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BAM 402 3 of 20 MA BENEFITS BPB 2021-026 10-1-2021

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

• Persons receiving long-term care (custodial care) in a licensed nursing facility. • Persons receiving MI Choice waiver services for the elderly and disabled; see BEM 106. • Persons receiving private duty nursing services. • Persons with commercial HMO coverage, including Medicare HMO coverage. Note: Letters are mailed out each month to Medicaid recipients who have private HMO coverage. This letter informs recipients that they are being disenrolled from their Health Plan; see EXHIBIT II for further information. • PACE (Program for All-inclusive Care for the Elderly) recipients. • Deductible beneficiaries. • Children in child caring institutions. • Refugee Assistance Program Medical Aid-only recipients. • Repatriate Assistance Program Medical-only recipients. Note: When a person(s) is excluded from health plan enrollment, other members of that person’s family may enroll in a health plan. If a beneficiary enrolled in a health plan enters a long-term care facility for custodial purposes, the health plan may initiate a request for disenrollment from the health plan; see BAM 120. The health plan may request disenrollment by calling: Michigan Department of Health and Human Services Managed Care Plan Division Quality Improvement and Program 517-241-8179 Additional Information about Health Plans For additional information about health plans, contact: Michigan Department of Health and Human Services Comprehensive Health Plan Division