Michigan

Michigan currently has four waivers that are open to children. One is a TEFRA program and the others are HCBS 1915(c) Medicaid waivers. While the TEFRA program and two of the HCBS 1915(c) waivers waive parental income, one HCBS waiver does not. For more information on Michigan Medicaid, see its Health Care Programs page.

Michigan is in the process of applying for an 1115 demonstration program that would combine three of its waivers for children, the Waiver for Children with SED, the Children's Waiver Program, and the Habilitation Supports Waiver. More information on this process is available at its Pathway to Integration summary.

Michigan also has two adult-only waivers, Choice and Health Link HCBS, and is in the process of applying for a demonstration waiver for adults with Brain Injuries.

Advocacy Organizations in Michigan:

Programs in Michigan

TEFRA SPECIAL DISABLED CHILDREN
  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions. Initially, the program was only offered to children with trachs/vents, but children with other disabilities are now being accepted as per federal law.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child's income only.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Program overview
  • How to Apply: For more information, contact your county's Children's Special Health Care Services, and then contact the Human Services office in your area to apply.
  • Waiting List: none
WAIVER FOR CHILDREN WITH SED
  • Target Population: Children with severe emotional disturbance or mental illness in certain counties.
  • Ages: 0-21
  • Levels of Care: Hospital
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c) with 1915(b4) concurrently
  • Spots: 969
  • Expiration Date: 9/30/2018
  • Description from medicaid.gov: Provides respite, child therapeutic foster care, community living supports, community transition, family home care training, family support and training, home care training-non-family, therapeutic activities, therapeutic overnight camping, wraparound for individuals with mental illness or SED, ages 0-21
  • Online State Information: SED Waiver page
  • Official Federal Information: 1915(c) and 1915(b)
  • How to Apply: Contact 517-241-5757 or 517-241-9069.
  • Waiting List: none
CHILDREN'S WAIVER PROGRAM
  • Target Population: Children with intellectual or developmental disabilities, including autism.
  • Ages: 0-17
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c) with 1915(b4) concurrently
  • Spots: 464
  • Expiration Date: 9/30/2015; program is still operational via extension while new 1115 unified waiver is pending
  • Description from medicaid.gov: Provides respite, enhanced transportation, fiscal intermediary, community living supports, environmental accessibility adaptation s and specialized medical equipment and supplies, home care training-family, home care training-n on-family, specialty service for individuals with autism, MR, or DD, ages 0-17.
  • Online State Information: Children's Waiver Program
  • Official Federal Information: 1915(c) and 1915(b)
  • How to Apply: Contact the Access Center in your county or contact Audrey Craft, Director of Children's Home and Community-Based Waivers at 517-241-5757, or by e-mail at crafta@michigan.gov
  • Waiting List: Program is full and a waitlist exists, but the length of the waitlist is unknown. The waitlist is quite long, and children are only awarded program slots based on severity of their conditions.
HABILITATION SUPPORTS
  • Target Population: Children and adults with developmental disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No
  • Waiver Type: 1915(c)
  • Spots: 8268
  • Expiration Date: 9/30/2015; program is still operational via extension while new 1115 unified waiver is pending
  • Description from medicaid.gov: Provides out-of-home non-vocational habilitation, prevocational services, respite, supported employment, supports coordination, enhanced medical equipment and supplies, enhanced pharmacy, goods and services, community living supports, environmental mods, family training, PERS, private duty nursing for individuals with DD, ages 0 - no max age.
  • Online State Information: Overview of Habilitation Supports from Community Health
  • Official Federal Information: 1915(c) and 1915(b)
  • How to Apply: Contact Community Mental Health Services.
  • Waiting List: unknown
OTHER PROGRAMS