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BEM 105 2 of 8 MEDICAID OVERVIEW BPB 2024-001 1-1-2024

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

Note: Certain non-Medicaid medical programs are described in various BEM 600 series items. Some of these programs are administered by MDHHS local offices and some are administered by MDHHS/Medical Services Administration (MSA). MONTHLY DETERMINATIONS Medicaid eligibility is determined on a calendar month basis. Unless policy specifies otherwise, circumstances that existed, or are expected to exist, during the calendar month being tested are used to determine eligibility for that month. When determining eligibility for a future month, assume circumstances as of the processing date will continue unchanged unless you have information that indicates otherwise. Children Under 19 Do not shorten a beneficiary's 12-month eligibility period. Once eligible, children Under 19 years of age will remain eligible until the next redetermination unless any of the following occurs: • Reaches age 19-aged out • Moves out of state • Death • Requests closure • Eligibility was based on erroneous information A member may be added to an existing case even though the rede- termination date is less than 12 months in the future. Note: If a child on CHIP (MIChild) becomes eligible for and transfers to a Medicaid program, they must remain on Medicaid for the duration of the 12-month period. Exceptions: Continuous Eligibility does not apply to the following; Children in TMA Children in Presumptive Eligibility Children in a Group 2 Medically needy category (spend-down)

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Official source

BEM 105 2 of 8 MEDICAID OVERVIEW BPB 2024-001 1-1-2024

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

Note: Certain non-Medicaid medical programs are described in various BEM 600 series items. Some of these programs are administered by MDHHS local offices and some are administered by MDHHS/Medical Services Administration (MSA). MONTHLY DETERMINATIONS Medicaid eligibility is determined on a calendar month basis. Unless policy specifies otherwise, circumstances that existed, or are expected to exist, during the calendar month being tested are used to determine eligibility for that month. When determining eligibility for a future month, assume circumstances as of the processing date will continue unchanged unless you have information that indicates otherwise. Children Under 19 Do not shorten a beneficiary's 12-month eligibility period. Once eligible, children Under 19 years of age will remain eligible until the next redetermination unless any of the following occurs: • Reaches age 19-aged out • Moves out of state • Death • Requests closure • Eligibility was based on erroneous information A member may be added to an existing case even though the rede- termination date is less than 12 months in the future. Note: If a child on CHIP (MIChild) becomes eligible for and transfers to a Medicaid program, they must remain on Medicaid for the duration of the 12-month period. Exceptions: Continuous Eligibility does not apply to the following; Children in TMA Children in Presumptive Eligibility Children in a Group 2 Medically needy category (spend-down)