Page 1

BEM 145 1 of 3 NEWBORNS BPB 2020-010 4-1-2020

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

DEPARTMENT POLICY Medicaid Only This is a MAGI related Medicaid category. Newborns who meet the eligibility factors in this item are automati- cally eligible for Medicaid from birth to age one. AUTOMATIC ELIGIBILITY A newborn is automatically eligible for MA the month of birth if, for his date of birth, his mother receives Medicaid coverage, regardless of when that coverage is authorized. Eligibility continues through the month of the newborn's first birthday if he meets the MA eligibility factors in all of the following items: • BEM 220, Residence. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status. If eligibility was granted based on incorrect or fraudulent information, continuous eligibility may be interrupted. A newborn who meets the above criteria is eligible for MA without an application or eligibility determination. Authorize MA as soon as the minimum information needed to acti- vate the newborn is received. A child born to a MA beneficiary is considered a U.S. citizen. No further documentation is required. Do not delay authorizing MA for newborns. Medical providers may send local offices MSA-2565C, Hospital Newborn Notice, when they are unable to submit notice of the birth through the Michigan Birth Registry system. Consider an MSA-2565-C received for a newborn as a report of the child's birth.

loading…

Page 1

Official source

BEM 145 1 of 3 NEWBORNS BPB 2020-010 4-1-2020

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

DEPARTMENT POLICY Medicaid Only This is a MAGI related Medicaid category. Newborns who meet the eligibility factors in this item are automati- cally eligible for Medicaid from birth to age one. AUTOMATIC ELIGIBILITY A newborn is automatically eligible for MA the month of birth if, for his date of birth, his mother receives Medicaid coverage, regardless of when that coverage is authorized. Eligibility continues through the month of the newborn's first birthday if he meets the MA eligibility factors in all of the following items: • BEM 220, Residence. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status. If eligibility was granted based on incorrect or fraudulent information, continuous eligibility may be interrupted. A newborn who meets the above criteria is eligible for MA without an application or eligibility determination. Authorize MA as soon as the minimum information needed to acti- vate the newborn is received. A child born to a MA beneficiary is considered a U.S. citizen. No further documentation is required. Do not delay authorizing MA for newborns. Medical providers may send local offices MSA-2565C, Hospital Newborn Notice, when they are unable to submit notice of the birth through the Michigan Birth Registry system. Consider an MSA-2565-C received for a newborn as a report of the child's birth.