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BAM 600 24 of 50 HEARINGS BPB 2026-014 5-1-2026

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

support payments and is denied due to excess income. If the client appeals the MDHHS denial and provides the missing information, this could allow the initial denial, correct when issued, to be overturned. If the care or service for which the client made the medical payment was received after the client’s application that resulted in the MDHHS denial, the payment would not be eligible for reimbursement. Example: • 2/20/06 application for Medicaid and retroactive Medicaid is received by MDHHS. • 4/5/06 the application is denied. • 5/3/06 a hearing request is received in the local MDHHS office. • 6/7/06 the ALJ overturns the denial and determines the client is eligible for Medicaid. • 6/14/06 the specialist processes the Medicaid opening. If the medical payment was for care or services received in the retroactive period, the client is eligible for reimbursement for payments between 4/5/06 (the original denial date) and 6/24/06 (10 days after the second eligibility notice is mailed). If the medical payment was for care or services after the retroactive period, the corrective action period covers payments made between 5/3/06, (the date the hearing request was received by MDHHS) and 6/24/06, (10 days after the second eligibility notice was mailed). Hearing Packet All Programs A copy of the hearings packet must be ID mailed or sent by US postal mail to: 1. The client, if not presented at the prehearing conference. 2. AHR, if not presented at the prehearing conference. 3. MOAHR. Administrative Review All Programs