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BEM 168 3 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

or social situation of the Enrollee). This is allowable for up to 6 consecutive months. INELIGIBLE POPULATION Populations ineligible for the MI Coordinated Health Program are: • Individuals under the age of 21. • Individuals previously disenrolled due to special disenrollment from Medicaid managed care as defined in 42 C.F.R. § 438.56. • Individuals not living in a HIDE SNP Service Area. • Individuals who are eligible for partial Medicaid coverage through the following eligibility groups: Additional Low Income Medicare Beneficiary (ALMB), Qualified Individual (QI), Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), or Qualified Disabled and Working Individuals (QDWI). • Individuals without full Medicaid coverage (including those with spenddowns or deductibles). • Individuals with Medicaid who reside in a State psychiatric hospital. • Individuals with other comprehensive health coverage including commercial HMO coverage. • Individuals who elected hospice services prior to HIDE SNP enrollment: • If an existing HIDE SNP Enrollee elects to receive hospice services, the Enrollee may remain enrolled in the HIDE SNP and will only be disenrolled at the Enrollee’s request. • Individuals who are incarcerated. • Individuals with presumptive eligibility. • Individuals not eligible for Medicaid due to divestment. • Individuals residing in designated State sanction Veterans’ Homes.

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Official source

BEM 168 3 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

or social situation of the Enrollee). This is allowable for up to 6 consecutive months. INELIGIBLE POPULATION Populations ineligible for the MI Coordinated Health Program are: • Individuals under the age of 21. • Individuals previously disenrolled due to special disenrollment from Medicaid managed care as defined in 42 C.F.R. § 438.56. • Individuals not living in a HIDE SNP Service Area. • Individuals who are eligible for partial Medicaid coverage through the following eligibility groups: Additional Low Income Medicare Beneficiary (ALMB), Qualified Individual (QI), Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), or Qualified Disabled and Working Individuals (QDWI). • Individuals without full Medicaid coverage (including those with spenddowns or deductibles). • Individuals with Medicaid who reside in a State psychiatric hospital. • Individuals with other comprehensive health coverage including commercial HMO coverage. • Individuals who elected hospice services prior to HIDE SNP enrollment: • If an existing HIDE SNP Enrollee elects to receive hospice services, the Enrollee may remain enrolled in the HIDE SNP and will only be disenrolled at the Enrollee’s request. • Individuals who are incarcerated. • Individuals with presumptive eligibility. • Individuals not eligible for Medicaid due to divestment. • Individuals residing in designated State sanction Veterans’ Homes.