Page 6

BEM 150 6 of 9 MA FOR SSI RECIPIENTS BPB 2024-001 1-1-2024

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

SSI TERMINATIONS When SSI benefits stop, central office evaluates the reason based on SSA's negative action code, then does one of the following: • SSI Closure. MA-SSI is closed in Bridges if SSI stopped for a reason that prevents continued MA eligibility (for example, death, moved out of state). Bridges sends the recipient a DHS- 1605. • Transfer to MA-Terminated SSI Medicaid. SSI cases not closed due to the policy above are transferred to the MA Termination SSI Medicaid Type of Assistance. A redetermination date is set for the second month after transfer to allow for an ex parte review; see glossary. Local Office Responsibilities for Cases Transferred to SSIT Based on current circumstances, determine whether the client qualifies for MA under: • MA While Appealing Disability Termination in this item, or • Any other MA category; see BEM 105. Note: A redetermination/ex parte review (see glossary and BAM 210) 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, a redetermination/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, 210 and 220. When an MA Terminated SSI Medicaid EDG is set in Bridges, the new automated process will run. See SSI-Terminated (SSI-T) Redetermination/Ex Parte Review Process job aid for the full breakdown of the automated process and specialist responsibilities.

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Page 6

Official source

BEM 150 6 of 9 MA FOR SSI RECIPIENTS BPB 2024-001 1-1-2024

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

SSI TERMINATIONS When SSI benefits stop, central office evaluates the reason based on SSA's negative action code, then does one of the following: • SSI Closure. MA-SSI is closed in Bridges if SSI stopped for a reason that prevents continued MA eligibility (for example, death, moved out of state). Bridges sends the recipient a DHS- 1605. • Transfer to MA-Terminated SSI Medicaid. SSI cases not closed due to the policy above are transferred to the MA Termination SSI Medicaid Type of Assistance. A redetermination date is set for the second month after transfer to allow for an ex parte review; see glossary. Local Office Responsibilities for Cases Transferred to SSIT Based on current circumstances, determine whether the client qualifies for MA under: • MA While Appealing Disability Termination in this item, or • Any other MA category; see BEM 105. Note: A redetermination/ex parte review (see glossary and BAM 210) 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, a redetermination/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, 210 and 220. When an MA Terminated SSI Medicaid EDG is set in Bridges, the new automated process will run. See SSI-Terminated (SSI-T) Redetermination/Ex Parte Review Process job aid for the full breakdown of the automated process and specialist responsibilities.