Page 16

BAM 600 16 of 50 HEARINGS BPB 2026-014 5-1-2026

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

• Denial of payment for a service, appliance or prosthesis. • Restricted utilization of the client’s mihealth card. • Determination of program enrollment type (PET) code (long- term care or MIChoice waiver). • Enrollment in managed care, including requests for exemption. • Denial of CHILD’s waiver services. • Reduction of services. • Authorization of MA for a newborn under; see BEM 145, Newborns. Role of MDHHS Staff Role of MDHHS Local Office Staff, Appeals Review Office Staff and MSA Policy Staff or MOAHR Staff MA Only When the local MDHHS office receives a hearing request disputing a MSA determination, the local office hearings coordinator does all the following: • Logs the hearing request. • Faxes a copy of the hearing request to MOAHR at 517-763- 0146. • Sends the original hearing request within three workdays to: Michigan Office of Administrative Hearings and Rules PO Box 30763 Lansing, MI 48909 MDHHS local office staff will provide a room for the hearing. Exception: See BAM 825, Medical Transportation, for MDHHS and Medical Services Administration (MSA) responsibilities when MDHHS receives a hearing request on medical transportation.

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Page 16

Official source

BAM 600 16 of 50 HEARINGS BPB 2026-014 5-1-2026

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

• Denial of payment for a service, appliance or prosthesis. • Restricted utilization of the client’s mihealth card. • Determination of program enrollment type (PET) code (long- term care or MIChoice waiver). • Enrollment in managed care, including requests for exemption. • Denial of CHILD’s waiver services. • Reduction of services. • Authorization of MA for a newborn under; see BEM 145, Newborns. Role of MDHHS Staff Role of MDHHS Local Office Staff, Appeals Review Office Staff and MSA Policy Staff or MOAHR Staff MA Only When the local MDHHS office receives a hearing request disputing a MSA determination, the local office hearings coordinator does all the following: • Logs the hearing request. • Faxes a copy of the hearing request to MOAHR at 517-763- 0146. • Sends the original hearing request within three workdays to: Michigan Office of Administrative Hearings and Rules PO Box 30763 Lansing, MI 48909 MDHHS local office staff will provide a room for the hearing. Exception: See BAM 825, Medical Transportation, for MDHHS and Medical Services Administration (MSA) responsibilities when MDHHS receives a hearing request on medical transportation.