Michigan Medicaid pays for in-home personal care and related services through 2 programs, including the MI Choice Waiver and the Habilitation Supports Waiver (HSW). MDHHS operates MI Choice through 20 contracted waiver agencies and the HSW through Community Mental Health Service Providers. Service details below come from the MI Choice handbook (rev. 2/23) and an MDHHS crosswalk (rev. 04/2024); confirm EVV and billing requirements with MDHHS.
Yes. The MDHHS Home Help program provides personal care under the State Plan; HSW members must use Home Help for personal care, while MI Choice members get personal care through MI Choice community living supports and cannot use both.
Which Michigan waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
MI Choice Waiver
Population
Medicaid-eligible adults 65 and older, or 18 and older with a disability, who meet Michigan nursing facility level of care and need at least one MI Choice service besides supports coordination.
Services covered
community living supports (personal care)
chore services
respite
adult day health
home delivered meals
personal emergency response system
community transportation
supports coordination
fiscal intermediary
Billing format
Enrollment and person-centered service plans go through one of 20 waiver agencies under contract with MDHHS; participants may use an agency or hire their own workers through self-determination.
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
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