Adult Community Placement

If you or your loved one can no longer live independently and need supervision or adult care, you may be eligible for assistance through the Michigan Department of Health and Human Services (MDHHS) under the Adult Community Placement (ACP) Program.

If eligible for the ACP program, Adult Services staff can provide case management by monitoring the well-being of adults who require supervision and assistance in an adult care setting. They will make every effort to ensure you have:

Pre-placement assessments followed by movement to a facility of your choice.
Access to licensed care.
Support when choosing an Adult Foster Care Home.
Safe and sanitary living conditions.
Nutritious meals.
Access to meaningful activities.
Treatment with dignity and respect.

Contact your local county office for more information.

What is ACP?

The ACP program may be able to assist you with locating an appropriate licensed Adult Foster Care home (AFC) or Home for the Aged (HFA). If you are a Medicaid recipient or eligible for Medicaid, you also may be eligible for a personal care supplement paid to the licensed home in which you reside. Personal care is assistance with bathing, grooming, dressing, mobility, transferring, toileting and medication administration. This payment is currently $250.92 per month paid directly to the licensed provider.
What is Long Term Care (LTC) in Michigan?

Long term care (LTC) encompasses several types of living arrangements including nursing homes, skilled nursing facilities, assisted living facilities, adult foster care homes and homes for the aged. These facilities vary in eligibility, services and cost.
What is an Adult Foster Care (AFC) Home in Michigan?

AFC homes are licensed residential settings that provide 24-hour personal care, protection and supervision for individuals who are developmentally disabled, mentally ill, physically handicapped or aged who cannot live alone but who do not need continuous nursing care. AFC Homes are restricted to providing care to no more than 20 adults. Residents must be 18 or older. These homes are licensed by the Michigan Department of Licensing and Regulatory Affairs (LARA).
What is a Home for the Aged (HFA) in Michigan?

HFA provides 24-hour room, board and supervised personal care to 21 or more unrelated, non-transient individuals 55 years of age or older or 20 or fewer individuals 55 years of age or older that are operated in conjunction with and as a distinct part of a licensed nursing home. These facilities are licensed by LARA.
What is assisted living in Michigan?

Assisted living is a housing option for seniors or people with disabilities who need help with daily activities but don't require 24/7 skilled nursing care. They may be independent or semi-independent apartments. Services offered vary by facility and often are an additional charge above the room and board cost. Services may include assistance with housekeeping, meals, laundry and personal care. Assisted living is not a term recognized by LARA for licensing purposes. Some facilities in Michigan that identify themselves as assisted living are licensed by LARA as an AFC/HFA. Others meeting specific criteria are exempt from licensing. Visit AFC/HFA page to look up a facility and determine if it is licensed or exempt.
What is a nursing home/skilled nursing facility in Michigan?

A nursing home is a specific, medically focused type of long-term care facility offering 24/7 skilled nursing; rehabilitation such as physical, speech and occupational therapy; and complex medical care in a hospital-like setting, ideal for chronic conditions or post-surgery recovery. They also provide assistance with daily living such as bathing, grooming, dressing, mobility, toileting and administering medication. Nursing homes and skilled nursing facilities are generally for residents with high medical needs. These facilities can be private pay or paid for by Medicare and/or Medicaid based on eligibility. Nursing homes are licensed by LARA.

Choosing a Home

There are several types of adult care homes. Most homes specialize in residents with developmental disabilities, mental illness or aged. You want to ensure you or your family member will be a good fit in the home and all needs will be met. Before making a decision, you should visit the home, speak with the provider, speak with the residents, and consider the location. Do not hesitate to ask questions about the home, the staff and the care provided. It is important for you to clearly understand the services that will be provided and the cost of the care needed. You might want to ask about proximity to medical facilities, emergency plans, food menus, activities offered, religious activities to participate in, who will transport the resident to appointments or activities, house rules, visitation policy. Ask questions about anything that is important to the resident and the family.

Frequently Asked Questions

What does MDHHS Adult Community Placement (ACP) program pay?

With an open case through MDHHS, ACP pays a personal care supplement in the amount of $250.92 per month to the AFC or HFA. This would cover payment for assistance with personal care activities: bathing, grooming, dressing, mobility, toileting, transferring and medication administration. For example, if a resident has SSI income, the monthly amount in an AFC home is $1151.50. The personal care supplement paid by MDHHS is $250.92 for a total of $1402.42. Of that amount, $44.00 a month is for the resident for personal spending. The home would receive $1358.42 for room and board and care for the resident.
What does MDHHS ACP Program NOT pay?

MDHHS and the ACP program do not pay for the room and board portion of care. A resident must have the income to pay for room and board. Income could be from Supplemental Security Income (SSI), Retirement Survivor Disability Insurance (RSDI), employment, etc. If the facility is tax exempt under federal IRS rules 501(c)(3), you may be eligible for food assistance (FAP). You may apply for FAP at MI Bridges. If you have no income and reside in a licensed facility, you may apply for State Disability Assistance (SDA) through MDHHS at MI Bridges.
Is there a list of homes that take Medicaid?

Unfortunately, no, there currently is no list of homes that take residents with Medicaid. There is a list of existing AFC and HFA facilities on the LARA website at Adult Foster Care/ Homes for the Aged. These homes are private businesses that pursue licensure through LARA. As such, the home is able to charge an amount they choose for care. They may or may not accept persons with lower income. It is up to each facility whether to accept Medicaid residents. Each facility would have to be contacted individually and asked if they accept Medicaid residents.
Who do I call if I want to make a complaint about my AFC/HFA provider?

If the complaint involves a licensing violation, you should contact LARA at File a Complaint.

If the complaint does not involve a licensing violation and you have an active ACP case, you may contact your MDHHS Adult Services Worker to try to resolve the issue. Another way to resolve complaints is to contact your local Long Term Care Ombudsman who advocates for residents in licensed facilities. You can locate your local ombudsman at Home | MLTCOP.
What if I don't currently have Medicaid?

You may apply for Medicaid at MI Bridges. Apply Here