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BEM 126 2 of 3 GROUP 2 PREGNANT WOMEN BPB 2022-009 4-1-2022

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

FINANCIAL ELIGIBILITY FACTORS

Groups Use the fiscal group policies for Group 2 Medicaid in 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 Group 2 needs in BEM 544. Apply the Medicaid policies in BEM 500, 530 and 536 to determine net income. If the net income exceeds Group 2 needs, Medicaid eligibility is still possible. The deductible for a pregnant woman is usually met at the first office visit because the woman incurs the full cost of the obstetric (OB) services (including labor and delivery) at her first OB visit. Her coverage should then be updated to MAGI-related Pregnant Women (PW) for the remainder of the pregnancy and twelve months post-partum; see BEM 545. POSTPARTUM EXTENSION The postpartum extension period is the twelve calendar months following the month a pregnancy ends. The postpartum extension of Medicaid eligibility is available to a woman who: • Was eligible for, and receiving, Medicaid on the day her pregnancy ended; and • Meets the nonfinancial eligibility factors in this item except pregnancy; and • Is not currently eligible for Medicaid under any category other than postpartum extension. Note: The woman who is eligible for and receiving under another Medicaid category is automatically income eligible for Pregnant