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BEM 113 1 of 2 SPECIAL N/SUPPORT BPB 2019-012 10-1-2019

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

DEPARTMENT POLICY Medicaid Only Special N/Support (SNS) is an automatic coverage group.When ineligibility for LIF results wholly or in part from spousal support payments, the individual may continue eligible for Medicaid for four months. Individuals receiving Medicaid on this basis are referred to as Special N/Support beneficiaries. Special N/Support eligibility can be considered only after Low Income Family (LIF) MA. Divorce or separation agreements executed or modified after December 31, 2018, exclude spousal support as countable income in a MAGI Medicaid eligibility determination. INITIAL SPECIAL N/ SUPPORT ELIGIBILITY LIF must be transferred to Special N/Support when all of the following criteria are met. • The LIF group is not eligible for continued Medicaid as Transitional MA. • At least one LIF group member was a LIF beneficiary in three of the six calendar months before the month in which LIF will terminate. • LIF ineligibility resulted from excess earned income and countable spousal support income. A new or updated application for healthcare coverage is not required to transfer to Special N/Support. Special N/Support Group The Special N/Support group is those persons who were in the LIF group at the time of transfer to Special N/Support.

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Official source

BEM 113 1 of 2 SPECIAL N/SUPPORT BPB 2019-012 10-1-2019

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

DEPARTMENT POLICY Medicaid Only Special N/Support (SNS) is an automatic coverage group.When ineligibility for LIF results wholly or in part from spousal support payments, the individual may continue eligible for Medicaid for four months. Individuals receiving Medicaid on this basis are referred to as Special N/Support beneficiaries. Special N/Support eligibility can be considered only after Low Income Family (LIF) MA. Divorce or separation agreements executed or modified after December 31, 2018, exclude spousal support as countable income in a MAGI Medicaid eligibility determination. INITIAL SPECIAL N/ SUPPORT ELIGIBILITY LIF must be transferred to Special N/Support when all of the following criteria are met. • The LIF group is not eligible for continued Medicaid as Transitional MA. • At least one LIF group member was a LIF beneficiary in three of the six calendar months before the month in which LIF will terminate. • LIF ineligibility resulted from excess earned income and countable spousal support income. A new or updated application for healthcare coverage is not required to transfer to Special N/Support. Special N/Support Group The Special N/Support group is those persons who were in the LIF group at the time of transfer to Special N/Support.