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BEM 171 2 of 4 CHILDREN'S WAIVER BPB 2026-007 4-1-2026

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

• A DCH-1426 with the address of the local office to mail the completed application. Communication to the Local Office MDHHS will send the MSA-1785 and the DHS-49A to the local MDHHS office when: • A child is an MA recipient, or • A child is not an MA recipient. DCH will also notify the local MDHHS 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. Local Office Responsibilities Do not authorize MA under this category without a DHS-49-A and MSA-1785 authorizing MA in this category. Use this cate- gory when the child is not an SSI or FIP recipient. Use this category before using a Group 2 category. Treat the MSA-1785 as a request for assistance, if it is received for a child who is not an MA applicant or recipient. 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 260, MA Disability/Blindness. • BEM 270, Pursuit of Benefits. Note: MDHHS is responsible for obtaining medical evidence and certifying disability on the DHS-49-A; see MDHHS Responsibilities. 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 Bridges Administrative Manual (BAM) 115 and 220.