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BEM 105 4 of 8 MEDICAID OVERVIEW BPB 2024-001 1-1-2024

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

• The MDHHS-1010, Redetermination is a Bridges generated form that is sent at the time of an annual renewal. • The DHS-1004, Health Care Coverage Supplemental Questionnaire, is used to gather additional information when an applicant is not found eligible for any MAGI-related eligibility group or indicates a disability on the DCH-1426. To apply online see the Michigan Department of Health and Human Services (MDHHS) website/Online Services/MI Bridges Apply for Assistance & Manage Your Account. MAGI-Related Medicaid The following categories are considered MAGI related groups. • Pregnant Women (PW, MOMS). • Infants and Children under age 19 (LIF, Newborn, HK1, OHK HKE, MIChild). • Parents and caretaker relatives (PCR, LIF). • Adult Group age 19-64 (HMP). • Former Foster Care Children (FCTM). • Flint Water Group (FWG). • Plan First. Non-MAGI Medicaid Full Coverage • Transitional Medicaid Assistance (TMA). • Special N Support (SNS). • Refugee Medical Assistance (RMA). Non-MAGI Medicaid Limited Coverage • Group 2 Pregnant Women (G2P). • Group 2 Under 21 (G2U).

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Official source

BEM 105 4 of 8 MEDICAID OVERVIEW BPB 2024-001 1-1-2024

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

• The MDHHS-1010, Redetermination is a Bridges generated form that is sent at the time of an annual renewal. • The DHS-1004, Health Care Coverage Supplemental Questionnaire, is used to gather additional information when an applicant is not found eligible for any MAGI-related eligibility group or indicates a disability on the DCH-1426. To apply online see the Michigan Department of Health and Human Services (MDHHS) website/Online Services/MI Bridges Apply for Assistance & Manage Your Account. MAGI-Related Medicaid The following categories are considered MAGI related groups. • Pregnant Women (PW, MOMS). • Infants and Children under age 19 (LIF, Newborn, HK1, OHK HKE, MIChild). • Parents and caretaker relatives (PCR, LIF). • Adult Group age 19-64 (HMP). • Former Foster Care Children (FCTM). • Flint Water Group (FWG). • Plan First. Non-MAGI Medicaid Full Coverage • Transitional Medicaid Assistance (TMA). • Special N Support (SNS). • Refugee Medical Assistance (RMA). Non-MAGI Medicaid Limited Coverage • Group 2 Pregnant Women (G2P). • Group 2 Under 21 (G2U).