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BEM 165 8 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

MSP eligibility should be completed; see Part B Eligibility in this item. Part B Eligibility Individuals who receive Medicare part A (free or with a premium) but do not show receipt of part B, may not show part B coverage in Bridges because they refused it. Note: Because it is advantageous for the state to enroll every person who is entitled to Medicare part B (even if they have refused the coverage) into the MSP program, a determination of eligibility should be made even if a person shows only entitlement for Medicare part A. FINANCIAL ELIGIBILITY FACTORS

Groups Use fiscal and asset group policies for SSI-related groups in BEM 211. Assets Countable assets cannot exceed the limit in BEM 400. Countable assets are determined based on MA policies in BEM 400, 401 and 402. Divestment Policy in BEM 405 applies to MSP because there could be a Medi- care coinsurance or deductible for LTC or home and community- based services. Income Eligibility Income eligibility exists when net income is within the limits in RFT 242 or 247. Income eligibility cannot be established with a patient- pay amount or by meeting a deductible. Determine countable income according to the SSI-related MA poli- cies in BEM 500, 501, 502, 503, 504 and 530, except as explained in COUNTABLE RSDI in this item. Apply the deductions in BEM 540 (for children) and 541 (for adults) to countable income to determine net income.

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Official source

BEM 165 8 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

MSP eligibility should be completed; see Part B Eligibility in this item. Part B Eligibility Individuals who receive Medicare part A (free or with a premium) but do not show receipt of part B, may not show part B coverage in Bridges because they refused it. Note: Because it is advantageous for the state to enroll every person who is entitled to Medicare part B (even if they have refused the coverage) into the MSP program, a determination of eligibility should be made even if a person shows only entitlement for Medicare part A. FINANCIAL ELIGIBILITY FACTORS

Groups Use fiscal and asset group policies for SSI-related groups in BEM 211. Assets Countable assets cannot exceed the limit in BEM 400. Countable assets are determined based on MA policies in BEM 400, 401 and 402. Divestment Policy in BEM 405 applies to MSP because there could be a Medi- care coinsurance or deductible for LTC or home and community- based services. Income Eligibility Income eligibility exists when net income is within the limits in RFT 242 or 247. Income eligibility cannot be established with a patient- pay amount or by meeting a deductible. Determine countable income according to the SSI-related MA poli- cies in BEM 500, 501, 502, 503, 504 and 530, except as explained in COUNTABLE RSDI in this item. Apply the deductions in BEM 540 (for children) and 541 (for adults) to countable income to determine net income.