Page 5

BEM 106 5 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

unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex-parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. Initial Asset Assessment for Waiver Applicants An Initial Asset Assessment (IAA) may be needed for potential waiver participants with a spouse. The IAA is used to protect a certain amount of the couple's combined resources for the community spouse. It does not determine the start of Medicaid eligibility. Use policy in BEM 402 to determine if an IAA is appropriate. An IAA uses a first day of continuous care (See BEM 402 for a definition). The first period of continuous care is a period of at least 30 consecutive days where the institutionalized spouse/applicant has been or is expected to be: • In a hospital and/or LTC facility and/or • Approved for the waiver. • The period is no longer continuous when none of the above is true for 30 or more consecutive days; see BEM 402 for examples. • The first period of continuous care may have occurred in the past; however, the applicant must be currently receiving services to complete an IAA. • If there is no past period of continuous care, then the IAA date must start on the first day that meets the definition of continuous care in BEM 402. Start of a Divestment Penalty Period The penalty period begins on the date which all the criteria listed under the approved for the waiver section in this item has been confirmed.

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Page 5

Official source

BEM 106 5 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

unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex-parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. Initial Asset Assessment for Waiver Applicants An Initial Asset Assessment (IAA) may be needed for potential waiver participants with a spouse. The IAA is used to protect a certain amount of the couple's combined resources for the community spouse. It does not determine the start of Medicaid eligibility. Use policy in BEM 402 to determine if an IAA is appropriate. An IAA uses a first day of continuous care (See BEM 402 for a definition). The first period of continuous care is a period of at least 30 consecutive days where the institutionalized spouse/applicant has been or is expected to be: • In a hospital and/or LTC facility and/or • Approved for the waiver. • The period is no longer continuous when none of the above is true for 30 or more consecutive days; see BEM 402 for examples. • The first period of continuous care may have occurred in the past; however, the applicant must be currently receiving services to complete an IAA. • If there is no past period of continuous care, then the IAA date must start on the first day that meets the definition of continuous care in BEM 402. Start of a Divestment Penalty Period The penalty period begins on the date which all the criteria listed under the approved for the waiver section in this item has been confirmed.