MDHHS - Michigan Department of Health and Human Services



|BEM 105, Medicaid Overview |

| |Who can receive MA under the MAGI-related categories? |      |

| |Which MA category is usually the most beneficial for |      |

| |families? | |

|BAM 115, Application Processing |

| |What is the SOP for MAGI-Related MA? |      |

| |What application must be used instead of the DHS-1171 |      |

| |to apply for all MAGI related MA? | |

| |Is an interview required before opening MA? |      |

| |When is Retro MA coverage available? |      |

| |What application is used to apply for retro MA? |      |

| |How is Retro MA Eligibility determined for Children |      |

| |Under 19 and Pregnant Women? | |

|Household Composition-MSA 13-35 MAGI Related Eligibility Policy Chapter 5 |

| |Who is in the household for a tax filer? |      |

| |Who is in the household for a non-tax filer? |      |

| |Who is in the household for an individual who is a tax|      |

| |dependent of someone else? | |

| |BEM 110 LIF | |

| |Does income have to be verified for LIF? |      |

| |Is there an asset test for LIF? If so, what is the |      |

| |asset limit? | |

| |How is eligibility for LIF determined? |      |

| |When is an adult considered LIF eligible? |      |

| |When is a child considered LIF eligible? |      |

|BEM 111, Transitional MA (TMA) |

| |Can a client receive TMA at initial MA case opening? |      |

| |How can someone be eligible for TMA? |      |

| | | |

| | | |

| |Once eligible for TMA, how long does eligibility |      |

| |continue? | |

|BEM 113, Special N Support (SNS) |

| |What are the 3 criteria of eligibility? |      |

| |How long is the certification period? |      |

|BEM 145, Newborns |

| |When is a newborn automatically eligible? |      |

| |Is a new application required before authorizing MA? |      |

| |What form may you receive to indicate birth of a |      |

| |child? | |

|MSA 13-35 MAGI Related Eligibility Policy |

| |Who can be an authorized representative? |      |

| |Who is considered a Core Relative? |      |

| |Is there an asset test for MAGI Related Groups? If |      |

| |so, what is the asset limit? | |

| |Who can apply on behalf of an individual? |      |

|BEM 200 Series/ACA Policy |

| |Does a client have to be a Michigan resident to be |      |

| |eligible for MA? | |

| |Whose identity has to be verified for MA? |      |

| |Is verification of SSN required for eligibility? |      |

| |How is Child Support an eligibility factor for MA? |      |

| |MSA 14-11, Healthy Michigan Plan |

| |Who may receive health care coverage under this |      |

| |category? | |

| |What are the Cost Sharing Requirements for someone |      |

| |enrolled in the Healthy Michigan Plan? | |

| |What is a Health Risk Assessment? |      |

| |How can a person covered by the Healthy Michigan Plan |      |

| |(beneficiary) reduce their cost-share requirement? | |

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Updated: 05/01/2014

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