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BEM 130 1 of 3 MICHILD BPB 2024-001 1-1-2024

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

OVERVIEW MIChild is a MAGI-related Medicaid Expansion program for children who are under 19 years of age and who are not enrolled in comprehensive health insurance. Children who get enrolled in comprehensive health insurance during their 12 continuous month eligibility period, cannot be closed until redetermination, with limited exceptions. Other eligibility criteria for MIChis the same as Children under 19 (U19) with the exception that MIChild beneficiaries are responsible for making monthly premium payments; see premiums in this item. Eligibility begins the first day of the month of application. The 3- month retroactive period applies unless the beneficiary was enrolled in other comprehensive medical insurance during that time. Retroactive MIChild coverage is not available prior to January 1, 2016. INCOME ELIGIBILITY • Age zero to age one is 196 percent to 212 percent of the federal poverty level (FPL). • Age one to age 19 is 161 percent to 212 percent of the FPL. PRESUMPTIVE ELIGIBILITY Refer to BEM 136 for presumptive eligibility policy. PREMIUMS Beginning January 1, 2024 MIChild beneficiaries are no longer required to pay premiums.

NONFINANCIAL ELIGIBILITY FACTORS The person must be under age 19. The MA eligibility factors in the following items must be met: • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers.

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Official source

BEM 130 1 of 3 MICHILD BPB 2024-001 1-1-2024

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

OVERVIEW MIChild is a MAGI-related Medicaid Expansion program for children who are under 19 years of age and who are not enrolled in comprehensive health insurance. Children who get enrolled in comprehensive health insurance during their 12 continuous month eligibility period, cannot be closed until redetermination, with limited exceptions. Other eligibility criteria for MIChis the same as Children under 19 (U19) with the exception that MIChild beneficiaries are responsible for making monthly premium payments; see premiums in this item. Eligibility begins the first day of the month of application. The 3- month retroactive period applies unless the beneficiary was enrolled in other comprehensive medical insurance during that time. Retroactive MIChild coverage is not available prior to January 1, 2016. INCOME ELIGIBILITY • Age zero to age one is 196 percent to 212 percent of the federal poverty level (FPL). • Age one to age 19 is 161 percent to 212 percent of the FPL. PRESUMPTIVE ELIGIBILITY Refer to BEM 136 for presumptive eligibility policy. PREMIUMS Beginning January 1, 2024 MIChild beneficiaries are no longer required to pay premiums.

NONFINANCIAL ELIGIBILITY FACTORS The person must be under age 19. The MA eligibility factors in the following items must be met: • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers.