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BAM 120 2 of 12 MSA/MDHHS COORDINATION BPB 2026-007 4-1-2026

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

Breast and Cervical Cancer Prevention and Treatment Program MSA determines eligibility for this MA category. Policy and proce- dures are in BEM 173. Policy Exceptions MSA is responsible for responding to requests for policy excep- tions for Medicaid. Complete instructions are in BEM 100. Send policy exceptions to:

Michigan Department of Health and Human Services

Behavioral and Physical Health and Aging Services Administration

Eligibility Policy Section

PO Box 30479

Lansing, MI 48909 Exceptions may also be sent to eligibilitypolicy@michigan.gov.. MDHHS LOCAL OFFICE RESPONSIBILITY MDHHS determines eligibility for: • Medicaid. Exception: MSA determines eligibility for BEM 173, Breast and Cervical Cancer Prevention and Treatment Program. • RAP Medical. HMO Member Becomes L/H Client MSA and MDHHS share responsibility when a beneficiary in an HMO enters a long-term care (LTC) facility. The provider contacts the Health Maintenance Organization (HMO) to request that the individual be disenrolled from the HMO. The HMO submits the request for disenrollment to MSA.