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BAM 300 2 of 14 THE CASE RECORD BPB 2026-016 7-1-2026

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

• MDHHS forms returned to MDHHS completed with requested information. For MA only, if a single application form and other documents are used for persons with separate case numbers (example: spouses), the local office has the option to maintain separate case records by copying or cross-referencing the materials. Unless captured in Bridges the case record must document all of the following: • Date of application and, for MA only, date of a request for initial asset assessment, if applicable. • Date and basis for disposition of the application/request. • Facts essential to the eligibility determination. • Amount or level of benefits. • Actions taken by the local office regarding the case. DEFINITIONS Active Case Record Record is pending or open for current benefits. Case Filing Loose documents, verification etc. that need to be placed within a packet in the case record. Case Packet A group of information placed together for easy reference. The first page of each case packet is a DHS-3524 Bridges, Case Record Packet Cover Sheet, that identifies the type of packet; see packet types in this item. Exception: • The first page of the Employment Packet is a DHS-3524 BE, Employment Packet Cover Sheet. • A DHS-1372, Overissuance Packet, is used as the cover sheet for an overissaunce packet.

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Official source

BAM 300 2 of 14 THE CASE RECORD BPB 2026-016 7-1-2026

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

• MDHHS forms returned to MDHHS completed with requested information. For MA only, if a single application form and other documents are used for persons with separate case numbers (example: spouses), the local office has the option to maintain separate case records by copying or cross-referencing the materials. Unless captured in Bridges the case record must document all of the following: • Date of application and, for MA only, date of a request for initial asset assessment, if applicable. • Date and basis for disposition of the application/request. • Facts essential to the eligibility determination. • Amount or level of benefits. • Actions taken by the local office regarding the case. DEFINITIONS Active Case Record Record is pending or open for current benefits. Case Filing Loose documents, verification etc. that need to be placed within a packet in the case record. Case Packet A group of information placed together for easy reference. The first page of each case packet is a DHS-3524 Bridges, Case Record Packet Cover Sheet, that identifies the type of packet; see packet types in this item. Exception: • The first page of the Employment Packet is a DHS-3524 BE, Employment Packet Cover Sheet. • A DHS-1372, Overissuance Packet, is used as the cover sheet for an overissaunce packet.