Page 11

BEM 168 11 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

30 consecutive days where the institutionalized spouse/applicant has been or is expected to be: • In a hospital and/or LTC facility; and/or • Approved for the Waiver. Note: The period is no longer continuous when none of the above is true for 30 or more consecutive days; see BEM 402 for examples. The first period or continuous care may have occurred in the past; however, the applicant must be currently receiving services to complete an IAA. If there is no past period of continuous care, then the IAA date must start on the first day that meets the definition of continuous care in BEM 402. Notices MI Coordinated Care waiver activities are performed by HDEs who meet the federal definition of administering the MA program. Therefore, you can share the following information with the HDE without a signed release from the participant: • A copy of the DHS-3503, Verification Checklist. • A copy of the DHS-4588, Initial Asset Assessment Notice. The original DHS-3503, and DHS-4588 must be sent to the participant or the guardian, court or agency that is legally responsible for the participant. Do not enter HDEs in Bridges as a third-party type. Only the participant's legal guardian, court or agency legally responsible for the participant can be entered as a third-party type. HOSPICE SERVICES In MI Coordinated Health, HCBS Waiver participants may receive hospice services and waiver services simultaneously. However, individuals with elected hospice services prior to enrolling in MI Coordinated Health are ineligible for the program. If an existing MICH participant elects hospice services, the participant may remain enrolled in the program and obtain the hospice service through the Medicare FFS benefit.