Overview of Social Security Disability Programs and Work Incentives
slide 11

 

next

Examples of IRWE’s

  • Attendant Care Services
  • Drugs and Routine Medical Services
  • Transportation Costs

Lesson 6: Long Term Supports Funding

Overview of Social Security Disability Programs and Work Incentives - slide 11

Examples of IRWE’s

Attendant Care Services

Drugs and Routine Medical Services

Transportation Costs

Let’s look at a few examples of what can and cannot be deducted as an IRWE. With regard to Attendant Care Services, deductible services include services performed in the work setting, services performed in the process of assisting the person in preparing for and from work such as bathing, dressing, cooking, and eating. Services which incidentally benefit the family such as cooking a meal that is also eaten by the family, and attendant care services which are performed by a family member for a cash fee where the family member suffers an economic loss by reducing or terminating employment in order to be able to provide the service.

Attendant Care Services that would not be deductible include services performed on a non-work day or involving shopping or general housekeeping activities, services provided for someone in the family other than the person with a disability, such as baby-sitting. Services provided by a family member for a cash fee where no economic loss is suffered or services provided by a family member for payment "in-kind" or in other words for room or board.

Another example of an IRWE is routine drugs and routine medical services. The types of things that would be deductible include regularly prescribed medical treatment or therapy that is necessary for control of a disabling condition such as anti-convulsant drugs necessary to control a seizure disorder. The types of routine drugs or medical treatment that would not be permitted as an impairment related work expense include those that are used for minor physical or mental problems, for example, routine physical exams or allergy treatment.
My final example is one that is used very often. Transportation costs! Some of the types of expenses that would be allowable include the cost of structural or operational modifications to a vehicle in order for the person to drive or to be driven to work. Also, the cost of specialized transportation, when an individual is not able to use public transportation.

The types of transportation costs that are not allowable as an IRWE include the cost of the vehicle itself, whether it is modified or not, as well as the cost of modifications to a vehicle that are not directly related to the disability or critical to operation of the vehicle.
Again, the list of allowable expenses under IRWE is extensive. I will discuss later in the lecture where you can go to find more information as well as assistance with writing an IRWE.


back to top