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BEM 125 1 of 3 PREGNANT WOMEN BPB 2022-009 4-1-2022

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

DEPARTMENT POLICY Medicaid Only Pregnant Women (PW) Medicaid (MA) is a MAGI-related Medicaid category. Medicaid is available to a woman while she is pregnant, the month her pregnancy ends, and during the twelve calendar postpartum months following the month her pregnancy ended regardless of the reason (for example, live birth, miscarriage, stillborn). Medicaid cannot be terminated during pregnancy or postpartum period unless the woman requests the closure, moves out of state or dies. If initial eligibility was granted based on incorrect or fraudulent information, continuous eligibility may be interrupted. All eligibility factors in this item must be met. Her fiscal group's net income cannot exceed 195 percent of the federal poverty level. All nonfinancial eligibility factors must be met in the calendar month being tested. If the month being tested is an L/H month and eligibility exists, go to BEM 546 to determine the post-eligibility patient-pay amount. Presumptive Eligibility Refer to BEM 136 for presumptive eligibility policy. Nonfinancial Eligibility Factors The woman must be pregnant. The MA eligibility factors in the following items must be met: • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers. • BEM 225, Citizenship/Alien Status. • BEM 256, Spousal/Parental Support. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status.

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Official source

BEM 125 1 of 3 PREGNANT WOMEN BPB 2022-009 4-1-2022

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

DEPARTMENT POLICY Medicaid Only Pregnant Women (PW) Medicaid (MA) is a MAGI-related Medicaid category. Medicaid is available to a woman while she is pregnant, the month her pregnancy ends, and during the twelve calendar postpartum months following the month her pregnancy ended regardless of the reason (for example, live birth, miscarriage, stillborn). Medicaid cannot be terminated during pregnancy or postpartum period unless the woman requests the closure, moves out of state or dies. If initial eligibility was granted based on incorrect or fraudulent information, continuous eligibility may be interrupted. All eligibility factors in this item must be met. Her fiscal group's net income cannot exceed 195 percent of the federal poverty level. All nonfinancial eligibility factors must be met in the calendar month being tested. If the month being tested is an L/H month and eligibility exists, go to BEM 546 to determine the post-eligibility patient-pay amount. Presumptive Eligibility Refer to BEM 136 for presumptive eligibility policy. Nonfinancial Eligibility Factors The woman must be pregnant. The MA eligibility factors in the following items must be met: • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers. • BEM 225, Citizenship/Alien Status. • BEM 256, Spousal/Parental Support. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status.