA will not place this information in the tenant file. The WHA will destroy the document. Under no circumstances will the WHA request a participant's medical record(s).