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BEM 157 1 of 5 EARLY WIDOW(ER)S BPB 2020-021 7-1-2020

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 any person who: 1. Is not entitled to Medicare Part A (hospital insurance), and 2. Receives RSDI benefits some or all of which are early widow(er)'s benefits under section 202(e) or (f) of the Social Security Act, or under any other provision of section 202 if they are also eligible under subsections (e) or (f), and Note: Sections 202(e) and (f) provide the same benefits; (e) is for widows and (f) is for widowers. 3. Was terminated from SSI because of RSDI received under section 202 of the Act, and 4. Received SSI in the month before the month he began receiving RSDI under section 202 of the Act, and 5. Would be eligible for SSI if all RSDI under section 202 of the Act were excluded. The Social Security Administration notifies central office when SSI terminates for a person meeting the criteria in 1-4 above. Notifica- tion is via a code on State Data Exchange (SDX) tapes. 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. This category is also referred to as “Kennelly Widows.” NONFINANCIAL ELIGIBILITY FACTORS The person must meet all the following: • Is not entitled to Medicare Part A, Hospital Insurance. • Receives:

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Official source

BEM 157 1 of 5 EARLY WIDOW(ER)S BPB 2020-021 7-1-2020

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 any person who: 1. Is not entitled to Medicare Part A (hospital insurance), and 2. Receives RSDI benefits some or all of which are early widow(er)'s benefits under section 202(e) or (f) of the Social Security Act, or under any other provision of section 202 if they are also eligible under subsections (e) or (f), and Note: Sections 202(e) and (f) provide the same benefits; (e) is for widows and (f) is for widowers. 3. Was terminated from SSI because of RSDI received under section 202 of the Act, and 4. Received SSI in the month before the month he began receiving RSDI under section 202 of the Act, and 5. Would be eligible for SSI if all RSDI under section 202 of the Act were excluded. The Social Security Administration notifies central office when SSI terminates for a person meeting the criteria in 1-4 above. Notifica- tion is via a code on State Data Exchange (SDX) tapes. 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. This category is also referred to as “Kennelly Widows.” NONFINANCIAL ELIGIBILITY FACTORS The person must meet all the following: • Is not entitled to Medicare Part A, Hospital Insurance. • Receives: