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BAM 220 26 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

generated for Medicaid. Other notices are either generated by Bridges or must be manually completed and sent in the specific circumstances listed below. FIP, RCA, SDA and FAP Only Bridges generates the following notices when a claim is created: • DHS-4357, Client Notice of Disqualification and/or Recoupment. Note: The DHS-4357 is only generated by the Overpayment Establishment Analyst. • DHS-4358, Notice of Agency or Client Error Overissuance and Recoupment Action. FIP and MA Only Send a DHS-301, Medical Transportation Notice, if a request for medical transportation is denied. MA EXCEPTIONS UNIT Certain Bridges transactions must be processed through the Exceptions Unit in MSA. The MA exceptions unit mailbox is MDHHS-EXCEPTIONS@michigan.gov. The Exceptions Unit Mailbox will accept and assist the Specialist with the following requests: • Correcting Begin/End dates for PETs beginning with MIC, ING, and EXM. • Correcting PETs beginning with ICO (if the provider ID is a LTC facility instead of ICO plan provider ID). • Patient Pay Amount (PPA) changes. • Specialist must include the following information in the email request: • Beneficiary name. • Beneficiary ID. • Beneficiary case number. • Description of what needs to be updated in Bridges and why.