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BAM 115 4 of 36 APPLICATION PROCESSING BPB 2026-003 2-1-2026

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

• Send the DHS-1173, Cash Assistance Rights and Responsibilities, to all adult mandatory group members in the home that have not signed the MDHHS-1171. Do not approve eligibility until the DHS-1173 is signed and returned by all other adult mandatory group members. Note: If the application is a MI Bridges online application, the head of household has electronically signed the MDHHS-1171. All other adult mandatory group members in the home have not signed the MDHHS-1171. • Send the DHS-1538, Work and Self-Sufficiency Rules, to all adult mandatory group members in the home. Do not approve eligibility until the DHS-1538 is signed and returned by all adult mandatory group members. Note: If the application is a MI Bridges online application, the head of household has electronically signed the DHS-1538. Do not send the head of household on a MI Bridges application a new DHS-1538 unless requested. All other adult mandatory group members in the home have not signed the DHS-1538. • If a MDHHS-1171, DHS-1173 or DHS-1538 is returned to the MDHHS office with a signature that is questionable, require the client to re-sign the MDHHS-1171, DHS-1173 or DHS-1538 in the local office and witness the signature on the required form. SDA and RCA Only The client's spouse and other adult mandatory group members in the home must sign the application in the presence of a specialist if physically able.

SDA Only: If the SDA application is a MI Bridges online appli- cation, the head of household has electronically signed the application. Other adult mandatory group members have not signed the application. Require all other adult mandatory group members in the home to sign the DHS-1173 in the specialist's presence if physically able. Do not approve eligibility until the DHS-1173 is signed by all other adult mandatory group members.

RCA Only: If the RCA application is a MI Bridges online appli- cation, the head of household has electronically signed the application and the DHS-1538. Other adult mandatory group members have not signed the application and the DHS-1538.