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BEM 106 1 of 10 MA WAIVER FOR ELDERLY AND DISABLED BPB 2026-024 8-1-2026

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT POLICY MA Only This waiver is called the MI Choice Waiver Program. This waiver program provides home and community-based services for aged and disabled persons who, if they did not receive such services, would require care in a nursing home. Services provided under this waiver program must be less costly for Medicaid (MA) than the cost of nursing home services for the total number of waiver participants, not per person. The MI Choice waiver is not an MA category, but there are special eligibility rules for people approved for the waiver. TARGETED GROUP Waiver services are covered for MA recipients who: • Are age 65 or over, or • at least age 18 years and disabled. • Medically qualify, and • Have needs that cannot be met by the Home Help program and may be addressed with MI Choice services. • Seek or have an expanded Home Help Program exception grant of $1000 or more per month. WAIVER ADMINISTRATION The Medical Services Administration (MSA) administers the waiver through contracts with Pre-paid Ambulatory Health Plans. See Exhibit I in this item for a list of these waiver agencies. The agency's functions are described below. Assisting Participants The agent will assist prospective waiver participants in applying for MA and for initial asset assessments. The agent will also help the person obtain requested information and verification.

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Official source

BEM 106 1 of 10 MA WAIVER FOR ELDERLY AND DISABLED BPB 2026-024 8-1-2026

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT POLICY MA Only This waiver is called the MI Choice Waiver Program. This waiver program provides home and community-based services for aged and disabled persons who, if they did not receive such services, would require care in a nursing home. Services provided under this waiver program must be less costly for Medicaid (MA) than the cost of nursing home services for the total number of waiver participants, not per person. The MI Choice waiver is not an MA category, but there are special eligibility rules for people approved for the waiver. TARGETED GROUP Waiver services are covered for MA recipients who: • Are age 65 or over, or • at least age 18 years and disabled. • Medically qualify, and • Have needs that cannot be met by the Home Help program and may be addressed with MI Choice services. • Seek or have an expanded Home Help Program exception grant of $1000 or more per month. WAIVER ADMINISTRATION The Medical Services Administration (MSA) administers the waiver through contracts with Pre-paid Ambulatory Health Plans. See Exhibit I in this item for a list of these waiver agencies. The agency's functions are described below. Assisting Participants The agent will assist prospective waiver participants in applying for MA and for initial asset assessments. The agent will also help the person obtain requested information and verification.