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BEM 145 2 of 3 NEWBORNS BPB 2020-010 4-1-2020

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

Use the information on the form to authorize MA for the child. Con- tact the mother if the form has insufficient information to activate the newborn in Bridges. MDHHS AUTHORIZATIONS Medical Services Administration (MSA) within the Michigan Department of Health and Human Services (MDHHS) will authorize MA for a child born to an MA beneficiary when: • The child’s mother is enrolled in a managed care health plan, and • MSA is notified of the birth, and • The child is not already receiving MA. Note: Do not wait for MSA to authorize MA when notified of the birth. Local Office Responsibilities Eligibility specialists are responsible for taking appropriate case action even if MSA has added newborn coverage when changes, such as an address change are reported. RENEWAL Determine eligibility for all other MA categories no later than the month of the child's first birthday. Proof of U.S. citizenship is not required at annual renewal. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. LEGAL BASE MA Social Security Act, Section 1902(e)(4)

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Page 2

Official source

BEM 145 2 of 3 NEWBORNS BPB 2020-010 4-1-2020

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

Use the information on the form to authorize MA for the child. Con- tact the mother if the form has insufficient information to activate the newborn in Bridges. MDHHS AUTHORIZATIONS Medical Services Administration (MSA) within the Michigan Department of Health and Human Services (MDHHS) will authorize MA for a child born to an MA beneficiary when: • The child’s mother is enrolled in a managed care health plan, and • MSA is notified of the birth, and • The child is not already receiving MA. Note: Do not wait for MSA to authorize MA when notified of the birth. Local Office Responsibilities Eligibility specialists are responsible for taking appropriate case action even if MSA has added newborn coverage when changes, such as an address change are reported. RENEWAL Determine eligibility for all other MA categories no later than the month of the child's first birthday. Proof of U.S. citizenship is not required at annual renewal. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. LEGAL BASE MA Social Security Act, Section 1902(e)(4)