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102 (07/2026) Chapter 2:Eligibility • Section 1: Application For recipients of the OHP Bridge-Basic Health Program (BHP), the effective start date of BHP depends on when the eligibility decision is made: • If determined eligible on or before the 15th of the month, BHP will begin on the first of the next month. For example, the eligibility decision is made on August 15, BHP will begin September 1. • If determined eligible on the 16th-the last day of the month, BHP eligibility will begin the first of the following month. For example, the eligibility decision is made on August 16, BHP will begin October 1. Renewals: Most HSD medical programs have continuous eligibility (CE), which protects coverage for 2 years for those over 6 years old and for 6 years for those under 6. There are some exceptions: • OHP Bridge - Basic Health Program (BHP) is renewed every 12 months. • BCCTP is renewed every 12 months. • EXT recipients at the end of their 4-month or 12-month EXT eligibility period cannot have their EXT renewed for additional months of EXT coverage. At the end of their EXT eligibility period, they must be evaluated for all programs through the medical renewal process. Retroactive medical requested: The effective date is the earliest of the following: • The first day of the earliest of the three months prior to the DOR; or • The earliest date of eligibility within the three months prior to the DOR. Note: There is no retroactive medical for the OHP Bridge-Basic Health Program (BHP). Change is reported: • If the change results in a reduction or loss of eligibility, the effective date for the change is:
The first of the next month, if the determination is made on or before the 15th of the month, or
The first of the month following next month, if the determination is made on or after the 16th of the month. • If the change results in ongoing benefits with the same benefit level, the effective date is the first of the month following the date of processing. • If an individual who is already receiving an HSD medical program benefit reports a pregnancy, the effective date of the pregnancy-related HSD medical program benefit is the first of the month in which the pregnancy is reported. For CWM beneficiaries who report a change that results in eligibility for Plus level benefits, the effective date of the new benefit is the first of the month it is reported. Suspending or closing benefits: • The effective date for closing HSD medical program benefits is the earliest of the following:
The date of a beneficiary’s death,
The last day of the month in which a beneficiary becomes ineligible and a timely continuing