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BAM 402 2 of 20 MA BENEFITS BPB 2021-026 10-1-2021

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

• Family Independence Program (FIP) recipients. • Children under 19 (U19) beneficiaries. • Pregnant women (PW) beneficiaries. • Group 2 Under 21(G2U) beneficiaries. • Parent/Caretaker (PCR) and LIF beneficiaries. • Healthy Michigan Plan (HMP) beneficiaries. • Supplemental Security Income (SSI) recipients who do not receive Medicare. • Blind, disabled, and aged MA beneficiaries who do not receive Medicare. • Persons with full Medicaid coverage and Children Special Health Care Services (CSHCS). Persons Who May Voluntarily Enroll In a Health Plan The following may voluntarily enroll in a health plan: • Migrants. • Native Americans. • Persons in the traumatic brain injury program. • Persons with both Medicare and Medicaid eligibility. • Persons eligible for QMB; see BEM 165. Persons Excluded From Enrollment in a Health Plan • PlusCare recipients. • Persons limited to emergency MA coverage (ESO). • Persons enrolled in the Children’s Special Health Care Services (CSHCS) program only. • Persons residing in an ICF/ID (intermediate care facility for individuals with intellectual disability) or a state psychiatric hospital.

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Official source

BAM 402 2 of 20 MA BENEFITS BPB 2021-026 10-1-2021

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

• Family Independence Program (FIP) recipients. • Children under 19 (U19) beneficiaries. • Pregnant women (PW) beneficiaries. • Group 2 Under 21(G2U) beneficiaries. • Parent/Caretaker (PCR) and LIF beneficiaries. • Healthy Michigan Plan (HMP) beneficiaries. • Supplemental Security Income (SSI) recipients who do not receive Medicare. • Blind, disabled, and aged MA beneficiaries who do not receive Medicare. • Persons with full Medicaid coverage and Children Special Health Care Services (CSHCS). Persons Who May Voluntarily Enroll In a Health Plan The following may voluntarily enroll in a health plan: • Migrants. • Native Americans. • Persons in the traumatic brain injury program. • Persons with both Medicare and Medicaid eligibility. • Persons eligible for QMB; see BEM 165. Persons Excluded From Enrollment in a Health Plan • PlusCare recipients. • Persons limited to emergency MA coverage (ESO). • Persons enrolled in the Children’s Special Health Care Services (CSHCS) program only. • Persons residing in an ICF/ID (intermediate care facility for individuals with intellectual disability) or a state psychiatric hospital.