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BAM 220 23 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

or demonstrated a disability (see glossary) as part of the ex parte review (see glossary). • If the ex parte review reveals the recipient has already been determined disabled for purposes of qualifying for a disability- based Medicaid eligibility category, by the SSA or the department, and the determination is still valid, continue the recipient’s Medicaid eligibility under the disability-based Medicaid category for which the recipient is otherwise eligible. • If, during the ex parte review it is determined a recipient has indicated or demonstrated a disability, request from the recipient additional information needed to proceed with a disability determination. Pending the determination, continue the recipient’s Medicaid. If the recipient fails to provide the information requested after being given a reasonable opportunity to do so, and eligibility under all other categories has been ruled out, send timely notice of Medicaid case closure indicating the person is not eligible for disability based Medicaid as well as FIP related categories. If, following the disability determination process, the recipient is determined to not be disabled for purposes of qualifying for disability-based Medicaid categories and eligibility under all other categories has been ruled out, send timely notice of Medicaid case closure indicating the person is not eligible for disability-based Medicaid as well as FIP-related categories. If, following the disability determination process, the recipient is determined disabled for purposes of qualifying for disability-based Medicaid categories, continue the recipient’s Medicaid under the disability-based Medicaid category for which the recipient is otherwise eligible. Medicaid coverage will continue until the client no longer meets the eligibility requirements for any other Medicaid TOA. CASE CLOSURE All Programs (Except SER) When a recipient is no longer eligible or requests case closure, do all of the following: