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BEM 157 3 of 5 EARLY WIDOW(ER)S BPB 2020-021 7-1-2020

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

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 the deductible. Determine countable income according to MA policies in BEM 500 and 530 except as explained in COUNTABLE RSDI below. Apply the deductions in BEM 541 to countable income to determine net income. COUNTABLE RSDI Exclude all RSDI benefits for the early widow(er). For all other persons, countable RSDI is the person's gross RSDI for the month being tested. Gross RSDI means the amount before any deductions such as Medicare. Note: An ex parte review (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. VERIFICATION REQUIREMENTS Verification of the following factors unique to this category is required at application, redetermination and whenever there is a change in RSDI benefits: • Receipt of (or eligibility for) benefits under section 202(e) or (f) of the Social Security Act. • Not entitled to Medicare Part A.

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Official source

BEM 157 3 of 5 EARLY WIDOW(ER)S BPB 2020-021 7-1-2020

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

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 the deductible. Determine countable income according to MA policies in BEM 500 and 530 except as explained in COUNTABLE RSDI below. Apply the deductions in BEM 541 to countable income to determine net income. COUNTABLE RSDI Exclude all RSDI benefits for the early widow(er). For all other persons, countable RSDI is the person's gross RSDI for the month being tested. Gross RSDI means the amount before any deductions such as Medicare. Note: An ex parte review (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. VERIFICATION REQUIREMENTS Verification of the following factors unique to this category is required at application, redetermination and whenever there is a change in RSDI benefits: • Receipt of (or eligibility for) benefits under section 202(e) or (f) of the Social Security Act. • Not entitled to Medicare Part A.