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BAM 220 21 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

MA Only See BEM 150, MA For SSI Recipients. FAP Only Enter the ongoing SSI benefits as unearned income. SSI APPLICATION DENIALS SSI-Related MA Only The SDX reports SSI denials and appeals. See Exhibit III in BEM 260, MA Disability/Blindness, lists the specific codes needed to identify appeals and disability/blindness denials. Eligibility for MA based on disability or blindness does not exist if the SSA disability determination is final as defined in BEM 260. Enter appropriate appeal information in Bridges. If the client is no longer eligible for disability-related MA, Bridges will explore other MA categories. If the client is not eligible for any, Bridges will close the MA. If the client qualifies for a category but must meet a deductible, Bridges will close MA based on disability and open an active deductible EDG under the new MA category. Timely notice of benefit reduction or closure is sent by Bridges. SSI Terminations MA Only Central office closes SSI MA when SDX indicates SSI benefits are terminated. Bridges sets a redetermination date and continues MA eligibility when SSI stops. Continue the beneficiary's MA coverage until the redetermination is completed. The redetermination does not need to be completed if the beneficiary's SSI is reactivated in a subsequent SDX batch. In most cases this is a local office responsibility; see BEM 150, MA for SSI Recipients.

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Official source

BAM 220 21 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

MA Only See BEM 150, MA For SSI Recipients. FAP Only Enter the ongoing SSI benefits as unearned income. SSI APPLICATION DENIALS SSI-Related MA Only The SDX reports SSI denials and appeals. See Exhibit III in BEM 260, MA Disability/Blindness, lists the specific codes needed to identify appeals and disability/blindness denials. Eligibility for MA based on disability or blindness does not exist if the SSA disability determination is final as defined in BEM 260. Enter appropriate appeal information in Bridges. If the client is no longer eligible for disability-related MA, Bridges will explore other MA categories. If the client is not eligible for any, Bridges will close the MA. If the client qualifies for a category but must meet a deductible, Bridges will close MA based on disability and open an active deductible EDG under the new MA category. Timely notice of benefit reduction or closure is sent by Bridges. SSI Terminations MA Only Central office closes SSI MA when SDX indicates SSI benefits are terminated. Bridges sets a redetermination date and continues MA eligibility when SSI stops. Continue the beneficiary's MA coverage until the redetermination is completed. The redetermination does not need to be completed if the beneficiary's SSI is reactivated in a subsequent SDX batch. In most cases this is a local office responsibility; see BEM 150, MA for SSI Recipients.