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BEM 229 4 of 7 PATH PROGRAM REFERRALS & THE APPLICATION ELIGIBILITY PERIOD BPB 2025-008 4-1-2025

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

Appointment Notice, which is sent to the participant, when the specialist does all of the following: • Completes data collection. • Eligibility determination/benefit calculation (EDBC) is completed for applicants. • EDBC is completed and ongoing benefits are certified for member adds and ongoing active cases. Note: Do not use the following manual processes: • Call the one-stop service center to have them terminate a referral on OSMIS. • Enter a new referral that was not included on the interface between Bridges and MIS. • Manually generate a DHS-4785 when Bridges has indicated that it has created a referral to PATH and a corresponding DHS-4785. • Manually enter denials prior to the 17th day after a PATH referral is sent. It is critical that both MDHHS and the PATH staff wait for interfaces to function. Manual entries on either side will cause a client to disconnect from both systems. Clients Losing Deferral When a client no longer qualifies for a deferral, Bridges sends a task/reminder to the specialist ten days before the end of the month the deferral ends. This task/reminder alerts the specialist to run eligibility and certify in order for the PATH referral and the DHS- 4785 to be automatically generated by Bridges. Bridges sends the PATH referral and the DHS-4785 the first business day of the calendar month after the deferral ends. Referrals Already Active on MIS In most instances, OSMIS will accept a referral for a client who is already active on OSMIS. The new referral is accepted, and a flag is sent to the one-stop service center advising a new referral is pending. Clients are identified as active and attended PATH in Bridges. Activation of the new referral is handled by the one-stop service center.