Page 1

BEM 158 1 of 7 DISABLED ADULT CHILDREN BPB 2025-022 10-1-2025

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 a person receiving disabled adult children's (DAC) (also called Childhood Disability Beneficiaries' or CDBs') RSDI benefits under section 202(d) of the Social Security Act if he or she: 1. Is age 18 or older; and 2. Received SSI; and 3. Ceased to be eligible for SSI on or after July 1, 1987, because he became entitled to DAC RSDI benefits under section 202(d) of the Act or an increase in such RSDI benefits; and 4. Is currently receiving DAC RSDI benefits under section 202(d) of the Act; and Note: To receive DAC RSDI a person must have a disability or blindness that began before age 22. 5. Would be eligible for SSI without such RSDI benefits. 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. Central office sends a memo (see EXHIBIT I) to the appropriate local office. See SSI TERMINATIONS in BEM 150. 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. DAC MA recipients eligible for Medicare are covered by the Buy-In Program (see BAM 810) and are considered eligible for QMB (BEM 165). NONFINANCIAL ELIGIBILITY FACTORS 1. The person must be age 18 or older.

loading…

Page 1

Official source

BEM 158 1 of 7 DISABLED ADULT CHILDREN BPB 2025-022 10-1-2025

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 a person receiving disabled adult children's (DAC) (also called Childhood Disability Beneficiaries' or CDBs') RSDI benefits under section 202(d) of the Social Security Act if he or she: 1. Is age 18 or older; and 2. Received SSI; and 3. Ceased to be eligible for SSI on or after July 1, 1987, because he became entitled to DAC RSDI benefits under section 202(d) of the Act or an increase in such RSDI benefits; and 4. Is currently receiving DAC RSDI benefits under section 202(d) of the Act; and Note: To receive DAC RSDI a person must have a disability or blindness that began before age 22. 5. Would be eligible for SSI without such RSDI benefits. 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. Central office sends a memo (see EXHIBIT I) to the appropriate local office. See SSI TERMINATIONS in BEM 150. 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. DAC MA recipients eligible for Medicare are covered by the Buy-In Program (see BAM 810) and are considered eligible for QMB (BEM 165). NONFINANCIAL ELIGIBILITY FACTORS 1. The person must be age 18 or older.