Michigan Medicaid Facts

Michigan Medicaid Resources:

Michigan Medicaid Facts: From Kaiser Family Foundation Medicaid Fact Sheet (2009)

There are 306,800 people with disabilities covered by Medicaid in Michigan. Michigan spent $11,521 on each Medicaid recipient with a disability in 2007.

17% of all people covered by Medicaid in Michigan have a disability, while the national percentage is 15%.

The state spends only 41% of all the money it spends on Medicaid on services for people with disabilities, however, which is lower than the national percentage of spending on these services (42%).

Michigan Basic Medicaid Programs

Comprehensive Health Plan:

This plan allows children and adults with disabilities access to a variety of basic health care services. You may not be able to choose your service provider under this plan. People with disabilities using services under the HCBS waiver are not eligible for coverage under this plan.

  • Community Community: transportation
  • Health Health: chiropractic, disease management, durable medical equipment, emergency treatment, early and periodic screening, diagnosis and treatment, family planning, health education, hearing, hospice, immunization, hospital, short-term rehabilitative or restorative skilled nursing care, laboratory, maternal and infant services, occupational therapy, outpatient mental health, physical therapy, pharmacy, physician, podiatry, prosthetics and orthotics, speech therapy, transplants, vision, x-ray
  • Home Home: home health care
  • Social Services Social Services: case management

Specialty Prepaid Inpatient Health Plan:

Michigan provides a number of supports and services to people with developmental disabilities through this mental health plan. In addition to typical mental health and substance abuse components, this plan can help pay for specialized supports. . This plan does not cover people already living in nursing or intermediate care facilities, children enrolled in a children’s waiver, or people who are also eligible for Medicare.

  • Community Community: community living supports, transportation
  • Health Health: assistive technologies, intermediate care facilities, occupational therapy, physical therapy, speech therapy, wrap-around care for children and teens
  • Home Home: environmental modifications, family support and training, home-based services, respite care
  • Social Services Social Services: targeted case management
  • Work Work: supported employment services

Program of All-Inclusive Care for the Elderly (PACE):

PACE programs are designed for people 55 and older who need nursing home care, which includes many people with disabilities. These programs provide integrated care and support including a high level of preventive care. PACE programs must provide all services otherwise included in a person’s Medicaid or Medicare benefit, as well as all other services deemed medically necessary. Services are provided through PACE centers, so people must live close enough to an approved center to be eligible.

Ages: 55 and older

Level of Care: nursing

Restrictions: you must live close enough to a PACE center to get services.

  • Community Community: health-related transportation, adult day care
  • Health Health: primary and specialty care, nursing, physical therapy, occupational therapy, speech therapy, recreation therapy, prescription drugs
  • Home Home: home health care, home and environmental modifications
  • Social Services Social Services: social services

Michigan HCBS Waiver Programs

Habilitative waiver:

This waiver is intended to help people with intellectual and developmental disabilities remain in their homes and in other integrated settings.

Level of Care: intermediate

  • Community Community: community living
  • Health Health: skill-building assistance
  • Home Home: specialized equipment or home modifications
  • Social Services Social Services: supports coordination

Elderly and Disabled waiver:

This waiver is intended to serve older adults and people with disabilities. Rather than moving into a residential facility, this program aims to help people stay at home or in community settings.

Ages: adults with disabilities, or 65 and older for people with or without disabilities

Level of Care: nursing

  • Community Community: adult day care
  • Home Home: personal care supervision, homemaker services, respite services, environmental modifications

Children’s Developmental Disabilities waiver:

This waiver allows children with intellectual and developmental disabilities to receive the services they need in their homes. It is supposed to help prevent out-of-home placements, and to help children who have been placed outside the home return to their families.

Ages: 18 and older

Level of Care: intermediate

  • Community Community: community living supports, transportation,
  • Health Health: therapies
  • Home Home: family training, respite care, environmental accessibility adaptations
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