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BAM 220 12 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

PROCESSING CHANGES All Programs Enter all changes in Bridges by changing the affected data ele- ments. Certify the eligibility results in Bridges for all appropriate benefits and benefit periods. Negative Actions A negative action is identified in Bridges with notice reason(s) in eligibility results. Negative actions include: • Decrease in program benefits, including case or EDG closure. • Special living arrangement client pay increase. • Inactivation of an eligible group member. • CDC family contribution increases tied to a provider change. • Change in payment method to restricted payment (no code needed). Termination of a member's medical eligibility (member remains active but not medically eligible). • Medical coverage cancellation or reduction. • Inactivation resulting in a FAP benefit increase is not a FAP negative action. • Patient-pay amount initiated (unless this occurs on the day of case opening). • Post-eligibility patient-pay amount increase. • Changing the PET code to a divestment penalty code; see BEM 405, MA Divestment. FAP Only Reducing a FAP group's benefits at redetermination is treated as a positive action because the change affects the new certification, not the current benefit period.

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Page 12

Official source

BAM 220 12 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

PROCESSING CHANGES All Programs Enter all changes in Bridges by changing the affected data ele- ments. Certify the eligibility results in Bridges for all appropriate benefits and benefit periods. Negative Actions A negative action is identified in Bridges with notice reason(s) in eligibility results. Negative actions include: • Decrease in program benefits, including case or EDG closure. • Special living arrangement client pay increase. • Inactivation of an eligible group member. • CDC family contribution increases tied to a provider change. • Change in payment method to restricted payment (no code needed). Termination of a member's medical eligibility (member remains active but not medically eligible). • Medical coverage cancellation or reduction. • Inactivation resulting in a FAP benefit increase is not a FAP negative action. • Patient-pay amount initiated (unless this occurs on the day of case opening). • Post-eligibility patient-pay amount increase. • Changing the PET code to a divestment penalty code; see BEM 405, MA Divestment. FAP Only Reducing a FAP group's benefits at redetermination is treated as a positive action because the change affects the new certification, not the current benefit period.