MI Choice


The MI Choice waiver program provides Medicaid-covered long term care services and supports in a home or residential setting for participants meeting the medical/functional criteria for nursing facility level of care.  Services are provided through MI Choice waiver agencies.

For more information on the MI Choice waiver program, refer to the MI Choice Chapter of the Medicaid Provider Manual.

For more details about Michigan's statewide transition plan, refer to the Home and Community-Based Services Program Transition website.

MI Choice Amendment 

The Michigan Department of Health and Human Services (MDHHS) is submitting an amendment to the Centers for Medicare and Medicaid Services (CMS) for the Section 1915(b) MI Choice waiver.  The purpose of the amendment is to add Non-Emergency Medical Transportation (NEMT) as a service in MI Choice.  This will allow MI Choice waiver agencies to authorize NEMT for MI Choice participants instead of obtaining authorization through MDHHS local offices. 

MI Choice Waiver Application:  Section 1915(b) Waiver Amendment

Waiver Amendment Comments and Responses

Public Comment Project 1622-MIChoice

MI Choice Intake Guidelines

The Michigan Department of Health and Human Services (MDHHS) specifically formulated a more accurate telephonic evaluation for MI Choice applicants to determine potential program eligibility and waiting list placement. The new telephonic evaluation, the MI Choice Intake Guidelines, is for use by the MI Choice program only. MI Choice waiver agencies collect MI Choice Intake Guidelines data electronically online. The online MI Choice Intake Guidelines is the only approved format and is only accessible to MI Choice waiver agencies.

 MI Choice Intake Guidelines Interviewer Instructions      Scoring Algorithm

Waiver Enrollment/Disenrollment Notification Forms

To initiate financial eligibility determination, waiver agencies must use the MI Choice Waiver Enrollment Notification (MSA-0814) form to notify the local MDHHS office of individuals who have applied for MI Choice. The MI Choice Waiver Disenrollment Notification (MSA-0815) form must be used by waiver agencies to notify local MDHHS offices of participants who no longer qualify for MI Choice enrollment. 

MI Choice Waiver Enrollment Notification (MSA-0814):  DOCX  PDF
MI Choice Waiver Disenrollment Notification (MSA-0815): DOCX  


Adequate Action Notice

The Centers for Medicare and Medicaid Services (CMS) requires an Adequate Action Notice be sent to the applicant not later than the date of removal from the MI Choice waiting list.

Adequate Action Notice Template


 MI Choice Participant Handbooks

Effective 10/1/2013, waiver agencies are required to provide the MI Choice Participant Handbook and the Privacy Notice for Medicaid and Other Medical Assistance Programs to all MI Choice applicants during the enrollment process. Waiver agencies must provide this handbook and privacy notice and go over the content with all individuals receiving an initial MI Choice assessment, annually at reassessments, as requested or as content changes.

On pages 7 and 12, waiver agencies must include their agency specific information. Waiver agencies must not delete or change any of the handbook content. However, waiver agencies are welcome to add additional pages within the handbook (with appropriate MDHHS approval of content).

MI Choice Participant Handbook 

        Spanish (PDF) (Word)
        Arabic    (PDF) (Word)

Privacy Notice for Medicaid and Other Medical Assistance Programs

Submission Manuals

Agencies that are involved in the MI Choice Waiver program are required to submit to the state, in file form, assessment information about the people they assess.

MI Choice Home Care Submission Manuals 

Home and Community Based Settings Compliance & Training​

HCBS Rule Overview and Transition Plan Presentation April 2015

HCBS Final Rule: MI Choice Waiver HCB Settings Assessments Presentation May 2015

Home and Community Based Settings - MI Choice Q&A June 2015