Page 19

BEM 210 19 of 20 FIP GROUP COMPOSITION BPB 2026-002 1-1-2026

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

Marriage • Marriage License/Certificate. Primary Caretaker When caretaking time of a dependent child is disputed or question- able, examples of proof to consider include, but are not limited to: • The most recent court order that addresses custody and/or visitation. • School contact or records indicating who enrolled the child in school, first person called in case of emergency, and/or who arranges for the child’s transportation to and from school. • Child care provider contact or records showing who makes and pays for child care arrangements, and who drops off and picks up the child. • Medical providers contact or records showing where the child lives and who usually brings the child to medical appointments. • Other documents or collateral contacts that support/contradicts the caretaker’s claim. Pregnancy Statement, including expected date of delivery, from one of the fol- lowing: • Doctor of Medicine (MD). • Doctor of Osteopathy (DO). • Physician's Assistant (PA). • Ob-gyn Nurse Practitioner (NP). • Ob-gyn Clinical Nurse Specialist (NS). • Certified Nurse-Midwife. • Registered Nurse (RN). • DHS-49, Medical Examination Report; DHS-54A, Medical Needs; DHS-54E, Medical Needs-PATH or other written statement may be used. Guardianship Termination Guardianship or other documents showing legal guardianship has been terminated.

loading…

Page 19

Official source

BEM 210 19 of 20 FIP GROUP COMPOSITION BPB 2026-002 1-1-2026

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

Marriage • Marriage License/Certificate. Primary Caretaker When caretaking time of a dependent child is disputed or question- able, examples of proof to consider include, but are not limited to: • The most recent court order that addresses custody and/or visitation. • School contact or records indicating who enrolled the child in school, first person called in case of emergency, and/or who arranges for the child’s transportation to and from school. • Child care provider contact or records showing who makes and pays for child care arrangements, and who drops off and picks up the child. • Medical providers contact or records showing where the child lives and who usually brings the child to medical appointments. • Other documents or collateral contacts that support/contradicts the caretaker’s claim. Pregnancy Statement, including expected date of delivery, from one of the fol- lowing: • Doctor of Medicine (MD). • Doctor of Osteopathy (DO). • Physician's Assistant (PA). • Ob-gyn Nurse Practitioner (NP). • Ob-gyn Clinical Nurse Specialist (NS). • Certified Nurse-Midwife. • Registered Nurse (RN). • DHS-49, Medical Examination Report; DHS-54A, Medical Needs; DHS-54E, Medical Needs-PATH or other written statement may be used. Guardianship Termination Guardianship or other documents showing legal guardianship has been terminated.