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

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

503 COUNTABLE RSDI Bridges does this calculation. Enter current RSDI in Bridges. RSDI cost-of-living allowances are called COLAs. For all persons whose income is considered, do not count COLAs received since the 503 individual's last month of concurrent RSDI/SSI. Exception: If the client objects to the amount used, request a COLA history from the SSA district office. Send a DHS-3471, DHS/SSA Referral to the SSA district office with the following request:  Client objects to our determination of Medicaid eligibility under the Pickle Amendment. Please supply each amount of Title II COLA paid since * . *Enter month and year of the last concurrent RSDI/SSI benefit. If a fiscal group contains more than one potential 503 individual and their last month of concurrent RSDI/SSI differs, do separate budgets for each 503 individual. VERIFICATION REQUIREMENTS Verify current RSDI. Verify the last month of concurrent RSDI entitlement and SSI eligibility and receipt. BENDEX has such information. The verification requirements for all other eligibility factors are spec- ified in the appropriate manual items. LEGAL BASE MA 42 CFR 435.135 Deficit Reduction Act (2005), Social Security Act 1903(x) PL 109- 171. JOINT POLICY DEVELOPMENT Medicaid, Adult Medical Program (AMP) also known as Adult Benefit Waiver (ABW), Transi- tional Medical Assistance (TMA/TMA-Plus), and Maternity Outpatient Medical Services (MOMS) policy has been developed jointly by the Department of Community Health (DCH) and the Department of Human Services (DHS).

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Official source

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

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

503 COUNTABLE RSDI Bridges does this calculation. Enter current RSDI in Bridges. RSDI cost-of-living allowances are called COLAs. For all persons whose income is considered, do not count COLAs received since the 503 individual's last month of concurrent RSDI/SSI. Exception: If the client objects to the amount used, request a COLA history from the SSA district office. Send a DHS-3471, DHS/SSA Referral to the SSA district office with the following request:  Client objects to our determination of Medicaid eligibility under the Pickle Amendment. Please supply each amount of Title II COLA paid since * . *Enter month and year of the last concurrent RSDI/SSI benefit. If a fiscal group contains more than one potential 503 individual and their last month of concurrent RSDI/SSI differs, do separate budgets for each 503 individual. VERIFICATION REQUIREMENTS Verify current RSDI. Verify the last month of concurrent RSDI entitlement and SSI eligibility and receipt. BENDEX has such information. The verification requirements for all other eligibility factors are spec- ified in the appropriate manual items. LEGAL BASE MA 42 CFR 435.135 Deficit Reduction Act (2005), Social Security Act 1903(x) PL 109- 171. JOINT POLICY DEVELOPMENT Medicaid, Adult Medical Program (AMP) also known as Adult Benefit Waiver (ABW), Transi- tional Medical Assistance (TMA/TMA-Plus), and Maternity Outpatient Medical Services (MOMS) policy has been developed jointly by the Department of Community Health (DCH) and the Department of Human Services (DHS).