Michigan has an array of services for seniors. You can see the page here
The Michigan programs that pay for care are the MiChoice Waiver and PACE. Both provide paid for in-home services for people who need a “nursing home level of care” The need and financial requirement the programs are:
- Applicants must require a “Nursing Facility Level of Care” and must be able to live in-home with assistance the program can provide.
- Must be financially eligible
- Income limited to $2,982
- Assets limited to $9,950
- Both programs provide A broad range of “long term services and supports” that support independent living. These include:
Personal care services — assistance with bathing, dressing, grooming, toileting, and other activities of daily living - Homemaker services — light housekeeping, laundry, meal preparation, and grocery shopping
- Respite care — temporary relief for unpaid family caregivers
- Adult day health programs — structured daytime supervision and activities
- Home-delivered meals
- Community living supports — assistance with daily living skills and community integration including transportation — non-emergency medical and community transportation.
- Nursing services — skilled nursing visits for medication management, wound care, and health monitoring
- Very expensive home modifications such as ramps, grab bars, and bathroom accessibility improvements On special approval Medicaid will pay for repairs to the home to make it liveable such a new roof.
MiChoice Waiver: Application is made through the local Area Agency on Aging (AAA) or waiver contract provider. You can search for them here.
Waiting list: When one applies there will be a wait for the In-home Assessment of eligibility and need. There will be a wait for the appointment with the in-home assessment team. Once approved the applicant will be put on a waiting list again. While the length of the list varies by region, it can be a months long wait even as much as a year.
PACE: Application is made with PACE Provider. You may find that here
- Generally no waiting list
- Services are provided by PACE service providers.
- PACE provides some care in the home, but care also takes place at a PACE Center. People enrolled in the program must receive their primary medical care through PACE with providers that PACE has contracted with. Your previous own doctor will not be a choice. To qualify for PACE, people must live in a zip code served by a PACE Center.