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BEM 216 6 of 6 RMA GROUP COMPOSITION BPB 2015-010 7-1-2015

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

 Multiple unborns are necessary to establish income eligibility. Primary Caretaker Verify the primary caretaker when questioned or disputed. VERIFICATION SOURCES

Pregnancy and Number of Unborns DHS-49, Medical Examination Report, DHS-54A, Medical Needs. Written statement from any of the following:  M.D.  D.O.  Physician's assistant (PA).  Ob-gyn nurse practitioner (NP).  Ob-gyn clinical nurse specialist (NS).  Certified nurse midwife.  Registered nurse (RN).

Primary Caretaker Court order that addresses custody or visitation. School records indicating who enrolled the child and who is called in an emergency situation. Medical records stating where the child lives, who is responsible for the child’s medical care. Child care records showing where the child lives and who makes and pays for the child care arrangements. LEGAL BASE Social Security Act, Sections 1902(a)(10),(17) MCL 400.106 45 CFR 400.90 - 104