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

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

• A change is reported, such as decreased earned income, and the family is eligible for LIF; or Note: The family might qualify for TMA or Special N/Support if they again become ineligible for LIF. • For individual members, information is reported indicating that a member does not meet the MA requirements in: BEM 220, Residence. BEM 257,Third Party Resource Liability. BEM 265, Institutional Status. If a member loses TMA eligibility during the 12-month period based on BEM 220, 257 or 265, but the reason for ineligibility ceases, TMA eligibility exists again. Eligibility restarts the month ineligibility ceased and continues for the remainder of the 12-month period. The beneficiary is responsible for reporting the change that re-establishes eligibility. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, 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. LEGAL BASE MA Social Security Act, Section 1925, 1931