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BAM 402 8 of 20 MA BENEFITS BPB 2021-026 10-1-2021

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

HEALTH PLAN BENEFICIARY INFORMATION MA The health plan may notify the local office specialist of a beneficiary's pregnancy. The health plan will fax a MDCH-2010, Health Plan Beneficiary Information, to 517-346-9888 with the pregnancy information they have for the beneficiary. Review the information from the health plan and update Bridges as appropriate. BENEFIT MONITORING PROGRAM (FEE-FOR- SERVICE) MA State and federal regulations require the Medicaid program to conduct benefit utilization reviews to ensure the medically necessary services are being provided to program beneficiaries. The Benefit Monitoring Program (BMP) is in place to monitor program usage and to identify beneficiaries who may be over- utilizing and/or misusing their Medicaid services and benefits. While in the BMP beneficiaries may be assigned to one or more provider through which they can obtain medical services. For further information or to make a referral contact: Michigan Department of Health and Human Services Benefit Monitoring Program PO Box 30170 Lansing, MI 48909 Phone: 855-808-0312 EPSDT/WELL CHILD PROGRAM MA The Early Periodic Screening Diagnosis Treatment Program (EPSDT) Well Child Program consists of well-child visits, immunizations and early detection and treatment of diseases for beneficiaries under age 21. The objective of this preventive health