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BAM 220 4 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

SDA Only Case closure due to a member's receipt of Supplemental Security Income. CDC Only • The client or provider reports, orally or in writing, that a child is no longer in the care of that provider. • It is verified that a child member of the program group was voluntarily placed in foster care. • Information verifies the provider is no longer eligible to receive payments. MA Only • Case opening with a deductible or patient-pay amount. • Decrease in post-eligibility patient-pay amount. • Recipient removed due to his eligible status in another case. • Addition of MA coverage on a deductible case. • Increase in medical benefits. • At case open with a divestment penalty FAP Only • The change was reported in writing and signed by an eligible group member and the new benefit level or ineligibility can be determined based solely on the written information. Note: When deleting a member, an application the client files on their own, or the updated application of a group they join, is considered a change reported in writing by an eligible member of the former group. • Reliable information indicates the group will leave the state before the next issuance. • Changes reported on a MDHHS-1046, Semi-Annual Contact Report.

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Official source

BAM 220 4 of 27 CASE ACTIONS BPB 2026-023 8-1-2026

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

SDA Only Case closure due to a member's receipt of Supplemental Security Income. CDC Only • The client or provider reports, orally or in writing, that a child is no longer in the care of that provider. • It is verified that a child member of the program group was voluntarily placed in foster care. • Information verifies the provider is no longer eligible to receive payments. MA Only • Case opening with a deductible or patient-pay amount. • Decrease in post-eligibility patient-pay amount. • Recipient removed due to his eligible status in another case. • Addition of MA coverage on a deductible case. • Increase in medical benefits. • At case open with a divestment penalty FAP Only • The change was reported in writing and signed by an eligible group member and the new benefit level or ineligibility can be determined based solely on the written information. Note: When deleting a member, an application the client files on their own, or the updated application of a group they join, is considered a change reported in writing by an eligible member of the former group. • Reliable information indicates the group will leave the state before the next issuance. • Changes reported on a MDHHS-1046, Semi-Annual Contact Report.