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BEM 101 5 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

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

1. Coverage code E identifies coverage limited to emergency services due to alien status (BEM 225). 2. Scope/coverage 20 indicates that the person is in deductible status. If the person was in deductible status and eligible for a Medicare Savings Program (MSP) the scope/coverage would show MSP eligibility;0see Exhibit III in BEM 105. 3. ES code 7 is used for deductible status. It tells Bridges to switch scope/coverage 2F/2E back to the previous codes for the month after the deductible was met. Note: PG Category types for SSI-related MA are AG (aged), BL (blind) and DI (disabled). However, BL and DI do not necessarily mean blind or disabled per BEM 260.

EXHIBIT V OTHER INSURANCE CODES Codes Description 90 - 96 Medicare 89 HMO/PPO 05 Blue Cross/Blue Shield (BCBS) 87 Pharmacy Only 88 Dental Only 83 Long-Term Care 84 Indemnity 78 Recipient Monitoring