Page 9

BEM 165 9 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

COUNTABLE RSDI Federal law requires that for January, February and March: • The RSDI cost-of-living increase received starting in January be disregarded for fiscal group members, and • The income limits for the preceding December be used. For all other months, countable RSDI means the countable amount for the month being tested. For all other persons whose income must be considered, the RSDI cost-of-living increase is not disregarded. Countable RSDI Enter countable RSDI for the month being tested. When the month being tested is January, February or March Bridges will automati- cally: • Compute and deduct the RSDI cost-of-living increase for fiscal group members, and • Use the limits for the preceding December. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. VERIFICATION REQUIREMENTS Verification requirements for all eligibility factors are in the appropri- ate manual items. Annual Redetermination A redetermination of ALMB eligibility must be completed before the end of each calendar year. Set the ALMB redetermination date as September, October, November or December. ALMB cannot have a 24-month certification.

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Page 9

Official source

BEM 165 9 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024

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

COUNTABLE RSDI Federal law requires that for January, February and March: • The RSDI cost-of-living increase received starting in January be disregarded for fiscal group members, and • The income limits for the preceding December be used. For all other months, countable RSDI means the countable amount for the month being tested. For all other persons whose income must be considered, the RSDI cost-of-living increase is not disregarded. Countable RSDI Enter countable RSDI for the month being tested. When the month being tested is January, February or March Bridges will automati- cally: • Compute and deduct the RSDI cost-of-living increase for fiscal group members, and • Use the limits for the preceding December. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220. VERIFICATION REQUIREMENTS Verification requirements for all eligibility factors are in the appropri- ate manual items. Annual Redetermination A redetermination of ALMB eligibility must be completed before the end of each calendar year. Set the ALMB redetermination date as September, October, November or December. ALMB cannot have a 24-month certification.