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BEM 230B 6 of 11 EMPLOYMENT-RELATED ACTIVITIES: FAP BPB 2026-020 8-1-2026

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

Care of Disabled Individual Defer one person who personally provides care for a disabled individual, even if the disabled individual is not a member of the FAP group, nor resides with the caregiver. Verification: Client statement, unless questionable. If questionable, use a statement from an M.D./D.O./P.A. that the individual's presence is needed to assist the disabled individual with minimum daily activities of living. Disability Defer individuals incapacitated due to injury, pregnancy complication, physical illness, or mental illness. Verification: Verify a reason for deferral only if it is not obvious and the information provided is questionable (unclear, inconsistent or incomplete). Sources that may be used to verify questionable information are: • SSI/RSDI/MA approval or receipt based on disability or blindness. For SSI and RSDI, use one of the sources referenced in FIP policy, Care of Disabled Spouse or Disabled Child, in BEM 230A. • An evaluation signed by a fully licensed psychologist that the individual has an IQ of 59 or less. • Statement from an M.D./D.O./P.A. that the person is unable to work. • The DHS-54A, Medical Needs; DHS-49, Medical Examination Report; DHS-49-D, Psychiatric/Psychological Examination Report; or another written statement is acceptable. • A medically documented pregnancy complication confirmation by an M.D./D.O./P.A., certified nurse-midwife, ob-gyn nurse practitioner or ob-gyn clinical nurse specialist, which must include an expected date of delivery.

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Official source

BEM 230B 6 of 11 EMPLOYMENT-RELATED ACTIVITIES: FAP BPB 2026-020 8-1-2026

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

Care of Disabled Individual Defer one person who personally provides care for a disabled individual, even if the disabled individual is not a member of the FAP group, nor resides with the caregiver. Verification: Client statement, unless questionable. If questionable, use a statement from an M.D./D.O./P.A. that the individual's presence is needed to assist the disabled individual with minimum daily activities of living. Disability Defer individuals incapacitated due to injury, pregnancy complication, physical illness, or mental illness. Verification: Verify a reason for deferral only if it is not obvious and the information provided is questionable (unclear, inconsistent or incomplete). Sources that may be used to verify questionable information are: • SSI/RSDI/MA approval or receipt based on disability or blindness. For SSI and RSDI, use one of the sources referenced in FIP policy, Care of Disabled Spouse or Disabled Child, in BEM 230A. • An evaluation signed by a fully licensed psychologist that the individual has an IQ of 59 or less. • Statement from an M.D./D.O./P.A. that the person is unable to work. • The DHS-54A, Medical Needs; DHS-49, Medical Examination Report; DHS-49-D, Psychiatric/Psychological Examination Report; or another written statement is acceptable. • A medically documented pregnancy complication confirmation by an M.D./D.O./P.A., certified nurse-midwife, ob-gyn nurse practitioner or ob-gyn clinical nurse specialist, which must include an expected date of delivery.