if you are in NJ, or possibly many other states, there is a good chance they are miscalculating and refusing income deductions. I know 2 people they did that 2, 1 was a senior couple (age 65-70), the husband could barely walk, the wife had a learning disability/below average IQ and an anxiety disorder, they refused to deduct the extensive out of pocket medical costs. The wife couldn't understand what I told her, the husband was too sick to deal with it....the wife chose food over medical care and died.
there is a formula they use that calculates income, deductible expenses, etc.
for seniors/disabled, they are supposed to deduct medical expenses, may be other allowances which I don't remember off hand.
you can take them to court if they are wrong, but when you are actually severely disabled, that often is not possible...and legal aid is a joke.....they say you can send a friend to make your case for you...but I don't know any one intelligent enough.