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BAM 220 1 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

DEPARTMENT POLICY Family Independence Program (FIP), Refugee Cash Assistance (RCA), State Disability Assistance (SDA), Medicaid (MA), Child Development and Care (CDC) Food Assistance Program (FAP) Process the following case actions: • Initial applications and reapplications; Bridges Administrative Manual (BAM) 115, Application Processing. • BAM 210, Redeterminations. • BAM 205, Reinstatements. Bridges will evaluate each change reported and entered in the sys- tem to determine if it affects eligibility. Exception: For Medicaid only, the Michigan Department of Health and Human Services (MDHHS) health services side, shares responsibility for medical services authorization (MSA) and certain related determinations when a recipient in managed care becomes a Long-Term Care/Hospital patient; see Bridges Administrative Manual 120, DCH/DHS Coordination, for details. Changes in circumstances may be reported by the client, via com- puter tape matches, through quality assurance (QA) reviews, or by other means. A positive action is a Michigan Department of Health & Human Services (MDHHS) action to approve an application or increase a benefit. A negative action is a MDHHS action to deny an application or to reduce, suspend or terminate a benefit. This includes an increase in a post-eligibility patient-pay amount for MA or an increase in the client pay for a special living arrangement. CDC Only Changes reported by clients may affect eligibility for other programs but may not affect the current CDC eligibility or benefit. Only changes that would positively affect the client's family contribution (FC), or authorized hours, unless a negative action is required or allowed in the following situations: