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BEM 172 1 of 4 CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED) WAIVER BPB 2024-023 10-1-2024

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

DEPARTMENT POLICY Medicaid (MA) ONLY This is an SSI-related Group 1 MA category. MA is available to a child who meets the criteria for admission to a state psychiatric hospital and/or who are at risk of hospitalization without wavier services. The child must be under age 18 when approved for the waiver, unmarried, a current patient in a psychiatric hospital or at risk of such placement; must demonstrate serious functional limitations that impair ability to function in the community; and must have a completed MichiCANS Comprehensive that indicates SED waiver eligibility and meets Medicaid Provider manual eligibility criteria as determined by the local Community Mental Health Services Pro- gram (CMHSP). If a child on the SEDW turns 18, continues to meet all non-age-related eligibility criteria (see below in this item), and continues to need waiver services, the child can remain on the waiver up to their 21st birthday. The income and assets of the child’s parents are not considered when determining the child’s eligibility. The Bureau of Children's Coordinated Health Policy and Supports (BCCHPS) and local MDHHS office share responsibility for determining eligibility for the SED Waiver. BCCHPS, in cooperation with the local CMHSP, has responsibility for determining non- financial eligibility factors for the SED Waiver. Financial eligibility is determined by MDHHS. All eligibility factors must be met in the calendar month being tested. NONFINANCIAL ELIGIBILITY FACTORS

BHDDA Responsibilities BCCHPS determines that clinical eligibility exists. That is: • The child meets the criteria for admission to a state inpatient psychiatric hospital; and