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BEM 150 3 of 9 MA FOR SSI RECIPIENTS BPB 2024-001 1-1-2024

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

LOCAL OFFICE TRANSITIONAL SSI OPENINGS An SSI recipient may come to the local office asking for MA cover- age before the SDX process opens SSI in Bridges. Local offices should open AD-Care when: • The SSI recipient is not currently active for full coverage MA, or • The SSI recipient is receiving MA under another Type of Assistance (TOA.) See opening AD-Care in this item. Note: It is the local office responsibility to complete the AD-Care opening. The SSI Coordination Unit is unable to process manual SSI opening requests timely due to the limited resources available. Opening AD-Care Do all of the following before opening AD-Care for an SSI recipient: • Obtain a signed DCH-1426, Application for Health Coverage & Help Paying Cost, with all of the following minimum information: Recipient's name. Recipient's birth date. Recipient's address (unless homeless). Recipient's/authorized representative's signature. Note: Do not require the completion of the entire DCH-1426. Only the DCH-1426 with all of the minimum information listed above is needed. • If there are other family members receiving Medicaid in the SSI recipient’s household and the applicant is a responsible relative (for example, spouse, parent) of the SSI Recipient, change the SSI Recipient’s individual program status to requested to apply for MA on the family’s case. • If the SSI recipient is receiving other programs but not MA, use the program request screen in the existing case to apply for MA.

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Official source

BEM 150 3 of 9 MA FOR SSI RECIPIENTS BPB 2024-001 1-1-2024

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

LOCAL OFFICE TRANSITIONAL SSI OPENINGS An SSI recipient may come to the local office asking for MA cover- age before the SDX process opens SSI in Bridges. Local offices should open AD-Care when: • The SSI recipient is not currently active for full coverage MA, or • The SSI recipient is receiving MA under another Type of Assistance (TOA.) See opening AD-Care in this item. Note: It is the local office responsibility to complete the AD-Care opening. The SSI Coordination Unit is unable to process manual SSI opening requests timely due to the limited resources available. Opening AD-Care Do all of the following before opening AD-Care for an SSI recipient: • Obtain a signed DCH-1426, Application for Health Coverage & Help Paying Cost, with all of the following minimum information: Recipient's name. Recipient's birth date. Recipient's address (unless homeless). Recipient's/authorized representative's signature. Note: Do not require the completion of the entire DCH-1426. Only the DCH-1426 with all of the minimum information listed above is needed. • If there are other family members receiving Medicaid in the SSI recipient’s household and the applicant is a responsible relative (for example, spouse, parent) of the SSI Recipient, change the SSI Recipient’s individual program status to requested to apply for MA on the family’s case. • If the SSI recipient is receiving other programs but not MA, use the program request screen in the existing case to apply for MA.