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BEM 211 8 of 9 MA GROUP COMPOSITION BPB 2026-013 5-1-2026
BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
SSI-Related Adult SSI-Related MA Example: When an adult is applying for any Medicaid program (including the Medicare Savings Program) and is Waiver, Program of All Inclusive Care for the Elderly (PACE), or Freedom to Work (FTW), and is living with a spouse, the fiscal and asset group is only the adult applicant. When an adult is applying for any Medicaid program (including the Medicare Savings Program) and is not Waiver, PACE, or FTW, is living with a spouse, the fiscal and asset group is the adult applicant and the spouse. When an adult is applying for any Medicaid program (including the Medicare Savings Program) the fiscal and asset group is only the adult applicant when their spouse is L/H. The adult’s fiscal determination for Medicaid (including Medicare Savings Program) would include any income, such as the Community Spouse Income Allowance (CSIA) they receive from the L/H spouse. See BEM 400 to determine the asset group’s countable assets and BEM 541 to determine budgetable income for each person in the fiscal group. See the glossary for the definition of L/H. Exception: When BEM 402 instructs you to determine a couple's countable assets for an INITIAL ASSET ASSESSMENT or Initial Eligibility, the L/H or waiver patient and the community spouse are considered an asset group. Note: Transfers of income and/or assets are allowed between spouses regardless of each’s eligibility for program benefits. Transfers between spouses may cause program ineligibility for one or both spouses. This includes transfers of income from an L/H spouse to the spouse in the home who may be a waiver client. Group 2 Fiscal Groups Determine the fiscal and asset groups separately for each person requesting Medicaid. The fiscal group must be determined separately for each person. In determining a person's eligibility, the only income that may be considered is the person's own income and the income of the following persons who live with the individual: