MI Choice Waiver Program

Documents & Provider Information

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


Resources:

Medicaid Provider Manual - for assistance refer to the MI Choice Chapter.

Nursing Facility Level of Care Determination (LOCD) 

Home and Community-Based Services (HCBS) Program Transition - for information on Michigan's statewide transition plan.


Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual

Effective December 1, 2019, revisions were made to the MI Choice Waiver Chapter which result in policy and program changes. Many changes are the result of policy changes approved by the Centers for Medicare & Medicaid Services (CMS) during the MI Choice Waiver renewal process. Additional changes were made to provide clarification on certain topics. Please see the Medical Services Administration Bulletin, MSA 19-17 for a list of updates and the updated MI Choice Waiver Chapter of the Medicaid Provider Manual.
 

Approved MI Choice Waiver Renewal - Effective 7/1/2019

§1915(b) MI Choice Waiver Renewal Application
§1915(c) MI Choice Waiver Renewal Application​


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


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 10 and 16, 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)
        Russian (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 


HCB Settings Compliance & Training​

HCBS Rule Overview and Transition Plan Presentation April 2015

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

HCB Settings - MI Choice Q&A June 2015


Electronic Visit Verification (EVV) 

EVV is the use of an electronic system such as a phone or computer to verify the delivery of Medicaid services, as required by the Centers for Medicare & Medicaid Services (CMS).

 

MI CHOICE PAST RENEWALS AND AMENDMENTS

MI Choice Waiver 2018 Renewal

The Michigan Department of Health and Human Services (MDHHS) underwent the process to renew the MI Choice waiver program application.  The prior application expired September 30, 2018.  

MDHHS has scheduled a series of meetings for stakeholders, including program participants, family members, caregivers, advocates, providers, and waiver agency staff. The intent of the meetings is to solicit input and opinions regarding the elements of the waiver program that work well, those that might need improvement, and proposals for new program elements.

Draft §1915(b) MI Choice Waiver Renewal Application

Draft §1915(c) MI Choice Waiver Renewal Application

MI Choice Renewal Consultation Summary


Meeting Minutes

*Meetings were held at the Capitol Commons Center, 400 South Pine Street, Lansing, Michigan 48913, Lower Level, Conference Rooms E & F unless otherwise noted.

  • Monday, January 29, 2018, 1:00 p.m.-4:00 p.m.   Agenda   Presentation  Summary
    Diocese of Gaylord
    611 W North Street
    Gaylord, MI 49735
     
  • Tuesday, January 30, 2018   Agenda   Presentation  Summary
    Northern Michigan University
    University Center Marquette/Nicolet Rooms
    1401 Presque Isle Avenue
    Marquette, MI 49855

Additional information regarding MI Choice Stakeholder meetings is available in letter L 17-30 - (September 14, 2017)


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 1915(b) MI Choice waiver.  The purpose of the amendment was to add Non-Emergency Medical Transportation (NEMT) as a service in MI Choice.  This allowed 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 (2016)

Waiver Amendment Comments and Responses (2016)