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BEM 106 4 of 10 MA WAIVER FOR ELDERLY AND DISABLED BPB 2026-024 8-1-2026

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

NONFINANCIAL ELIGIBILITY FACTORS The eligibility factors in the following items must be met. • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers. • BEM 225, Citizenship/Alien Status. • BEM 255, Child Support. • BEM 256, Spousal/Parental Support. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status. • BEM 270, Pursuit of Benefits. FINANCIAL ELIGIBILITY FACTORS Use special MA policies in the MA eligibility determination: • A waiver participant is a group of one even when he lives with his spouse; see BEM 211. • The Special MA Asset Rules in BEM 402 apply when completing the Initial Asset Assessment. See special initial asset assessment rules for waiver applicants in this item for rules on determining the first period of continuous care. • The MA divestment policy in BEM 405 applies to waiver participants. • The extended-care category is available to waiver participants; see BEM 164. • Income eligibility exists when gross countable income does not exceed 300 percent of the SSI benefit rate. • Income eligibility cannot be established with a patient-pay amount or by meeting a deductible. see BEM 500. A waiver participant may no longer qualify for waiver services; however, they may still qualify for MA. Note: An ex-parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change