Mi choice is funded by the michigan department of community health and human services mdhhs. This agreement shall commence on october 1, 20 and continue through september 30, 2014. Services are provided through mi choice waiver agencies. Mdhhs has developed a new medicaid provider manual chapter for. Public comment request for mi choice waiver amendment. Costing less than half of what a medicaidfunded nursing facility costs, mi choice saves taxpayers money. In 1981, congress passed legislation allowing states greater flexibility in providing servic es to people living in community settings. With hcpcs or cpt code for any substance use disorder.
Waiver application title optional this title will be used to locate this waiver in the finder. The mi choice waiver program is operated by the michigan department of community healths mdch medical services administration msa and is available statewide across michigan. As the enrollment reports for november pdf, xls reflect, every county in the state is served by at least. You have a chance to make sure your preferences are considered. It is a less costly and preferred alt ern ative to nursing home care that allows people to get the support they need in their own homes. Who require at least two mi choice services on a continual basis, one of which must be supports coordination. Offering ses in addition to public school choice in the first year of improvement and counting the. The mi choice waiver program provides medicaidcovered long term care services and supports in a home or residential setting for individuals who meet the medicalfunctional criteria for nursing facility level of care. A properly completed mi choice intake guidelines document is required prior to placement on the mi choice waiting list.
Click here to access the mi choice waiver amendment documents. The mi choice medicaid waiver program helps michigans older adults and adults living with a disability by providing the services necessary to live independently in their communities. As waiting lists for mi choice grow, nursing home transitions. Administering agencies of the mi choice waiver program and direct service online in the medicaid provider manual at mdch. Other agreements may be involved, such as mutual confidentiality agreements.
Mi choice medicaid waiver program wyoming kentwood now. Mi choice waiver 1915c amendment, approved state of michigan. In general, some characteristics of merger agreement templates include. The purpose of the waiver amendment is to implement an independent nursing facility level of care determination process that will match current federal requirements. Compass, the successor to mi choice information system micis, supports the hcbs waiver and other local aging programs. Through mi choice, eligible adults who meet income and asset criteria can receive medicaid. New choices waiver attachment b special provisions case.
It has helpful things that you need to know as a mi choice participant. Mi choice waiver program is a home and communitybased care option for persons who are medicaid waiver eligible for their longterm care. Medicaid provider manual for assistance refer to the mi choice chapter. If the hospital intends to combine an admission and a readmission into a. Through mi choice, eligible adults who meet income and asset criteria can receive medicaidcovered services like those provided by nursing homes but can stay in their own home or another residential setting. Targeted group waiver services are covered for ma recipients who. Waiting lists for the medicaid mi choice home and community based waiver services continue to grow around the state. On august 26, 2014 the michigan department of community health posted transition plans for the mi choice waiver and habilitation supports waiver. Mi choice waiver the mi choice waiver program provides home and communitybased services for individuals. Mi choice waiver agencies must collect mi choice intake guidelines data electronically using compass, which is an online program developed by the center for information management. However, there is a waiting list to receive services via this waiver. Today there are many choices that allow individuals to live independently while receiving nursing facility level of care in their home or in a community setting.
Workers in the sd option cannot be the participants mi choice program representative, spouse, or legal guardian. The setting is 18 medicaid home and communitybased mi choice waiver sites in michigan. The system provides both preprogrammed and adhoc reports, including a. Selfdetermination and the mi choice medicaid waiver program a survey of directcare workers 3 be family members, friends, or someone that the participant does not have a relationship with or previously know. Selfdetermination and the mi choice medicaid waiver program. Mi choice waiver has extraordinary potential to meet an older clients longterm need for support and services. Mi choice waiver documents and provider information. The section 1915c mi choice waiver amendment estimates the following utilization and cost of waiver services. Michigan choice medicaid waiver mi choice medicaid waiver mi choice is a longterm care program. By signing this agreement, the provider agrees to the terms and conditions listed within. Civil rights compliance each waiver agency or direct service provider must not discriminate against any employee or applicant for employment, or against any mi choice applicant or participant, pursuant to the.
Michigan has not reported the number of people being served on the habilitation supports waiver or the childrens waiver. The program is available to certified disabled individuals age 18 to 64 or individuals 65 years and over, who meet the eligibility requirements for nursing facility placement and are able to meet income and asset guidelines for medicaid. This mixedmethods evaluation will combine qualitative information from focus groups. Mutuality, as merger agreements are generally mutual between the parties who wish to merge together. The waiver agency and each direct service provider must accept mi choice payments for services as payment in full for such services. There is room in this program to accommodate approximately 18,000 participants. Mi choice waiver 1915b amendment, approved state of michigan. This legislation, section 1915 c o f the social security act, authorized the waiver of certain medicaid statutory requirements. Comments on both plans are were due september 26, 2014. It is important to note that cms approval of the mi choice waiver amendments.
A merger agreement is simply an agreement between several entities in which they agree to merge into one entity. Mi choice waiver it is a less costly and preferred alt ern ative to nursing home care that allows people to get the support they need in their own homes. If you are enrolled in either of these programs, you need to disenroll before enrolling in the mi health link program through molina dual options. Sites will be randomized to either usual waiver care with internal. The mi choice waiver is not an ma category, but there are special eligibility rules for people approved for the waiver. Allows states to combine target groups based on diagnosis, disability. On september 27, 2018 michigan posted an updated transition plan and public comments are due october 26, 2018. How many people are currently receiving waiver services in michigan. Mi choice waiver program policies and procedures february 27, 2018.
Since the late 1970s there has been a national movement to provided services and supports to individuals with developmental disabilities in the community rather than in institutions. If eligible for the mi choice waiver, your older clients may remain in their own home or other residential setting and receive services like those provided by nursing homes. Assist clients to request a fair hearing if choice of waiver services or providers is denied, if. The waiver became available in all michigan counties october 1, 1998. Michigans waiver of section 1915b of the social security act provides for fourteen 14 different state plan mental health and substance abuse services and fourteen 14 alternative services that can be used in place of the state plan services. Mi choice waiver or mfp will be available to mi health link. Today there may be the choice to stay in your home or a community setting, but you or a family member may need assistance in doing so. Innovative ways to finance mental health services in a. Mshda medicaid service funding options for affordable assisted living in michigan. Mi choice waiver home and community based services region 2 area agency on aging contracts to provide waiver services to older adults in hillsdale, jackson, and lenawee counties. If you have any questions about what you read, contact your supports coordinator. Mi health link hcbs waiver, mi choice waiver, habilitation. Nursing homes used to be the only choice for older or disabled persons who needed help caring for themselves.
Sep 22, 2017 the mi choice waiver program project choices is currently beginning a renewal process and now is your chance to have a say in any changes that may be made. The mi choice program furnishes an array of home and communitybased services to assist aged and disabled medicaid beneficiaries to live in the community who would otherwise be institutionalized in a. We now know it as the mi choice waiver program, or simply, the waiver. Mi choice waiver 2016 amendment the michigan department of health and human services mdhhs submitted an amendment to the centers for medicare and medicaid services cms for the section 1915b mi choice waiver. The mi choice waiver program is a community based, inhome services program designed to help seniors and those with disabilities to stay in their own home or. Children enrolled in, and receiving services funded by, the habilitation supports waiver may not below is a chart of place of service codes and the typical medicaid. Mi choice waiver program the arc of oakland county mi. The mi choice waiver program is a community based, inhome services program designed to help individuals stay in their own home or transition to an eligible community setting. Mi choice waiver participant handbook this handbook is about your rights and responsibilities when you choose the mi choice waiver program. In order to contract with the information center for mi choice medicaid waiver services, the following documentation must be submitted with two signed copies of the purchase of service agreement.
Migration waiver this is an existing approved waiver provide the information about the original waiverbeing migrated requested approval. It began in 1992 as the home and community based services for the elderly and disabled hcbsed waiver program. One program run by michigan medicaid is the mi choice waiver program. Please see the instruction manual for specifics regarding age limits. While tricounty office on aging for years consistently had waiting lists of 100 people, it now has 350 people on its waiting list. From what we understand, michigan is considering going to a total managed care system, for. Mi choice waiver participants have the option to receive services in adult foster care homes and homes for the aged in the community. The mi choice service is medicaid waiver where medicaid pays for home. Everything you wanted to know about mi choice waiver program.
A description of the medicaid choice waiver program in michigan and how it supports cdsme. One objective of the program is to blend housing with community based. While there has been a significant shift to communitybased care nationwide, new mexico is the leader in this area. For renewal waivers, please provide a brief history of the programs authorized under the waiver. Aged 65 and over and disabled persons 18 and over who meet the ma nursing facility level of care. The program permits a state to furnish an array of home and communitybased services that assist medicaid beneficiaries to live in the community and avoid institutionalization. Download document improving the lives of 40 million older adults by 2030. If you are a person with an intellectual or developmental disability, a ddrc can help you get on a waiting list for waiver services first. The mi choice waiver program provides medicaidcovered long term care services in a home setting for participants meeting specific medical criteria. First, call or visit an aging and disability resource center adrc or developmental disabilities resource connection ddrc to identify the types of programs you may qualify for. Regina woodard highlights a handful of michigans programs to help seniors to. Oct 08, 2012 become a medicaid waiver provider of rn, lpn, np or licensed professional services duration. Compass currently tracks the status of program participants, vendor bills, and medicaid claims processing.
1571 1133 287 1125 655 243 1323 489 1406 743 416 470 663 667 805 1324 1332 656 1149 921 1513 740 445 1135 1107 626 241 1453 1356 955 270 349 1071 153 59 421 555 1204 287 531