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BEM 168 1 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

POLICY Please see historical policy for MI Health Link (MHL) information. MI Health Link enrollees will transition automatically to MICH with no break in coverage. The MI Coordinated Health (MICH) program is a Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) launching on January 1, 2026. It replaces the MI Health Link program and is designed to provide integrated care for individuals eligible for both Medicare and Medicaid. The goals of the program are to improve coordination of support and services offered through Medicare and Medicaid, enhance quality of life, improve quality of care, and align financial incentives. This category is available to waiver clients who are aged (65 or older), blind or disabled. 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 INTERGRATED CARE ORGANIZATIONS (ICO) MDHHS and the Center for Medicaid and Medicare Services (CMS) contracts with managed care entities called MI Coordinated Health (MICH) to provide Medicare and Medicaid covered acute and primary health care, pharmacy, dental and Long Term Supports and Services (nursing facility and home and community-based services). In addition to all Medicare Parts A, B, and D, and Medicaid State-plan services (except those covered through contracts between the State and the Michigan Pre-Paid Inpatient Health Plans), Mich is required to provide supplemental benefits and other supports and services as defined in the approved 1915(b) and 1915(c) waivers and other supporting documentation, or rules, provided by CMS or MDHHS. See Exhibit I in this item for a list of MICH names and service areas.