Saturday, September 30, 2023

State Of Michigan Assisted Living

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Families looking for assisted living in Michigan have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 780 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 17 percent of the population. A resident in an assisted living community in Michigan will pay $3,850 per month on average.

Supportive Services For Michiganders Who Do Not Qualify For Medicaid

If you don’t qualify for Medicaid and do not meet the nursing home level of care, you may still qualify for some personal assistance services if you are physically disabled and need help with activities of daily living like eating, dressing, or bathing. Michigan’s Area Agencies on Aging administers a supportive program. Contact your local AAA to apply.

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    Minimum Education And Experience

    Effective August 2018, any individual who registers for the MCAL CALD Training MUST have one of the following combinations of education and experience in order to take the Core and RC/AL administrator licensure exams:

    • A high school diploma or equivalent, plus two years of work experience in the continuum of long-term care, including one year in a management or supervisory position.


    • An associates degree, plus one year of work experience in the continuum of long-term care, including six months in a management or supervisory position.


    • A bachelors degree, plus six months of management or supervisory experience in the continuum of long-term care.


    • Be currently licensed as a long-term care administrator.

    Note: All management or supervisory requirements must be in the long-term care continuum which could be home and community based, assisted living and/or skilled care.

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    Finding Out About And Appealing Negative Actions

    If DHHS evaluates you for Home Help and decides you dont qualify, they will send you an Adequate Negative Action Notice which must explain why you dont qualify.

    If DHHS plans to reduce, suspend, or terminate your Home Help services, it generally has to give you an Advance Negative Action Notice at least 10 days before your services will be changed. The notice has to explain why your services are going to be changed.

    If you get any kind of negative action notice, you have a right to a hearing before an Administrative Law Judge. DHHS should send you a Request for Hearing form along with the negative action notice that you can fill out to request a hearing. During your hearing, you can present evidence, testify yourself, or have others testify about why your services should not be reduced, suspended, or terminated.

    If you are already receiving services and DHHS plans to reduce, suspend, or terminate them, and you request a hearing before the date that your services are supposed to change, DHS has to keep paying for your Home Help services until after the judge makes a decision in your case. However, if the judge decides that your services should be changed, you may have to pay for the services that were provided to you while the hearing was pending.

    Ways To Assess Assisted Living Quality

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    How does one assess the quality of care provided in a specific assisted living residence? This is a concern held by many families and especially by those who are seeking care in less expensive assisted living residences. While there is no substitute for visiting the community, doing so only provides one view. Furthermore, as tours are most commonly given by marketing directors, a visitor is likely to only see the highlights of the community.

    Fortunately, there are options to help families determine the quality of care their loved one will receive. Unfortunately, accessing this information is not always easy and the data can be inconsistent and confusing. There are three methods by which one can evaluate the quality of care and the quality of life in general in assisted living. In this article, we examine the pros and cons of each approach as well as the how-tos. Our recommendation is families pursue all three approaches to gain a well-rounded view.

    -Difficult to reach / slow access-Focused on the negative

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    Cost Of Michigan Assisted Living Facilities

    According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Michigan is $3,250 per month.

    The monthly base rate for Michigan assisted living is typically lower when compared to neighboring states. Michigan is also less expensive compared to the national average.

    This cost is the base cost for a one-bedroom assisted living unit in Michigan. Additional fees beyond the base rate may apply.

    Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

    Assisted Living Laws And Regulations In Saginaw

    Saginaw-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Michigan are required to follow. Visit our Assisted Living in Michigan page for more information about these laws. is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

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    Covid Still Isolates Some In Michigan Nursing Homes It May Get Worse

    The state lifted COVID-related visitation restrictions in nursing homes in March. The feds have allowed it, too.

    But in some facilities around Michigan, families say they still struggle to see loved ones inside long-term care facilities. Even those who saw restrictions relax during the summer months when COVID case counts were low, say theyre seeing a return of limitations.

    Im vaccinated. My husband is vaccinated, said Joanne Hickman, 72, who said Tuesday she has been inside her husbands nursing home room only once since the state ordered a ban on visitation more than 17 months ago something it has since relaxed.

    So you tell me, who are they protecting? she said.

    Nursing homes already have spent more than a year trying to balance the need for infection control against the grinding isolation of the pandemic felt by residents, and there is some evidence that the loneliness of an industry-wide quarantine last year contributed to COVIDs deadly toll in nursing homes.

    The Health Care Association of Michigan, which represents the long-term care industry, has said its facilities must work within the safety guidelines of the Michigan Department of Health and Human Services and the U.S. Centers for Medicare and Medicaid Services.

    Individual facilities, the email said, have no say in such decisions.

    She said her office gets multiple calls a week from families.

    That was March.

    The Cost Of Assisted Living In Michigan

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    The monthly median cost of assisted living in Michigan is $3,850, which is cheaper than the national average of $4,000. According to Genworths 2018 Cost of Care Survey, assisted living in Michigan is also less expensive than the median in all neighboring states.

    While the cost of Assisted Living is fairly consistent throughout the state, Saginaw is the one exception coming in at $1,025 below the state average. Ann Arbor is the most expensive region in the state at $1,050 above the national average of $4,000.

    While nursing home care is relatively cheap in Michigan when compared to the rest of the nation, its still considerably more expensive than assisted living. Other than independent living, which doesnt provide assistance with activities of daily living, assisted living communities are the cheapest solution for long-term care in the state.

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    Family Assisted Living Reviews

    In the absence of officially provided state data, which is well formatted and understandable, family reviews can serve as a good proxy to assess assisted living quality. The largest advantage of family or 3rd party reviews of assisted living communities is, by far, the ease of access to the information. One can simply visit any of number of websites that offer reviews and search for their community of choice. Reviews are available for nearly all residences with the exception of minor adult foster care home with 1-4 residents. Reviews are easy to understand and it is simple to compare several residences to determine those that provide the best care. The primary drawback of family reviews is that they not very detailed. Reviews tend to be brief. One must take caution to find a site that verifies its reviewers because false reviews abound.

    Assisted Living Review Websites

    Caring.comRecommended. This site has a large number of reviews, is free to use and verifies all its reviewers.Yelp Typically reviews are more in depth, but most communities have not been reviewed. Best used as a secondary source.Angies List highly verified, in depth reviews. Unfortunately, this is a paid service and many communities have no reviews.

    More Ways To Finance Assisted Living

    Some additional ways to finance assisted living costs include:

    • Veterans Benefits: Veterans can take advantage of several different pension programs to help cover the cost of assisted living. For more information, see the article on
    • Life Insurance Policies: Even if a spouse or loved one hasnt died, certain types of life insurance policies can be used to pay for assisted living. More information is available at
    • Long-Term Care Insurance: Long-term care insurance is a type of insurance policy that pays for long-term care when it becomes necessary, including the cost of assisted living. For more information on the benefits and drawbacks of this financing method, visit
    • Reverse Mortgages: Reverse mortgages allow seniors to access the equity from a home that they own, and these funds can be used to pay for assisted living. The U.S. Department of Housing and Urban Development offers a federally insured reverse mortgage program.

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    Michigan’s Home Help Services Program

    Michigan also operates a program called Home Help Services for seniors who need extra assistance to stay in their own homes. In Home Help Services, you hire your own provider to help you with tasks of daily living that you need assistance with, like bathing, eating, getting around inside your home, light housework and laundry, and some shopping. Medicaid pays the cost of your provider.

    To qualify, you must meet Medicaid’s income and asset requirements, and your doctor must submit a form saying that you need help in your home. Then an assessor from the Michigan Department of Health & Human Services will visit you and evaluate how much assistance you need with activities around your house. Medicaid will tell you how many hours of assistance it will pay for in a month.

    To apply for Home Help Services, contact your local office of the Department of Health & Human Services.

    Can You Tell Me About The Home Help Program In A Nutshell

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    The Home Help program provides unskilled personal care services to help people who have certain limitations to function as independently as possible.

    The Home Help program is run by the Michigan Department of Health and Human Services . If you are interested in and/or enrolled in Home Help, you will be working with a DHHS employee called an adult services specialist.

    To be eligible for Home Help, you must:

    • Be eligible for Medicaid

    • Have a certification of medical need for personal care services from a Medicaid-enrolled doctor, nurse practitioner, or therapist

    • Need at least some direct assistance with one or more of the following things:

    • Eating

    • Mobility

  • Have an appropriate level of care status

  • You are not eligible for Home Help services if you have a spouse who is able and available to provide the services. Your spouse is considered unable if he or she has his or her own disabilities that prevent him or her from caring for you. Your spouse is considered unavailable if he or she is away from your home for an extended period because of something like work or school.

    YourDHHS adult services specialist will come meet with you in your home to assess whether and how much help you need with the things listed above.

    Home Help can help you with the following things:

    • Eating
    • Light housework
    • Shopping and errands

    There are some things Home Help cannot help you with, including:

    • Transportation

    • Home-delivered meals

    • Adult day care

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    About Assisted Living In Michigan

    Learn what the Mitten State has to offer as you search for assisted living communities in Michigan. Michigan has beautiful farmland, miles of beaches, arts and cultures, and a rich history as a center of industry and Motown magic. Explore stops on the Underground Railroad, car-free Mackinac Island, the Henry Ford Museum, and the Michigan Underwater Preserves, where sport divers can see protected, historically-significant wrecks.

    With wineries, farm-to-table restaurants, orchards, fishing, and parks and reserves perfect for winter sports, Michigan offers year-round entertainment to all. The stunning Upper Peninsula can show you the Lake in the Clouds, the Porcupine Mountains, and the Painted Rocks, to name just a few of its incredible features. The UPs tourism and natural resources contribute to lower Michigans agriculture, forest, and manufacturing industries. With natural beauty, streetwise cities, and historic landmarks, Michigan is a great place to look for assisted living.

    What Is The Mi Choice Waiver Program All About

    The MI Choice Waiver program is for people who need the kind of care that one would get in a nursing home but provides this care in someones home or in a community-setting rather than in a nursing home.

    The MI Choice Waiver program is run by organizations called waiver agencies. To determine if you are eligible for MI Choice services, a team from a waiver agency made up of at least a registered nurse and a social worker will perform an initial assessment of your needs and circumstances.

    If you are found eligible for MI Choice and when there is room in the MI Choice program, someone from the waiver agency called a supports coordinator will work with you to make a plan of service that meets your needs and preferences. This plan of service includes lots of information that is specific to you, including the problems and concerns that you have, your goals, how you plan to meet those goals, the services that you will be receiving, how often you will get each service, how long you will get each service for, and the type of provider that will provide you with each service.

    The supports coordinator is supposed to use a person-centered planning process. This means that the supports coordinator should work with you and any friends or family members you want involved in the process. The supports coordinator should explain the variety of options you have and help you pick and choose which services you want to meet your needs, goals, and preferences.

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    Financial Assistance For Assisted Living In Saginaw

    Several state and federal programs are available to help eligible Saginaw seniors with the cost of an assisted living facility. These include the Medicaid State Plan, MI Choice and Supplemental Security Income Category G.

    Learn more about these programs, plus whos eligible, on our Assisted Living in Michigan page.

    How Do Appeals To The Michigan Administrative Hearing System For The Department Of Health And Human Services Work

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    If a nursing home or waiver agency decides that you are no longer medically eligible for Medicaid-funded nursing home care or MI Choice, or if a waiver agency wants to reduce or suspend your MI Choice services, you have the right to appeal those decisions to the Michigan Administrative Hearing System for the Department of Health and Human Services. If a nursing home or waiver agency wants to do any of these things, it has to issue you an action notice. More information about these action notices is discussed under the relevant sections above. The action notice will tell you how you can request a hearing to appeal the decision. You will have to fill out a Request for Hearing form, which you can find online here.

    Once you have requested a hearing, you will receive a Notice of Hearing from MAHS. You are allowed to have a lawyer during your hearing, or have someone you trust be your authorized representative and speak for you during the hearing.

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