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BEM 155 1 of 3 503 INDIVIDUALS BPB 2013-012 7-1-2013

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. MA is available to former SSI recipients who receive RSDI benefits and would now be eligible for SSI if RSDI cost-of-living increases paid since SSI eligibility ended were excluded. The reason for SSI ineligibility does not matter. All eligibility factors must be met in the calendar month being tested. If the month being tested is an L/H month and eligibility exists, go to BEM 546 to determine the post-eligibility patient-pay amount. 503 individuals eligible for Medicare are covered by the Buy-In Pro- gram (see BAM 810) and are considered eligible for QMB (BEM 165). Nationally, this MA category is referred to as Medicaid under the Pickle Amendment. NONFINANCIAL ELIGIBILITY FACTORS  The person must: Currently receive RSDI benefits, and Have stopped receiving SSI benefits after April 1977, and Have been entitled to RSDI benefits in the last month he was eligible for and received SSI. Note: RSDI benefits paid retroactively can be considered. An SSI recipient who receives retroactive RSDI benefits does not become retroactively ineligible for SSI even when the retroac- tive RSDI monthly benefit was more than his SSI benefit.  The person must be: Age 65 or older (BEM 240), or Blind (BEM 260), or Disabled (BEM 260).  The MA eligibility factors in the following items must be met:

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Official source

BEM 155 1 of 3 503 INDIVIDUALS BPB 2013-012 7-1-2013

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. MA is available to former SSI recipients who receive RSDI benefits and would now be eligible for SSI if RSDI cost-of-living increases paid since SSI eligibility ended were excluded. The reason for SSI ineligibility does not matter. All eligibility factors must be met in the calendar month being tested. If the month being tested is an L/H month and eligibility exists, go to BEM 546 to determine the post-eligibility patient-pay amount. 503 individuals eligible for Medicare are covered by the Buy-In Pro- gram (see BAM 810) and are considered eligible for QMB (BEM 165). Nationally, this MA category is referred to as Medicaid under the Pickle Amendment. NONFINANCIAL ELIGIBILITY FACTORS  The person must: Currently receive RSDI benefits, and Have stopped receiving SSI benefits after April 1977, and Have been entitled to RSDI benefits in the last month he was eligible for and received SSI. Note: RSDI benefits paid retroactively can be considered. An SSI recipient who receives retroactive RSDI benefits does not become retroactively ineligible for SSI even when the retroac- tive RSDI monthly benefit was more than his SSI benefit.  The person must be: Age 65 or older (BEM 240), or Blind (BEM 260), or Disabled (BEM 260).  The MA eligibility factors in the following items must be met: