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BEM 168 8 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

• The participant has at least one ongoing service need per month and is receiving at least one service from the ICO per month to remain on the waiver. • The HDE submitted an assessment, a care plan, and other required documentation to MDHHS. • The HDE reviewed documentation and determined medical and functional Waiver eligibility and enrolled into the HCBS Waiver. The participant’s Waiver documentation has not been deemed incomplete or deficient through ongoing MDHHS monitoring and auditing processes. Approval and Termination Dates The HDE determines the Waiver effective date and termination date based on the participants’ needs. The HDE is responsible for advising the appropriate local Michigan Department of Health and Human Services (MDHHS) office of these dates by entering the information into CHAMPS. Waiver enrollment automatically terminates when the participant enters a Long-Term Care (LTC) facility; see BEM 547 for instructions. Note: An HCBS Waiver Notice is sent from CHAMPS to Bridges to notify caseworkers when an individual is newly enrolled in the waiver, which qualifies them for expanded financial eligibility. The HCBS Waiver Notice appears as an Admission/Discharge Notice in Bridges and is sometimes misinterpreted as a Nursing Facility Admission. Page one of the notice specifies in the SMA Approval Type field that the individual is in an HDE, meets Nursing Facility Level of Care Determination, and is in the community (formerly LOC 03 now HDE-HCBS or HDE-HOSW). MDHHS LOCAL OFFICE RESPONSIBILITIES The local MDHHS office is responsible for completing an initial asset assessment (IAA) and determining MA eligibility for potential waiver participants.