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BEM 170 1 of 4 HOME CARE CHILDREN BPB 2017-017 10-1-2017

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. MA is available to a child who requires institutional care but can be cared for at home for less cost. The child must be under age 18, unmarried and disabled. The income and assets of the child's parents are not considered when determining the child's eligibility. Children's Special Health Care Services (CSHCS) and the local MDHHS office share responsibility for determining eligibility for Home Care Children. All eligibility factors must be met in the calendar month being tested. NONFINANCIAL ELIGIBILITY FACTORS

CSHCS Responsibilities CSHCS determines if medical eligibility exists. That is:  The child requires a level of care provided in a medical institution (for example the hospital, skilled nursing facility or an intermediate care facility); and  It is appropriate to provide such care for the child at home; and  The estimated MA cost of caring for the child at home does not exceed the estimated MA cost for the child's care in a medical institution. CSHCS also obtains necessary information to determine whether the child is disabled and forwards it to the Disability Determination Service DDS. If the criterion in BEM 260 are met, disability will be certified on a DHS-49-A, Medical-Social Eligibility Certification, by DDS.

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Official source

BEM 170 1 of 4 HOME CARE CHILDREN BPB 2017-017 10-1-2017

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

DEPARTMENT POLICY MA Only This is an SSI-related Group 1 MA category. MA is available to a child who requires institutional care but can be cared for at home for less cost. The child must be under age 18, unmarried and disabled. The income and assets of the child's parents are not considered when determining the child's eligibility. Children's Special Health Care Services (CSHCS) and the local MDHHS office share responsibility for determining eligibility for Home Care Children. All eligibility factors must be met in the calendar month being tested. NONFINANCIAL ELIGIBILITY FACTORS

CSHCS Responsibilities CSHCS determines if medical eligibility exists. That is:  The child requires a level of care provided in a medical institution (for example the hospital, skilled nursing facility or an intermediate care facility); and  It is appropriate to provide such care for the child at home; and  The estimated MA cost of caring for the child at home does not exceed the estimated MA cost for the child's care in a medical institution. CSHCS also obtains necessary information to determine whether the child is disabled and forwards it to the Disability Determination Service DDS. If the criterion in BEM 260 are met, disability will be certified on a DHS-49-A, Medical-Social Eligibility Certification, by DDS.