Page 2

BEM 125 2 of 3 PREGNANT WOMEN BPB 2022-009 4-1-2022

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

FINANCIAL ELIGIBILITY FACTORS

Household Composition Household composition follows tax filing rules see BEM 211. Assets There is no asset test. Divestment Policy in BEM 405 applies because income can be divested. Income Eligibility Income eligibility exists when net income does not exceed 195 percent of the federal poverty level. Refer to BEM 500 and 536 to determine net income. Applications for Pregnant Women A woman who is income eligible for one calendar month based on the income limit is automatically income eligible for each following calendar month through the twelfth calendar month after the month her pregnancy ends. Category Transfer An income test is not required when determining continuing eligibility for a pregnant woman whose eligibility under another MA category is terminating. This includes a woman who is Group 2 eligible for only a portion of a month due to incurred medical expenses; see BEM 545. The woman who is eligible for and receiving under another MA category is automatically income eligible for Pregnant Women through the twelfth calendar month after the month her pregnancy ends Note: Pursue eligibility for other MA categories when a beneficiary's coverage based on pregnancy is ending.

loading…

Page 2

Official source

BEM 125 2 of 3 PREGNANT WOMEN BPB 2022-009 4-1-2022

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

FINANCIAL ELIGIBILITY FACTORS

Household Composition Household composition follows tax filing rules see BEM 211. Assets There is no asset test. Divestment Policy in BEM 405 applies because income can be divested. Income Eligibility Income eligibility exists when net income does not exceed 195 percent of the federal poverty level. Refer to BEM 500 and 536 to determine net income. Applications for Pregnant Women A woman who is income eligible for one calendar month based on the income limit is automatically income eligible for each following calendar month through the twelfth calendar month after the month her pregnancy ends. Category Transfer An income test is not required when determining continuing eligibility for a pregnant woman whose eligibility under another MA category is terminating. This includes a woman who is Group 2 eligible for only a portion of a month due to incurred medical expenses; see BEM 545. The woman who is eligible for and receiving under another MA category is automatically income eligible for Pregnant Women through the twelfth calendar month after the month her pregnancy ends Note: Pursue eligibility for other MA categories when a beneficiary's coverage based on pregnancy is ending.