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BEM 202 5 of 7 IMMUNIZATIONS BPB 2018-017 10-1-2018

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

• Group is unwilling to comply at reopening, and • Group has no unresolved barriers to immunization. CDC Only At reapplication, CDC will be denied for a child who does not meet the immunization requirement and did not meet the immunization requirement at the most recent eligibility determination, according to the grantee’s self-certification. A denial will only impact the child who has not met the requirement. REDETERMINATION PROCEDURES FIP Only At redetermination, ask the client if there are any children under age six who are not up-to-date on their immunizations (shots) in the FIP EDG. If any non-exempt eligible child is not up-to-date on immunizations, the group might be subject to the penalty. Ask why the child has not been immunized. If a problem such as lack of transportation hinders compliance, do all of the following: • Assist the client to resolve the problem through appropriate referrals or other actions. • Document all actions in the physical case record or in Case Comments in Bridges. • Follow up with the group at the next annual redetermination. Do not enter a non-cooperation date on the Immunizations - Details screen in Bridges if a group has an unresolved problem that hinders compliance. If the client is uncertain whether immunizations are up to date for a child under six, treat that as a problem which hinders compliance. Refer the group to its health provider or to the local health department and document your actions in the physical case record or in Case Comments in Bridges. If the group is not cooperating, use the date the group became non- compliant as the Circumstances Start/Change Date and the Non- Cooperation Date on the Bridges Immunization - Details screen.