The MI Choice Waiver Program is a Medicaid program that provides home and community-based long term care services to individuals who are elderly or physically disabled. In previous newsletters, we have explained how the program is designed to allow eligible adults to receive Medicaid covered services outside of a nursing home. The program expanded in July of 2009 to allow Medicaid dollars to be used in licensed residential settings, such as Adult Foster Care (AFC) and Home for the Aged (HFA). This allows a Medicaid beneficiary who qualifies for long term care services to receive Medicaid assistance in a variety of housing options. With nursing homes discharging more and more of their residents back into the community, unfortunately many people are not aware of the MI Choice Waiver Program.
Due to high demand for the program, there is a waiting list for applicants. Fortunately, MI Choice applicants residing in a nursing home or licensed residential facility receive priority status under the MI Choice program. This allows a Nursing Facility Transition (NFT) participant to be placed at the top of the waiting list by a “Waiver Agent” (in Genesee County the Valley Area Agency on Aging) provided they meet the following requirements:
The financial eligibility requirements for the Waiver Program are the same for nursing home residents with one significant exception; the MI Choice applicant’s income is limited to $2,022 per month.
To be medically eligible, the waiver applicant must meet at least one of the Nursing Facility Level of Care (LOC) criteria which includes seven domains of need including Activities of Daily Living (ADL), Cognitive Performance, Physician Involvement, Treatments and Conditions, etc.
3. Must need at least one waiver service
These MI Choice Waiver Services include: Adult Day Health Services, Homemaker Services, Personal Care Services, Respite Care Services, Private Duty Nursing, etc.
With so many nursing home residents being discharged, the MI Choice Waiver Program has become more important than ever before. To find out more about the program, contact the local Waiver Agent or an experienced elder law attorney.