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BEM 232 10 of 33 DIRECT SUPPORT SERVICES BPB 2026-009 4-1-2026

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

Authorize DSS child care payments on a MDHHS-5602, Payment Voucher, through MIS. Advise clients that to be eligible for DHS payment, they must use an eligible provider. Eligible providers are those monitored by the MDHHS Bureau of Children and Adult Licensing or enrolled by MDHHS; see BEM 704. Medical Exams, Immunizations and Tests FIP, CDC, MA Family, FAP Family Certain services which are not defined as medical services may be needed to overcome barriers to employment or training. See prohibited expenditures in this item for the definition of medical services. Pre-Employment and Training Medical Exams Use the DHS-54A, Medical Needs, form or the DHS-54E, Medical Needs-PATH Program form, to obtain general physical examinations by an MD or DO statement to determine client's employment limitations. Use a DHS-93A, Medical Services Authorization Invoice, to autho- rize payment. See RFT 285, Diagnostic Examination Fee Schedule, for employment-related activities payments. Immunizations and Tests When an immunization or test is required to obtain, maintain or enhance employment, and cannot be obtained free of charge, authorize payment via DHS-93A; see fee schedules in this item. Note: Local office DSS allocations are not reduced by issuance of the payments listed below. Coding The DHS- 93A

Program Code Reason Code Service Code MPS Provider Code Service Code Description Paymen t Maximu m C D 01 45, 46 DSS - Photo Copies $100