DEPARTMENT OF COMMUNITY HEALTH  
MEDICAL SERVICES ADMINISTRATION  
MEDICAL ASSISTANCE FOR THE AGED  
(By authority conferred on the department of social services by section 6 of Act No.  
280 of the Public Acts of 1939, as amended, being S400.6 of the Michigan Compiled  
Laws)  
R 400.501 Living with the spouse.  
Rule 501. As found in Act No. 2 of the Public Acts of 1960, First Extra Session,  
hereinafter referred to in these rules for medical assistance for the aged as "the act," the  
phrase "living with the spouse" applies to all married clients, except in case of legal  
separation, estranged separation, or deportation.  
History: 1979 AC.  
R 400.502 Rescinded.  
History: 1979 AC.  
R 400.503 Disclosure of information.  
Rule 503. Records of recipients and former recipients are confidential and no  
information concerning them or their existence may be given out, except when  
necessary for purposes related to the administration of public assistance, including  
recovery of assistance granted. When necessary to give information, R 400.6(2), (3),  
and (4) of part 1 of the rules of the commission will be followed.  
History: 1979 AC.  
R 400.504 Enforcement of patient's rights to services under this act.  
Rule 504. If the state department finds that the county social welfare board has  
refused to provide the services for which a patient has been certified as eligible by  
the county bureau of social aid, the state department will provide the services  
and deduct the cost thereof, including reasonable costs of administration, from  
moneys owing or to be owing the county by the state department.  
History: 1979 AC.  
R 400.505 Reduction of services.  
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Rule 505. When, for financial reasons, the commission must reduce services,  
it may (a) discontinue some or all services for a month or months as determined by  
the commission after 30 days' notice has been given to the county social welfare  
board or (b) it may establish a time limitation on some or all services available to new  
or reinstated clients.  
History: 1979 AC.  
R 400.506 Hearings.  
Rule 506. The patient shall be informed in writing of his right to appeal any  
decision made concerning his application or his medical assistance and of his right  
to a hearing. Hearings will follow the procedures prescribed by the rules for public  
assistance hearings, R 400.7 of part 1 of the rules of the commission.  
History: 1979 AC.  
R 400.507 Rescinded.  
History: 1979 AC.  
R 400.508 Intercounty disputes.  
Rule 508. Disputes between 2 or more counties relating to interpretations  
of the act and claims thereunder may be settled by the social welfare commission in  
the same manner as prescribed in part 2 of the rules of the commission for appeals of  
settlement disputes.  
History: 1979 AC.  
R 400.509 Coverage in respect to services.  
Rule 509. The state department shall, in  
consultation  
with  
the state  
commissioner of insurance, determine what hospital and physicians' services are  
"furnished" under the 2 contracts in the act and in effect on September 1, 1960, and on  
file with the insurance commissioner.Such determination shall be implemented in  
written instructions to the county social welfare departments and bureaus of social aid  
as shall be deemed necessary from time to time.  
History: 1979 AC.  
R 400.510 Rescinded.  
History: 1979 AC.  
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R 400.511 Reconsideration of eligibility for assistance.  
Rule 511. Eligibility for assistance granted under this act shall be reconsidered  
from time to time as circumstances may require, and such reinvestigation, including  
redetermination of medical need, shall be made at least once in each 12 months.  
History: 1979 AC.  
R 400.512 Definition of acute illness.  
Rule 512. "Hospitalization for an acute illness" is defined as in-patient care  
in an approved hospital for: (a) an illness, injury, or defect which has arisen within 60  
days immediately prior to date of entry into the hospital, or (b) admission to the  
hospital for an exacerbation of an illness, injury, or defect which has existed more than  
60 days prior to admission, or (c) surgery.  
History: 1979 AC.  
R 400.513 Nursing care; 90-day limit.  
Rule 513. To qualify for nursing care in a licensed nursing home a person must  
have received hospitalization for an acute illness and enter the nursing home for care  
required for the illness for which the person was hospitalized within 30 calendar  
days following discharge from the hospital, provided that not more than 90 days of  
nursing care may be approved for any MAA recipient in a 12-month period,  
beginning with the first day of admission to the nursing home.  
History: 1979 AC.  
R 400.514 Death of patient after application.  
Rule 514. In the case of a patient who dies after application, services may be  
provided under medical assistance for the aged if eligibility can be determined and  
certification issued within 30 calendar days following death.  
History: 1979 AC.  
R 400.515 Assistance to Michigan residents.  
Rule 515. The state department may pay up to 100% of the cost of medical  
assistance for the aged services provided to: (a) Patients who have Michigan  
residence but are without domicile in any Michigan county; (b) Patients who are  
Michigan residents but are temporarily absent from the state.  
History: 1979 AC.  
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