Page 5

BAM 405 5 of 6 FIP, RCA AND SDA SUPPLEMENTAL BENEFITS BPB 2013-012 7-1-2013

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

LOCAL OFFICE APPROVALS Bridges will require a second party/FIM review. This is to ensure compliance with court orders and/or correct application of policy. CLIENT NOTICES Clients must be given adequate notice that a supplement has been authorized or denied. Bridges will generate a notice for authorizations that are automati- cally calculated on the system. If manual issuance is required, Bridges does not automatically gen- erate a notice. For pre-Bridges or conversion months, use the LOA2 generated notice(s.) For all other months, a policy exception is required and central office will complete a manual notice in Bridges, or if the notice template is not available in Bridges, using an MS Word template. RECOUPMENT FROM SUPPLEMENTS

EDBC Determined Supplements Bridges will recoup from an EDBC-determined client supplement when all of the following are true:  The program has an active claim.  The recoupment rate is a percentage, not a dollar amount.  The benefit type is initial or supplemental. Bridges reduces the supplement or initial issuance amount by the recoupment percent. This reduction is applied to the overissuance balance of the active program. Manual Issuance Supplements Recoupment amounts are not automatically calculated or deducted from manual supplements. You are responsible for calculating the recoupment amount when issuing a supplement on a case with an outstanding claim.

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Page 5

Official source

BAM 405 5 of 6 FIP, RCA AND SDA SUPPLEMENTAL BENEFITS BPB 2013-012 7-1-2013

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

LOCAL OFFICE APPROVALS Bridges will require a second party/FIM review. This is to ensure compliance with court orders and/or correct application of policy. CLIENT NOTICES Clients must be given adequate notice that a supplement has been authorized or denied. Bridges will generate a notice for authorizations that are automati- cally calculated on the system. If manual issuance is required, Bridges does not automatically gen- erate a notice. For pre-Bridges or conversion months, use the LOA2 generated notice(s.) For all other months, a policy exception is required and central office will complete a manual notice in Bridges, or if the notice template is not available in Bridges, using an MS Word template. RECOUPMENT FROM SUPPLEMENTS

EDBC Determined Supplements Bridges will recoup from an EDBC-determined client supplement when all of the following are true:  The program has an active claim.  The recoupment rate is a percentage, not a dollar amount.  The benefit type is initial or supplemental. Bridges reduces the supplement or initial issuance amount by the recoupment percent. This reduction is applied to the overissuance balance of the active program. Manual Issuance Supplements Recoupment amounts are not automatically calculated or deducted from manual supplements. You are responsible for calculating the recoupment amount when issuing a supplement on a case with an outstanding claim.