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BEM 117 1 of 6 DEPARTMENT WARDS, TITLE IV-E AND ADOPTION ASSISTANCE RECIPIENTS BPB 2018-007 4-1-2018

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

DEPARTMENT POLICY Medicaid (MA) Only As explained in detail below, the following persons are automatically eligible for Group 1 MA. • Department wards. • Social Security Act title IV-E foster care (FC) recipients. • Children with title IV-E adoption assistance agreements. • Special needs children with adoption assistance agreements. Adoption assistance agreements are also called adoption support subsidy agreements. Other children,for example court wards, may be eligible under other MA categories such as Healthy Kids U-19; see BEM 105. MA coverage for court wards is not automatic. Local office specialists are responsible for opening and maintaining these cases. 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. DEPARTMENT WARDS Department wards are automatically eligible for Group 1 MA. A department ward is any child who: • Has been committed to, or placed with, the department by a court order; and • Does not live with his parent(s); and • Is not a title IV-E recipient; or • Is a former permanent court ward or state (MCI) ward, placed for adoption, but not finalized (adoption supervision period), and who is not receiving an adoption support subsidy.

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Official source

BEM 117 1 of 6 DEPARTMENT WARDS, TITLE IV-E AND ADOPTION ASSISTANCE RECIPIENTS BPB 2018-007 4-1-2018

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

DEPARTMENT POLICY Medicaid (MA) Only As explained in detail below, the following persons are automatically eligible for Group 1 MA. • Department wards. • Social Security Act title IV-E foster care (FC) recipients. • Children with title IV-E adoption assistance agreements. • Special needs children with adoption assistance agreements. Adoption assistance agreements are also called adoption support subsidy agreements. Other children,for example court wards, may be eligible under other MA categories such as Healthy Kids U-19; see BEM 105. MA coverage for court wards is not automatic. Local office specialists are responsible for opening and maintaining these cases. 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. DEPARTMENT WARDS Department wards are automatically eligible for Group 1 MA. A department ward is any child who: • Has been committed to, or placed with, the department by a court order; and • Does not live with his parent(s); and • Is not a title IV-E recipient; or • Is a former permanent court ward or state (MCI) ward, placed for adoption, but not finalized (adoption supervision period), and who is not receiving an adoption support subsidy.