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BEM 111 1 of 2 TRANSITIONAL MA BPB 2018-007 4-1-2018

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

DEPARTMENT POLICY Medicaid (MA) Only Transitional Medical Assistance (TMA) is an automatic coverage group. Transitional Medical Assistance (TMA) eligibility is only considered after Low Income Family (LIF) MA. Individuals may receive TMA for up to 12 months when ineligibility for LIF relates to income from employment of a caretaker relative. TMA starts the month in which LIF ineligibility began regardless of when the LIF eligibility actually ended. A new or updated application for healthcare coverage is not required to transfer to Transitional Medical Assistance (TMA). INITIAL TMA ELIGIBILITY LIF must be transferred to TMA when all of the requirements below are met. 1. At least one LIF qualified group member was eligible for and received LIF for three of the six calendar months immediately preceding the month of LIF ineligibility. 2. LIF ineligibility resulted from excess earned income only. 3. Earnings of the caretaker relative, caretaker relative’s spouse or a dependent child’s parent in the LIF ineligibility determination are greater than zero. TMA Group The TMA group is those individuals who were in the LIF group at the time of transfer to TMA. Note: Newborns eligible under BEM 145 may be added to the TMA case, but are not TMA group members. CONTINUED ELIGIBILITY TMA eligibility continues until the end of the 12-month TMA period unless: