Page 2

BEM 170 2 of 4 HOME CARE CHILDREN BPB 2017-017 10-1-2017

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

Communication to the Local Office If the child is disabled and requirements above are met, CSHCS sends a MSA-1785, Policy Decision, and the medical packet to the appropriate MDHHS local office. The MSA-1785 certifies that the medical requirements in CSHCS Responsibilities in this item are met. CSHCS will also notify the MDHHS local office when this category can no longer be used for a child. Pursue eligibility for other MA categories when a child is no longer eligible for this category. A child determined medically eligible for this category does not need a determination of Medicaid eligibility under a MAGI category first. Local Office Responsibilities Do not authorize MA under this category without a MSA-1785 certifying medical eligibility for this category. Use this category when the child is not an SSI or FIP recipient. Use this category before using a Group 2 category. If a MSA -1785 is received for a child who is not an MA applicant or recipient, treat the MSA -1785 as a request for assistance. Contact the child's parents concerning an MA application for the child. Determine if the child meets the MA eligibility factors in the following items:  BEM 220, Residence.  BEM 223, Social Security Numbers.  BEM 225, Citizenship/Alien Status.  BEM 257, Third Party Resource Liability.  BEM 270, Pursuit of Benefits. Note: An ex parte review (see glossary) is required before Medicaid closures when there is an actual or anticipated change, unless the change would result in closure due to ineligibility for all Medicaid. When possible, an ex parte review should begin at least 90 days before the anticipated change is expected to result in case closure. The review includes consideration of all MA categories; see BAM 115 and 220.