Home Help Care Michigan
Home Help Care Michigan provides reliable home help care services to clients throughout the entire state of Michigan, paid by Michigan Medicaid.
Most candidates receive approval for 180 hours of monthly Home Help Care. Approval can be granted for more monthly hours.
The Home Help program is administered by the Michigan Department of Health and Human Services (MDHHS).
The program provides funding for qualified individuals to hire caregivers to assist them with their activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
The program is designed to support individuals who wish to live independently in their home rather than live in an adult foster care home, home for the aged, or nursing facility. Look to our home care agency for elderly care, disabled care, & people with other special needs care--all paid by the Michigan Medicaid Program.
The goals of the Home Help Care program are:
• To encourage and support the client’s right and responsibility to make informed choices.
• To provide timely, quality assessments and approvals ensuring the necessary supports are offered to assist the client to live independently and with dignity.
• To recognize and encourage the client’s natural support system.
• To empower the client to manage their services, respecting the client's right to determine what services are necessary, when they are completed, and how they are performed.
• To provide resources to enable client self-advocacy.
To receive Home Help Care Services, an individual must:
• Have active Medicaid. (We will help you apply if needed.)
• Currently on disability
• Require physical assistance to perform at least one activity of daily living.
Available services include ADLs:
(Activities of Daily Living)
• Feeding or eating
• Moving throughout the home
• Transferring from one position to another
• Using the toilet
If you qualify for the program, you may also receive assistance with the following IADLs:
(Instrumental Activities of Daily Living)
• Administering or setting up medicine
• Light housework
• Meal preparation/clean up
• Shopping for food and medical necessities
COMPLEX CARE TASKS
Complex care tasks require intervention/management with special techniques and/or knowledge. These complex care tasks are performed on clients whose diagnoses or conditions require more management than most clients. The conditions may also require special treatment and equipment for which training by a health professional may be required in order to perform.
Complex Care tasks include, but are not limited to:
• Tube Feeding
• Catheter Care
• Colostomy Care
• Bowel Program
• Specialized Skin Care
• Range of Motion
• Respiratory Treatments
• Wound Care
• Ventilator Dependent
• Dialysis – in home only
EXPANDED HOME HELP SERVICES
A common misconception about the Home Help program is that there is a maximum number of hours that a client can be eligible for.
Expanded Home Help Services (EHHS) can be authorized for individuals who have severe functional limitations which require such extensive care that the service cost must be approved by the adult services supervisor/local office designee and/or the MDHHS Home Help Policy Section.
When a client’s hands on care needs exceed 179.9 hours per month, they may be approved for Expanded Home Help Services (EHHS).
SERVICES FOR MINOR CHILDREN
A common misconception about the Home Help program is that it is only available for adults, but the program can provide services for minor children.
When providing for minor children, personal care services must be shown to be a necessary supplement to usual parental care, justified by the high service needs of the family.
High service needs are those which arise from a physical, medical, emotional, or mental impairment of the minor child and which require significantly higher levels of intervention than those required by a child of the same age without similar impairments.
When responsible relatives are unable due to a medical condition, or unavailable due to employment or school, they can hire a caregiver to perform the activities of daily living, medication administration, and meal preparation required during the parent’s absence.
Parents cannot be the paid caregiver for their minor children.
Michigan Home Help services operates under 42 CFR 440.167. Personal care services are available to persons who require hands-on assistance in activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
Section 1905(a)(24) of the Social Security Act [i.e.,42 U.S.C.1396d(a)(24)] states:
Personal care services furnished to an individual who is not an inpatient or resident of a hospital, nursing facility, intermediate care facility for the mentally retarded, or institution for mental disease that are (A) authorized for the individual by a physician in accordance with the plan of treatment or (at the option of the State) otherwise authorized for the individual in accordance with the services plan approved by the State, (B) provided by an individual who is qualified to provide such services who is not a responsible relative, and (C) furnished in a home or other locations.