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BEM 163 1 of 3 AD-CARE BPB 2017-010 7-1-2017

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. Consider eligibility under this category only if eligibility does not exist under BEM 154 through 158. Use this category before using Extended-Care (BEM 164) or any Group 2 MA category. This category is available to persons who are aged or disabled (AD).Net income cannot exceed 100% of the poverty level. All eligibility factors in this item 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. NONFINANCIAL ELIGIBILITY FACTORS 1. The person must not be eligible for MA under BEM 154 through 158. 2. The person must be aged (BEM 240, Age) or disabled (BEM 260, MA Disability/Blindness). Note: Blindness is not a basis of eligibility. However, a blind person who is also aged or disabled meets this eligibility factor. 3. The MA eligibility factors in the following items must be met.  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.

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Official source

BEM 163 1 of 3 AD-CARE BPB 2017-010 7-1-2017

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. Consider eligibility under this category only if eligibility does not exist under BEM 154 through 158. Use this category before using Extended-Care (BEM 164) or any Group 2 MA category. This category is available to persons who are aged or disabled (AD).Net income cannot exceed 100% of the poverty level. All eligibility factors in this item 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. NONFINANCIAL ELIGIBILITY FACTORS 1. The person must not be eligible for MA under BEM 154 through 158. 2. The person must be aged (BEM 240, Age) or disabled (BEM 260, MA Disability/Blindness). Note: Blindness is not a basis of eligibility. However, a blind person who is also aged or disabled meets this eligibility factor. 3. The MA eligibility factors in the following items must be met.  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.