MedicaidAdministrativeMedium impact
MMP 22-31
Michigan Medicaid - MDHHS·MI · Geriatrics, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Nov 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated spousal impoverishment rules for MI Choice waiver program, clarified that patient pay amounts are NOT eliminated when nursing facility residents move to waiver services, and added estate recovery information. This affects eligibility determinations and billing for Home & Community Based Services waiver participants.
Action Required
By November 1, 2022: Billing team must review MI Choice waiver patient accounts to ensure patient pay amounts are still being collected according to BEM 546 policy, not eliminated as previously indicated. Update billing procedures to reference correct spousal impoverishment rules in BEM 402 for waiver participants. Contact Provider Support at ProviderSupport@michigan.gov or 1-800-292-2550 for clarification on specific cases.