Page 20

BAM 110 20 of 28 APPLICATION FILING AND REGISTRATION BPB 2025-003 1-1-2025

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

WITHDRAWN APPLICATION All Programs A client/AR may withdraw the application any time before it is dis- posed on Bridges. However, if clients have an AR, they must first revoke the AR’s authorization to represent them before the clients may withdraw the application. The signature of the AR is not required. Document the withdrawal request in Bridges. To confirm it, Bridges will automatically generate a notice of case action to the client. The client may reapply any time. REGISTRATION All Programs All applications, redeterminations, referrals, initial asset assess- ments, member adds and program adds must be registered on Bridges. REQUESTS All Programs Requests for assistance may be oral or written. Those containing enough identifying information may be registered. INITIAL ASSET ASSESSMENTS

MA Only Register an initial asset assessment upon receipt of a signed DHS- 4574-B, Assets Declaration. REGISTERING APPLICATIONS All Programs Register a signed application or filing form, with the minimum infor- mation, within one workday for all requested programs. See BAM 105 for the minimum information necessary to register an application.

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Page 20

Official source

BAM 110 20 of 28 APPLICATION FILING AND REGISTRATION BPB 2025-003 1-1-2025

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

WITHDRAWN APPLICATION All Programs A client/AR may withdraw the application any time before it is dis- posed on Bridges. However, if clients have an AR, they must first revoke the AR’s authorization to represent them before the clients may withdraw the application. The signature of the AR is not required. Document the withdrawal request in Bridges. To confirm it, Bridges will automatically generate a notice of case action to the client. The client may reapply any time. REGISTRATION All Programs All applications, redeterminations, referrals, initial asset assess- ments, member adds and program adds must be registered on Bridges. REQUESTS All Programs Requests for assistance may be oral or written. Those containing enough identifying information may be registered. INITIAL ASSET ASSESSMENTS

MA Only Register an initial asset assessment upon receipt of a signed DHS- 4574-B, Assets Declaration. REGISTERING APPLICATIONS All Programs Register a signed application or filing form, with the minimum infor- mation, within one workday for all requested programs. See BAM 105 for the minimum information necessary to register an application.