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BEM 225 39 of 46 CITIZENSHIP/NON-CITIZEN STATUS BPB 2026-017 7-1-2026

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

Non-Citizens Limited to Emergency MA Coverage During a Five-Year Bar MA A non-citizen limited to emergency services only (ESO) coverage during the five-year bar means a non-citizen whose immigration status does not entitle them to full Medicaid coverage without first lawfully residing in the United States for five years. For example, a lawful permanent resident with an I-551 with a class code other than RE, AM, AS, SI, or SQ will receive ESO coverage for the first five years they reside in the United States after their date of entry or the date on which they switched to this immigration status. Exception: As of August 1, 2024, children under age 21 and pregnant individuals (including through the entirety of their postpartum period) are no longer subject to the five-year bar. They should be approved for full coverage even if their immigration status would normally require them to first reside in the United States lawfully for five years. When a pregnant individual's postpartum period ends, or an individual reaches age 21, they will revert to ESO coverage if they have not met the five-year bar and are still in an immigration status that is subject to it. Note: Pregnant individuals need to either apply or report their pregnancy while they are currently pregnant or within two calendar months of it ending in order to be assessed for a full coverage Medicaid group. See MA Emergency Services Only above for more information about coverage for pregnant women and children under age 21 residing in the United States legally in any immigration status. EXHIBIT I - CITIZENSHIP STATEMENT

Citizenship Statement Case Name: Case Number: