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BEM 220 4 of 9 RESIDENCE BPB 2026-010 4-1-2026

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

Medicaid Only An individual is a Michigan resident if placed in an out-of-state insti- tution by a Michigan agency (for example, MDHHS, juvenile court). An individual is not a Michigan resident if placed in a Michigan institution by another state's agency. DETERMINATION OF CAPABILITY

Medicaid Only If the individual is institutionalized, first determine whether they are capable or incapable of indicating their intent to remain in the state. Exception: This does not apply to out-of-state placements (see above) or to unmarried persons under age 18. Consider an individual capable of indicating intent unless one of the following factors is documented: • IQ under 50. • Mental age under 8. • Judgment of incompetence by a court. • In a psychiatric facility by court order. • Determined incapable by the medical review team. CAPABLE PERSONS AT LEAST AGE 18 OR MARRIED

Medicaid Only An institutionalized, capable individual at least age 18 or married has Michigan residence if the individual lives in Michigan and intends to remain in the state permanently or indefinitely. Exception: An individual remains a Michigan resident if the individual: • Is currently in an out-of-state LTC facility, and • Was a Michigan resident immediately prior to entering the LTC facility. Note: A Michigan resident who voluntarily enters an out-of-state long-term care facility on or after October 1, 2007 is not considered a Michigan resident for Medicaid purposes.

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Official source

BEM 220 4 of 9 RESIDENCE BPB 2026-010 4-1-2026

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

Medicaid Only An individual is a Michigan resident if placed in an out-of-state insti- tution by a Michigan agency (for example, MDHHS, juvenile court). An individual is not a Michigan resident if placed in a Michigan institution by another state's agency. DETERMINATION OF CAPABILITY

Medicaid Only If the individual is institutionalized, first determine whether they are capable or incapable of indicating their intent to remain in the state. Exception: This does not apply to out-of-state placements (see above) or to unmarried persons under age 18. Consider an individual capable of indicating intent unless one of the following factors is documented: • IQ under 50. • Mental age under 8. • Judgment of incompetence by a court. • In a psychiatric facility by court order. • Determined incapable by the medical review team. CAPABLE PERSONS AT LEAST AGE 18 OR MARRIED

Medicaid Only An institutionalized, capable individual at least age 18 or married has Michigan residence if the individual lives in Michigan and intends to remain in the state permanently or indefinitely. Exception: An individual remains a Michigan resident if the individual: • Is currently in an out-of-state LTC facility, and • Was a Michigan resident immediately prior to entering the LTC facility. Note: A Michigan resident who voluntarily enters an out-of-state long-term care facility on or after October 1, 2007 is not considered a Michigan resident for Medicaid purposes.