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BEM 129 1 of 3 MEDICAID UNDER AGE 1 BPB 2025-001 1-1-2025

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

DEPARTMENT POLICY Medicaid (MA) Only Medicaid for children under age one (HK1) is part of the U-19 Medicaid Expansion program. It is a MAGI related Medicaid category. HK1 Medicaid is available to children under one year of age whose household income is between 55 -195 % of the Federal Poverty Level (FPL). All eligibility factors must be met in the calendar month being tested. However, only certain eligibility factors apply before annual renewal. 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. Note: Safe Delivery Babies do not need to meet any of the non- financial eligibility factors listed in this item. Presumptive Eligibility Refer to BEM 136 for presumptive eligibility policy. NONFINANCIAL ELIGIBILITY FACTORS The child must be under age one; see BEM 240. See CHILD IN HOSPITAL OR LTC in this item for an exception to the age limit. The MA eligibility factors in the following items must be met: BEM 220, Residence. BEM 223, Social Security Numbers. BEM 225, Citizenship/Alien Status. BEM 255, Child Support. BEM 257, Third Party Resource Liability. BEM 265, Institutional Status. BEM 270, Pursuit of Benefits.

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Official source

BEM 129 1 of 3 MEDICAID UNDER AGE 1 BPB 2025-001 1-1-2025

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

DEPARTMENT POLICY Medicaid (MA) Only Medicaid for children under age one (HK1) is part of the U-19 Medicaid Expansion program. It is a MAGI related Medicaid category. HK1 Medicaid is available to children under one year of age whose household income is between 55 -195 % of the Federal Poverty Level (FPL). All eligibility factors must be met in the calendar month being tested. However, only certain eligibility factors apply before annual renewal. 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. Note: Safe Delivery Babies do not need to meet any of the non- financial eligibility factors listed in this item. Presumptive Eligibility Refer to BEM 136 for presumptive eligibility policy. NONFINANCIAL ELIGIBILITY FACTORS The child must be under age one; see BEM 240. See CHILD IN HOSPITAL OR LTC in this item for an exception to the age limit. The MA eligibility factors in the following items must be met: BEM 220, Residence. BEM 223, Social Security Numbers. BEM 225, Citizenship/Alien Status. BEM 255, Child Support. BEM 257, Third Party Resource Liability. BEM 265, Institutional Status. BEM 270, Pursuit of Benefits.