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 also has a 1915(i)/1115 program that provides home and community based services to children with severe behavioral or mental health conditions.

Advocacy Organizations in Michigan:

Last updated 9/21/23

Programs in Michigan

  • 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. However, the program is not advertised and is very small.
  • 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. Parent income is not counted.
  • 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 Children’s Special Health Care Services or follow the instructions on this page.
  • Waiting List: none
  • 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. Parent income is not counted.
  • Waiver Type: 1915(c) concurrent with 1115 Behavioral health waiver
  • Spots: 969
  • Expiration Date: 9/30/2024
  • Description from medicaid.gov: Provides respite, fiscal intermediary, child therapeutic foster care, community living supports, community transition (this service terminates effective 10/1/2019), family home care training, family support and training, home care training-non-family, overnight health and safety support, 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 1115
  • How to Apply: Contact the Access Center in your county or contact 517-241-9069.
  • Waiting List: none
  • 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. Parent income is not counted.
  • Waiver Type: 1915(c) concurrent with 1115 Behavioral health waiver
  • Spots: 569
  • Expiration Date: 9/30/2024
  • Description from medicaid.gov: Provides respite, enhanced transportation, fiscal intermediary, community living supports, environmental accessibility adaptations and specialized medical equipment & supplies, home care training,-family, home care training- non-family, overnight health and safety support, specialty service for individuals with autism, DD, or IDD, ages 0-17.
  • Online State Information: Children’s Waiver Program
  • Official Federal Information: 1915(c) and 1115
  • How to Apply: Contact the Access Center in your county or contact 517-241-9069
  • Waiting List: Waitlist length is unknown, but program is generally full. Children are awarded program slots based on severity of their conditions.
  • Target Population: Children and adults with developmental disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No
  • Waiver Type: 1915(c) and concurrent with 1115 Behavioral health waiver
  • Spots: 8268
  • Expiration Date: 9/30/2024
  • Description from medicaid.gov: Provides out-of-home non-vocational habilitation, prevocational services, respite, supported employment, supports coordination (authority change effective 10/1/2019), enhanced medical equipment and supplies, enhanced pharmacy, fiscal intermediary, goods and services, community living supports, environmental modifications, family training, non-family training, overnight health and safety support, personal emergency response system, private duty nursing for individuals with IDD, ages 0 – no max age.
  • Online State Information: Overview of Habilitation Supports from Community Health
  • Official Federal Information: 1915(c) and 1115
  • How to Apply: Contact Community Mental Health Services.
  • Waiting List: There is a waiting list but the length is unknown.

Additional Information

No information for this state at this time