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BEM 165 7 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

• Persons identified as ALMB eligible at the time they report meeting their deductible remain ALMB eligible. • Persons who change to a nursing home status, Freedom to Work, or a waiver are not eligible for ALMB. Persons who are eligible for MA benefits under another category, but do not want such assistance can be eligible for ALMB. Persons can receive QMB or SLMB and full Medicaid benefits under another category. Other Nonfinancial Factors 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. Part A Identification Absent evidence to the contrary (example, SSA document), use the following guidelines to distinguish between Medicare for Medicare Savings Programs and Medicare under section 1818A of the Social Security Act. • There is no charge for the person’s Medicare Part A - Medicare Savings Program. • The person is at least age 65 - Medicare Savings Programs • The person is under age 65 and there is a premium charged for Medicare Part A -not Medicare Savings Programs; see BEM 169, Qualified Disabled Working Individuals. Note: BENDEX and SOLQ indicate whether a Medicare Part A premium is being charged. Even if the BENDEX or SOLQ only indicate there may be entitlement for part A, a determination of