Program
Michigan home-care program (MI Choice)
Michigan Medicaid pays for care at home instead of a nursing home.
What it can pay for
- a home care aide
- personal care
- homemaker help
- adult day care
- respite care
- a medical alert button
- medical equipment
- meals
- rides
- ramps
- grab bars
- wider doors
- bathroom changes
- kitchen changes
- electrical
- plumbing
- Official name
- MI Choice Waiver Program — Michigan Medicaid home care instead of a nursing home
- Where
- MI
- Status
- Program running
- About the amount
- No individual cost limit in the waiver — services come through a person-centered plan, not a cash amount. Environmental Accessibility Adaptations have no dollar cap, just cost-effectiveness rules.
- Housing rules
- Home can be a house, apartment, condo, adult foster care, or home for the aged. Not available while living in a nursing home (but Nursing Facility Transitions is a top waitlist priority). Renters need a 3-way written agreement (landlord, participant, waiver agency).
- How long it takes
- Not published. Face-to-face evaluation within 10 business days if requested after a phone screen predicts ineligibility.
- How to apply
- Call the waiver agency for the county where the person lives (region list on MDHHS's MI Choice page) for the MI Choice Intake Guidelines (MIG) phone screen.
- Does not pay for
- Environmental Accessibility Adaptations exclude carpeting, roof repair, heating, central air (with exceptions), garages, hot tubs/pools, landscaping, and general home repairs. Payer-of-last-resort: must document applications to MSHDA, housing commission, and CDBG first.
- Official source
- michigan.gov
- Last checked
- February 13, 2026