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BAM 220 25 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

A notice must be generated manually in those situations in which Bridges is not able to generate a notice, as identified in this item. APPLICATION APPROVALS/ DENIALS All Programs The following notices are used to notify the client of an application approval or denial. The DHS-1150, Application Eligibility Notice, is generated for with- drawals entered on the Program Request screen prior to data col- lection/intake. The DHS-1605, Notice of Case Action, is generated by Bridges for automated eligibility determinations. MA Only A DHS-114, Deductible Notice, is generated when MA is approved with a deductible. A DHS-1606, Health Coverage Notice, is generated when Medicaid is approved or denied. See BEM 402, Special MA Asset Rules, for policy on notices to send regarding asset transfer information and the results of an initial asset assessment. POSITIVE CHANGES All Programs Bridges automatically generates a DHS-1605, Notice of Case Action, to notify the client of the results of the Bridges automated eligibility determination. The results for all programs are included on a combined notice. NEGATIVE CHANGES AND CASE CLOSURES All Programs Bridges generates a combined DHS-1605, Notice of Case Action, for all programs. A DHS-1606, Health Coverage Notice, is