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BEM 164 1 of 3 EXTENDED-CARE 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. Consider eligibility under this category only if eligibility does not exist under BEM 154 through 163. Use this category before using a Group 2 category. Consider Medicare Savings Program eligibility in addition to this category; see BEM 165. This category is available only to L/H and waiver clients who are aged (65 or older), blind or disabled. See Bridges Glossary for the definition of L/H patients. See BEM 106 for the definition of waiver clients. Gross income cannot exceed 300 percent of the SSI federal benefit rate; see RFT 248. 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, see BEM 546 to determine the post-eligibility patient-pay amount. NONFINANCIAL ELIGIBILITY FACTORS • The person must not be eligible for MA under BEM 154 through 163 but may be eligible for a Medicare Savings Program under BEM 165. • The person must be an L/H or waiver client. • The person must be aged, blind or disabled; see BEM 240, Age, or BEM 260, MA Disability/Blindness. 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.

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Official source

BEM 164 1 of 3 EXTENDED-CARE 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. Consider eligibility under this category only if eligibility does not exist under BEM 154 through 163. Use this category before using a Group 2 category. Consider Medicare Savings Program eligibility in addition to this category; see BEM 165. This category is available only to L/H and waiver clients who are aged (65 or older), blind or disabled. See Bridges Glossary for the definition of L/H patients. See BEM 106 for the definition of waiver clients. Gross income cannot exceed 300 percent of the SSI federal benefit rate; see RFT 248. 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, see BEM 546 to determine the post-eligibility patient-pay amount. NONFINANCIAL ELIGIBILITY FACTORS • The person must not be eligible for MA under BEM 154 through 163 but may be eligible for a Medicare Savings Program under BEM 165. • The person must be an L/H or waiver client. • The person must be aged, blind or disabled; see BEM 240, Age, or BEM 260, MA Disability/Blindness. 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.