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BEM 168 9 of 17 MI COORDINATED HEALTH (MICH) BPB 2026-005 2-1-2026

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

Waiver Participant Defined A waiver participant is a person who is approved to receive or receives waiver services based on medical and functional and financial eligibility. Waiver Month Defined A waiver month is a calendar month containing at least one day that the participant is (or was) receiving Waiver services. HDEs enter Waiver enrollment into CHAMPS for either the current or the following month, dependent on service start date. The enrollment would be effective the first of the month. For purposes of MA eligibility, a month remains a waiver month even if the Waiver participant enters an LTC facility and/or hospital (L/H) in the same calendar month. A waiver month does not become an L/H month; Example: A member is approved for the waiver and becomes a waiver participant in June. That same month, the member enters an LTC facility and/or hospital. June would still be considered a waiver month and not an L/H month because the member was approved for the waiver for at least one day of the calendar month. See Bridges Glossary for the definitions of Waiver Month and L/H Month. NOTE: MHL HCBS Waiver months start on the first day of the month and end on the last day of the month. There is no mid-month start date or end date other than upon admission or discharge to/from a Nursing Facility. NONFINANCIAL ELIGIBILTY FACTORS The eligibility factors in the following items must be met. • BEM 220, Residence. • BEM 221, Identity. • BEM 223, Social Security Numbers. • BEM 225, Citizenship/Non-Citizen Status. • BEM 255, Child Support. • BEM 256, Spousal/Parental Support. • BEM 257, Third Party Resource Liability. • BEM 265, Institutional Status. • BEM 270, Pursuit of Benefits.