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BAM 210 4 of 25 REDETERMINATION/EX PARTE REVIEW BPB 2026-016 7-1-2026

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

Child Development and Care (CDC) Only A redetermination for CDC cannot be completed earlier than the 12-month continuous eligibility period. Medicaid Benefits stop at the end of the benefit period unless a renewal is completed, and a new benefit period is certified. Also, the renewal month is 12 months from the date the most recent complete application was submitted. Example: In a Group 2 Persons Under 21 case, if a member will reach age 21 before the month the case is scheduled to be renewed, an ex parte review (see Glossary) should begin at least 90 days prior to the date the member turns 21; see BAM 220. In a Special N/Support, Title IV-E or Foster Care TMA case, an ex parte review should begin at least 90 days prior to the date the case is scheduled to close; see BAM 220. In a Healthy Michigan Plan (HMP) case, if a beneficiary will reach age 65 before the month the case is scheduled to be renewed, an ex parte review should begin at least 90 days prior to the date the beneficiary turns 65; see BAM 220. No Medicaid Renewal Medicaid Only Do not renew the following: • Special N/Support; see BEM 113. • Title IV-E recipients; see BEM 117. • Special needs adoption assistance recipients; see BEM 117. • Department wards; see BEM 117. • Supplemental Security Income (SSI) recipients; see BEM 150. Note: A review must be completed before closing an individual in one of these categories if the closure is for any reason other than total ineligibility for any MA (such as moved out of state or death). The review must consider eligibility in all other MA categories.

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Official source

BAM 210 4 of 25 REDETERMINATION/EX PARTE REVIEW BPB 2026-016 7-1-2026

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

Child Development and Care (CDC) Only A redetermination for CDC cannot be completed earlier than the 12-month continuous eligibility period. Medicaid Benefits stop at the end of the benefit period unless a renewal is completed, and a new benefit period is certified. Also, the renewal month is 12 months from the date the most recent complete application was submitted. Example: In a Group 2 Persons Under 21 case, if a member will reach age 21 before the month the case is scheduled to be renewed, an ex parte review (see Glossary) should begin at least 90 days prior to the date the member turns 21; see BAM 220. In a Special N/Support, Title IV-E or Foster Care TMA case, an ex parte review should begin at least 90 days prior to the date the case is scheduled to close; see BAM 220. In a Healthy Michigan Plan (HMP) case, if a beneficiary will reach age 65 before the month the case is scheduled to be renewed, an ex parte review should begin at least 90 days prior to the date the beneficiary turns 65; see BAM 220. No Medicaid Renewal Medicaid Only Do not renew the following: • Special N/Support; see BEM 113. • Title IV-E recipients; see BEM 117. • Special needs adoption assistance recipients; see BEM 117. • Department wards; see BEM 117. • Supplemental Security Income (SSI) recipients; see BEM 150. Note: A review must be completed before closing an individual in one of these categories if the closure is for any reason other than total ineligibility for any MA (such as moved out of state or death). The review must consider eligibility in all other MA categories.