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BEM 225 3 of 46 CITIZENSHIP/NON-CITIZEN STATUS BPB 2026-017 7-1-2026

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

U.S. citizenship must be verified with an acceptable document to continue to receive Medicaid; see Bridges Administrative Manual (BAM) 130, Verification and Collateral Contacts. A person claiming U.S. citizenship is not eligible for ESO coverage. The status of each non-citizen must be verified to be eligible for full MA coverage; see Citizenship/Non-citizenship Status in this item. A child born to a woman receiving Medicaid is considered a U.S. citizen. No further documentation of the child’s citizenship is required. Exception: RSDI and SSI recipients, Medicare recipients; see BEM 145, newborns, safe delivery babies, and children receiving Title IV-B services or Title IV-E adoption assistance, or foster care payments are not required to verify U.S. citizenship. MA coverage is limited to emergency services for any: • Persons with certain non-citizen statuses or U.S. entry dates as specified in policy; see Citizenship/Non-citizenship Status in this item. • Persons refusing to provide citizenship/non-citizen status information on the application. • Persons unable or refusing to provide satisfactory verification of non-citizen information. All other eligibility requirements including residency must be met even when MA coverage is limited to emergency services; see BEM 220. CITIZENSHIP/ NON- CITIZENSHIP STATUS All Programs Persons listed under the program designations in Acceptable Status meet the requirement of citizenship/non-citizen status. Eligibility may depend on whether the person meets the definition of Qualified Non-citizen. Note: U.S. Nationals are considered citizens.