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BAM 110 11 of 28 APPLICATION FILING AND REGISTRATION BPB 2025-003 1-1-2025
BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Exception: When the AR is an SATC or Adult Foster Care (AFC) Home, the facility is responsible for such an overissuance. Medicaid Only Application may be made on behalf of a client by their spouse, parent, legal guardian, adult child, stepchild, core relative or any other person provided the person is at least age 18 or married. If this person is not a spouse, parent, legal guardian, adult child, stepchild, or core relative, the person must have authorization to act on behalf of the client, by the client, client’s spouse, parent(s) or legal guardian. The application form must be signed by the client or the individual acting as their authorized representative. When an assistance application is received in the local office without the applicant’s signature or without a signed document authorizing someone to act on the applicant’s behalf you must do the following: • Register the application as a request if it contains a signature. • Send a DHS-330, Notice of Missing Information, to the individual explaining the need for a valid signature. The signature page of the application may be copied and sent to the agency or individual who filled out the application with the notice. • Allow 10 days for a response. You cannot deny an application due to incompleteness until 10 calendar days from the date of your initial request in writing to the applicant to complete the application form or supply missing information, or until the initial scheduled interview. • Record the date the application or filing form with the minimum information is received. The application must be registered and disposed of on Bridges, using the receipt date as the application date. An application received from an agency is acceptable if it is signed by an individual and is accompanied by written documentation from the individual authorizing the agency to act as the authorized repre- sentative.