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BEM 100 12 of 18 INTRODUCTION BPB 2026-014 5-1-2026

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

• Explanation of how the case fits into one of the three allowable situations above. • Copies of all pertinent information. Exceptions to provider or service policy, or prior authorization can- not be granted through this process; see BAM 402. Medicaid policy exceptions are an internal process. Exception requests must come from a department employee. Exception requests are not accepted from beneficiaries, attorneys or family members. Policy exceptions do not determine eligibility. An exception denial does not grant hearing rights to the beneficiary. Policy Exception Override Requests All Programs except Medicaid Policy exceptions override requests are generated using one of the following procedures: • A request is called in through administrative channels to Bridges Resource Center (BRC), for resolution who coordinates between program policy units, based on the programs affected. The ticket must include all of the following information: • The specialist’s name and contact information. • The case number. • The Head of Household’s name. • The program(s) affected. • The name and individual ID of the member(s) affected. • The eligibility determination group (EDG) number(s). • A detailed description of the issue. • What steps the local office took to try to resolve the issue. • The expected resolution. • Copies of all supporting documentation, including a copy of the Hearing Decision and Order or Court Order for situations involving a hearing decision. • A request is sent to the appropriate program policy email box for review. The request must include:

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Page 12

Official source

BEM 100 12 of 18 INTRODUCTION BPB 2026-014 5-1-2026

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

• Explanation of how the case fits into one of the three allowable situations above. • Copies of all pertinent information. Exceptions to provider or service policy, or prior authorization can- not be granted through this process; see BAM 402. Medicaid policy exceptions are an internal process. Exception requests must come from a department employee. Exception requests are not accepted from beneficiaries, attorneys or family members. Policy exceptions do not determine eligibility. An exception denial does not grant hearing rights to the beneficiary. Policy Exception Override Requests All Programs except Medicaid Policy exceptions override requests are generated using one of the following procedures: • A request is called in through administrative channels to Bridges Resource Center (BRC), for resolution who coordinates between program policy units, based on the programs affected. The ticket must include all of the following information: • The specialist’s name and contact information. • The case number. • The Head of Household’s name. • The program(s) affected. • The name and individual ID of the member(s) affected. • The eligibility determination group (EDG) number(s). • A detailed description of the issue. • What steps the local office took to try to resolve the issue. • The expected resolution. • Copies of all supporting documentation, including a copy of the Hearing Decision and Order or Court Order for situations involving a hearing decision. • A request is sent to the appropriate program policy email box for review. The request must include: