Page 6

BEM 106 6 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

Notices Waiver activities are performed by agents who meet the federal definition of administering the MA program. Therefore, you can share the following information with the agents without a signed release from the participant: • A copy of the DHS-3503, Verification Checklist. • A copy of the DHS-4588, Initial Asset Assessment Notice. The original DHS-3503, and DHS-4588 must be sent to the participant or the guardian, court or agency that is legally responsible for the participant. Do not enter waiver agencies in Bridges as a third-party type. Only the participant's legal guardian, court, or agency legally responsible for the participant can be entered as a third-party type. HOSPICE SERVICES Waiver participants may receive hospice services and waiver ser- vices simultaneously. The waiver agency and the hospice coordinate their plans of care to avoid overlapping services. MSA is responsible for assuring correct payments are made. MANAGED CARE PLANS MA recipients must choose either waiver services or enrollment in a health maintenance organization (HMO). They cannot receive both waiver services and be enrolled in an HMO. Recipients cannot be enrolled in more than one program (MI Choice, PACE, MI Health Link, or Home Help) at the same time. LIST OF SOME HOME AND COMMUNITY BASED SERVICES

• Adult Day Health. • Chore Services. • Community Health Worker. • Community Living Supports.