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BEM 165 3 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024
BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
WHEN TO DO MEDICARE SAVINGS PROGRAMS DETERMINATIONS
Separate Medicare Savings Programs Determination Some Medicaid programs do not have automatic MSP coverage. Complete a Medicare Savings Program determination for any individual entitled to Medicare Part A. This includes individuals who are also eligible for Medicaid in the following categories: • Medicare Savings Programs-only. • Group 2 MA (MAGI-related and SSI-related). • Extended Care (BEM 164). • Healthy Kids. • Any other full coverage Medicaid program under MAGI or SSI- Related categories. Note: The individual who is eligible for MA under any of these categories does not have to request a determination of MSP eligibility or re-apply for MA in order to be reviewed for MSP eligibility by the department. Automatic QMB Person’s receiving MA under the following categories and entitled to Medicare Part A are considered QMB eligible without a separate QMB determination: • BEM 150, SSI Recipients. • BEM 155, 503 Individuals. • BEM 158, DAC. • BEM 163, AD-Care. • BEM 110, LIF. • BEM 111, TMA. MSP Determinations When Requested by CMS The Centers for Medicare and Medicaid Services (CMS) may ask MDHHS to review eligibility for, and addition of, MSP coverage for a timeframe when there was no Medicare Cost Share approved. The