Medicaid Waiver Program Michigan

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

Types of Waiver Programs

Home Care Children’s/TEFRA Program

• 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.

Children’s Waiver Program

• Description from medicaid.gov: Provides respite, financial management services, community living supports, environmental accessibility adaptations, home care training (family), home care training (non-family), overnight health and safety support, specialized medical equipment & supplies, therapeutic activities, and vehicle modifications to individuals with autism, developmental disabilities, or intellectual disabilities ages 0-17 years who meet an ICF/IID level of care.  This waiver operates with a concurrent 1115 authority.
• 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.

Habilitation Supports Waiver

• Description from medicaid.gov: Provides out-of-home non-vocational habilitation, respite, supported employment-individual supported employment, enhanced medical equipment and supplies, enhanced pharmacy, vehicle modification, financial management services, 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, and supported employment-small group employment services to individuals with developmental disabilities or intellectual disabilities ages 0 or older who meet an ICF/IID level of care.  This waiver operates with a concurrent 1115 authority.
• 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.

Other online resources for Michigan:

• Michigan Family Voices is a grassroots organization that builds parent networks across the state.
• The ARC Michigan can help you with all things related to disabilities including information sharing, advocacy, and employment.
• This parent guide published by the state of Michigan

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.