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BEM 202 2 of 7 IMMUNIZATIONS BPB 2018-017 10-1-2018

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

GRACE PERIOD CDC Only A child who has not met the immunization requirement will have a grace period that extends until the next eligibility determination. If the child fails to meet the immunization requirement at the next eligibility determination, the child will not be eligible to receive the CDC benefit. IMMUNIZATION PENALTY FIP Only At redetermination, Bridges reduces the group's payment standard by $25 for each month in which: • One or more non-exempt eligible children under age six are not immunized, and • The group has no unresolved barriers to immunization. The penalty is not initiated at case opening. Related FAP The unreduced FIP payment standard is budgeted in related FAP cases when an immunization penalty is imposed on the FIP group. CDC Only At redetermination, CDC eligibility will end for a child who does not meet the immunization requirement and did not meet the immunization requirement at or since the previous eligibility determination, according to the grantee’s self-certification. At reapplication/member add, CDC will be denied for a child who does not meet the immunization requirement and did not meet the immunization requirement at or since the most recent application or redetermination eligibility period, according to the grantee’s self- certification. A denial will only impact the child who has not met the requirement.

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Official source

BEM 202 2 of 7 IMMUNIZATIONS BPB 2018-017 10-1-2018

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

GRACE PERIOD CDC Only A child who has not met the immunization requirement will have a grace period that extends until the next eligibility determination. If the child fails to meet the immunization requirement at the next eligibility determination, the child will not be eligible to receive the CDC benefit. IMMUNIZATION PENALTY FIP Only At redetermination, Bridges reduces the group's payment standard by $25 for each month in which: • One or more non-exempt eligible children under age six are not immunized, and • The group has no unresolved barriers to immunization. The penalty is not initiated at case opening. Related FAP The unreduced FIP payment standard is budgeted in related FAP cases when an immunization penalty is imposed on the FIP group. CDC Only At redetermination, CDC eligibility will end for a child who does not meet the immunization requirement and did not meet the immunization requirement at or since the previous eligibility determination, according to the grantee’s self-certification. At reapplication/member add, CDC will be denied for a child who does not meet the immunization requirement and did not meet the immunization requirement at or since the most recent application or redetermination eligibility period, according to the grantee’s self- certification. A denial will only impact the child who has not met the requirement.