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BEM 171 1 of 4 CHILDREN'S WAIVER BPB 2026-007 4-1-2026

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 care in an Intermediate Care Facility for Individuals with Intellectual Disability (ICF/ID) 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. MDHHS is responsible for determining eligibility for the Children’s Waiver. All eligibility factors must be met in the calendar month being tested. NONFINANCIAL ELIGIBILITY FACTORS

MDHHS Responsibilities MDHHS determines if medical eligibility exists. That is: • The child requires a level of care provided in an ICF/ID, and • It is appropriate to provide such care for the child at home, and • The average estimated MA cost of caring for the child at home does not exceed the average estimated MA cost for the child's care in an ICF/ID. The Bureau of Children's Coordinated Health Policy and Supports is responsible for the following at application and medical review: • Obtaining medical evidence of the disability. • Certifying disability on the DHS-49-A, Medical-Social Eligibility Certification. MDHHS certifies that the requirements above are met on an MSA- 1785, Policy Decision. If the child is not receiving MA, MDHHS will send the family: • A copy of the MSA-1785 and