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BEM 155 2 of 3 503 INDIVIDUALS BPB 2013-012 7-1-2013

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

BEM 220, Residence. BEM 221, Identity. BEM 223, Social Security Numbers. BEM 225, Citizenship/Alien Status. BEM 255, Child Support. BEM 256, Spousal/Parental Support. BEM 257, Third Party Resource Liability. BEM 265, Institutional Status. BEM 270, Pursuit of Benefits. Note: An ex parte reivew (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. FINANCIAL ELIGIBILITY FACTORS

Groups Use fiscal and asset group policies for SSI-related groups in BEM 211. Assets Countable assets cannot exceed the asset limit in BEM 400. Countable assets are determined based on the MA policies in BEM 400, 401 and 402. Divestment Policy in BEM 405 applies. Income Eligibility Income eligibility exists when net income does not exceed the spe- cial protected income level in RFT 245. Income eligibility cannot be established with a patient-pay amount or by meeting a deductible. Determine countable income according to MA policies in BEM 500 and BEM 530, except as explained in “503 COUNTABLE RSDI” below. Apply the deductions in BEM 540 (for children) or BEM 541 (for adults) to countable income to determine net income.

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Official source

BEM 155 2 of 3 503 INDIVIDUALS BPB 2013-012 7-1-2013

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

BEM 220, Residence. BEM 221, Identity. BEM 223, Social Security Numbers. BEM 225, Citizenship/Alien Status. BEM 255, Child Support. BEM 256, Spousal/Parental Support. BEM 257, Third Party Resource Liability. BEM 265, Institutional Status. BEM 270, Pursuit of Benefits. Note: An ex parte reivew (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. FINANCIAL ELIGIBILITY FACTORS

Groups Use fiscal and asset group policies for SSI-related groups in BEM 211. Assets Countable assets cannot exceed the asset limit in BEM 400. Countable assets are determined based on the MA policies in BEM 400, 401 and 402. Divestment Policy in BEM 405 applies. Income Eligibility Income eligibility exists when net income does not exceed the spe- cial protected income level in RFT 245. Income eligibility cannot be established with a patient-pay amount or by meeting a deductible. Determine countable income according to MA policies in BEM 500 and BEM 530, except as explained in “503 COUNTABLE RSDI” below. Apply the deductions in BEM 540 (for children) or BEM 541 (for adults) to countable income to determine net income.