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MI Choice Waiver Program

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External Quality Review Technical Reports

EQR FY 2020

 

MI Choice Waiver Documents and Provider Information
 

Nursing homes used to be the only choice for older or disabled persons who needed help caring for themselves. 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.

One program run by Michigan Medicaid is the MI Choice Waiver Program. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. We now know it as the MI Choice Waiver Program, or simply, "the waiver."

Through MI Choice, eligible adults who meet income and asset criteria can receive Medicaid-covered services like those provided by nursing homes but can stay in their own home or another residential setting. The waiver became available in all Michigan counties October 1, 1998. Each participant can receive the basic services Michigan Medicaid covers, supports coordination, and one or more of the following services in the waiver:

  • Adult day health (adult day care)
  • Chore services
  • Community health worker
  • Community living supports
  • Community transportation
  • Counseling
  • Environmental accessibility adaptations
  • Fiscal intermediary
  • Goods and services
  • Home delivered meals
  • Nursing services
  • Personal emergency response systems (PERS)
  • Private duty nursing/respiratory care
  • Respite services
  • Specialized medical equipment and supplies
  • Training in a variety of independent living skills

MI CHOICE AGENCY INFORMATION

AGENCY ANNUAL RESULTS 2018 SATISFACTION SURVEY  CAHPS SURVEY
A&D Home Health Care 2020;2019;2018 AD Report 2019, 2021
Area Agency on Aging1B 2020;2019;2018 AAA1B Report 2019, 2021
Agency on Aging of Northwest Michigan 2020;2019;2018 AAANWMI Report 2019. 2021
Area Agency on Aging of Western Michigan 2020;2019;2018 AAAWMI Report 2019, 2021
Detroit Area Agency on Aging 2020;2019;2018 Detroit AAA Report 2019, 2021
MORC Home Care 2020;2019;2018 MORC Report 2019, 2021
Region 9 Northeast MI Community Service 2020;2019;2018 NEMCSA Report 2019, 2021
Northern Healthcare Management 2020;2019;2018 NHCM Report 2019, 2021
Region 2 Area Agency on Aging 2020;2019;2018 R2AAA Report 2019, 2021
Region 3B 2020;2019;2018 R3BAAA Report 2019, 2021
Region IV Area Agency on Aging 2020;2019;2018 RIVAAA Report 2019, 2021
Region VII Area Agency on Aging 2020;2019;2018 Region VII Report 2019, 2021
Reliance Community Care Partners 2020;2019;2018 Reliance Report 2019, 2021
Senior Resources 2020;2019;2018 Senior Resources Report 2019, 2021
Senior Services 2020;2019;2018 Senior Services Report 2019, 2021
Tri-County Office on Aging 2020;2019;2018 Tri-County Report 2019, 2021
The Information Center 2020;2019;2018 The Information Ctr Report 2019, 2021 
The Senior Alliance 2020;2019;2018 Senior Alliance Report 2019, 2021
UPCAP Care Management, Inc. 2020;2019;2018 UPCAP Report 2019, 2021
Valley Area Agency on Aging 2020;2019;2018 Valley AAA Report 2019, 2021

 

MI CHOICE ACCREDITATION

WAIVER AGENCY

ACCREDITATION

ACCREDITATION
PROGRAM/LEVEL

ACCREDITATION
EXPIRATION

A & D Home Health Care
www.a-dhomecare.com

NCQA CM/LTSS - 3yr 11/2022
Area Agency on Aging 1B
https://aaa1b.org/
NCQA CM/LTSS - 3yr 11/2023
Area Agency on Aging of Northwest Michigan
www.aaanm.org
NCQA CM/LTSS - 3yr 6/2024
Area Agency on Aging of Western Michigan
https://www.aaawm.org/
CARF CM - 3yr 6/2021
Detroit Area on Aging
https://www.detroitseniorsolution.org/
NCQA CM/LTSS - 3yr 4/2024
MORC Home Care
https://www.morcinc.org/
NCQA CM/LTSS - 3yr 10/2023
Northeast Michigan Community Service - Region 9
www.nemcsa.org
NCQA CM/LTSS - 3yr 10/2023
Northern Healthcare Management
https://www.northernlakescmh.org/northern-health-care-management/   
NCQA CM/LTSS - 3yr 9/2023
Region 2 Area Agency on Aging
https://www.r2aaa.net/
NCQA CM/LTSS - 3yr 6/2024
Region 3B
www.carewellservices.org
N/A    
Region IV Area Agency on Aging
www.AreaAgencyonAging.org  
N/A    
Region VII Area Agency on Aging
https://region7aaa.org/
NCQA CM/LTSS - 3yr 12/2023
Reliance Community Care Partners
www.relianceccp.org
NCQA CM/LTSS - 3yr 9/2023
Senior Resources
https://seniorresourceswmi.org
CARF CM - 3yr 5/2022
Senior Services
www.milestoneseniorservices.org  
N/A    
Tri-County Office on Aging
www.TCOA.org
NCQA CM/LTSS - 3yr 5/2022
The Information Center
https://theinfocenter.org/
NCQA CM/LTSS -  3yr 10/2023
The Senior Alliance
https://thesenioralliance.org/
NCQA CM/LTSS - 3yr 11/2023
UPCAP Care Management, Inc.
www.upcap.org
N/A    
Valley Area Agency on Again
https://valleyareaaging.org/
NCQA CM/LTSS - 3yr 12/2023

 

The Waiver Agency Region Map and list of Waiver Agents below will make it easier to contact the MI Choice Waiver Agency in your community who can provide you with more information.  To identify the waiver agency in your community, see the Waiver Agency Region Map.   After finding your region on the map, refer to the List of Waiver Agents by Region. 

Region 1A 
Service Area: Cities - Detroit, Hamtramck, Highland Park, Grosse Pointe, Grosse Pointe Park, Grosse Pointe Shores, Grosse Pointe Woods, Grosse Pointe Farms, Harper Woods

Detroit Area Agency on Aging 
Ronald Taylor, President & CEO
Josephine Messelmani, Vice President, Long Term Care Services
1333 Brewery Park Blvd., Suite 200
Detroit, Michigan 48207
Tele: 313-446-4444
Fax: 313-446-4446


 

Region 1B 
Service Area: Counties - Livingston, Macomb, Monroe, Oakland, St. Clair, Washtenaw

Area Agency on Aging 1B 
Michael Karson, CEO and President
Aimee Page, Chief Clinical Officer

Susan Miller, Director Clinical Operations
29100 Northwestern Highway, Suite 400
Southfield, Michigan 48034
Tele: 248-357-2255
Fax: 248-948-9691

Macomb-Oakland Regional Center Home Care, Inc. 
Dennis M. Bott, Chief Executive Officer
Lori Mathes, Vice President of Specialized Services
Kimm Buckley, Program Director
16200 Nineteen Mile Road
PO Box 380710
Clinton Township, Michigan 48038-0070
Tele: 586-263-8700
Fax: 586-228-7029

 

Region 1C 
Service Area: Counties - Wayne County except the cities served by 1A

The Senior Alliance 
Jason Maciejewski, CEO
Kelly Faber, Program Director
Andrew Debrowski, Waiver Director
5454 Venoy Road
Wayne, Michigan 48184-1755

Tele: 734-722-2830
Fax: 734-722-2836

The Information Center
Edward D'Angelo, Executive Director
Susan Zanley, Program Director
20400 Superior Road
Taylor, Michigan 48180
Tele: 734-282-7171
Fax: 734-282-7105


Region 2 
Service Area: Counties - Jackson, Hillsdale, Lenawee

Region 2 Area Agency on Aging 
Julie Wetherby, Executive Director

Lori Janiga, Waiver Manager
Kara Lorenz, Clinical Director
102 North Main Street
PO Box 189 
Brooklyn, Michigan 49230
Tele: 800-335-7881
         517-592-1974
Fax: 517-592-1975


 

Region 3 
Service Area: Counties - Barry, Branch, Calhoun, Kalamazoo, St. Joseph

Region 3B Area Agency on Aging/CareWell Services Southwest
Stacy Wines, Interim CEO
Brandy Aucunas, Waiver Director
200 West Michigan Avenue, Suite 102
Battle Creek, Michigan 49017
Tele: 269-966-2450
Fax: 269-966-2493

Milestone Senior Services 
Richard Kline, Chief Executive Officer
Calley Green, Waiver Manager
918 Jasper Street
Kalamazoo, Michigan 49001
Tele: 269-382-0515
Fax: 269-382-3189

 

Region 4 
Service Area: Counties - Berrien, Cass, Van Buren

Region IV Area Agency on Aging 
Christine Vanlandingham, Chief Executive Officer
Theresa Urich, Chief Operating Officer
Stefanie Murphy, Care Management Director
2900 Lakeview Avenue
St. Joseph, Michigan 49085
Tele: 269-983-0177
Fax: 269-983-5218

Region 3B Area Agency on Aging/CareWell Services Southwest
Stacy Wines, Interim CEO
Brandy Aucunas, Waiver Director
200 West Michigan Avenue, Suite 102
Battle Creek, Michigan 49017
Tele: 269-966-2450
Fax: 269-966-2493

 

Region 5 
Service Area: Counties - Genesee, Lapeer, Shiawassee

Valley Area Agency on Aging 
Yaushica Aubert, Chief Executive Officer
Lea Quinn, Waiver Director
225 East Fifth Street
Flint, Michigan 48502
Tele: 810-239-7671
Fax: 810-239-8869

 

Region 6 
Service Area: Counties - Clinton, Eaton, Ingham

Tri-County Office on Aging 
Marion Owen, Executive Director

Kirsten Laing, Program Director
5303 South Cedar Street
Lansing, Michigan 48911-3800
Tele: 517-887-1440
Fax: 517-887-8071

 

Region 7 
Service Area: Counties - Bay, Clare, Gladwin, Gratiot, Huron, Isabella, Midland, Saginaw, Sanilac, Tuscola

A&D Home Health Care, Inc. 
Roselyn Argyle, Executive Director
Mike Tysick, Co-Program Director
Karen Harrison, Co-Program Director
3150 Enterprise Drive, Suite 200
Saginaw, Michigan 48603
Tele: 1-800-884-3335
        989-249-0929
Fax: 989-249-1147 / 989-249-1153 - Roselyn Argyle

Region VII Area Agency on Aging 
Bob Brown, Executive Director
Sue Gittins, Program Director
1615 S. Euclid Avenue
Bay City, Michigan 48706
Tele: 989-893-4506
Fax: 989-893-2651

 

Region 8 
Service Area: Counties - Allegan, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo, Osceola

Area Agency on Aging of Western Michigan, Inc. 
Jackie O'Connor, Executive Director
Suzanne Filby-Clark, Program Director
3215 Eaglecrest Drive NE
Grand Rapids, Michigan 49525
Tele: 616-456-5664
Fax:  616-456-5692

Reliance Community Care Partners
Steven Velzen-Haner, Executive Director
Sue Baker, Waiver Director
2100 Raybrook SE, STE 203
Grand Rapids, Michigan 49546
Tele: 800-447-3007
        616-956-9440
Fax: 616-954-1520

 

Region 9 
Service Area: Counties - Alcona, Arenac, Alpena, Cheboygan, Crawford, Iosco, Montmorency, Ogemaw, Oscoda, Otsego, Presque Isle, Roscommon

Northeast Michigan Community Service Agency (NEMCSA) 
Lisa Bolen, Executive Director
Laurie Sauer, Program Director
2375 Gordon Road
Alpena, Michigan 49707
Tele: 989-356-3474
Fax: 989-354-6913

 

Region 10 
Service Area: Counties - Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, Wexford 

Area Agency on Aging of Northwest Michigan
Heidi Gustine, Executive Director
Audrey Tezak, Director of Care Management
1609 Park Drive
P. O. Box 5946
Traverse City, Michigan 49696-5946
Tele: 231-947-8920
Fax: 231-947-6401

Northern Lakes Community Mental Health/Northern Health Care Management
Joanie Blamer, Interim Chief Executive Officer
Darryl Washington, Program Director
105 Hall Street, Suite D
Traverse City, Michigan 49684
Tele: 231-922-4850     
Fax: 231-995-7900

 

Region 11 
Service Area: Counties - Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keweenaw, Luce, Mackinac, Marquette, Menominee, Ontonagon, Schoolcraft 

UPCAP
Jonathan Mead, Executive Director

Terry LaFave, Director of Long Term Care Programs
P.O. Box 606
2501 14th Avenue South
Escanaba, Michigan 49829
Tele: 906-786-4701
Fax: 906-786-5853

 

Region 14 
Service Area: Counties - Muskegon, Oceana, Ottawa

Senior Resources 
Pam Curtis, Executive Director
Sheyenne Cole, Care Connections Director
560 Seminole Road
Muskegon, Michigan 49444
Tele: 231-739-5858
Fax: 231-739-4452

Reliance Community Care Partners 
Steven Velzen-Haner, Executive Director
Sue Baker, Waiver Director
2100 Raybrook SE, STE  203
Grand Rapids, Michigan 49546
Tele: 800-447-3007
        616-956-9440
Fax: 616-954-1520

 

Heightened Scrutiny for Home and Community Based Settings

On March 17, 2014, the Centers for Medicare and Medicaid (CMS) published final regulations in the Federal Register, implementing new requirements for Medicaid's home and community-based services (HCBS) programs.  The purpose of the HCBS settings regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

The federal rule presumes the following types of setting to have institutional/ isolating qualities.

  • Settings in a publicly or privately owned facility providing inpatient treatment (Including Skilled Nursing Facilities).
  • Settings on the grounds of, or adjacent to, a public institution.
  • Settings with the effect of isolating individuals from the broader community of individuals not receiving Medicaid HCBS waiver services.

For those settings presumed to be institutional, the state may submit evidence to CMS demonstrating the setting does not have the qualities of an institution. CMS will determine if the HCBS settings comply with the new regulations utilizing Heightened Scrutiny. Heightened Scrutiny is the process where CMS reviews the evidence submitted by the state that a setting meets HCBS regulations and decides whether the evidence is sufficient to overcome the presumption that the setting has the qualities of an institution. CMS will randomly select settings from a list provided by the State of HCBS settings presumed to be institutional to go through heightened scrutiny review. Before CMS reviews the selected sample of settings, all settings need to go through 30 days of public comment.

 

For more information about the heightened-scrutiny process, see the CMS guidance document, Frequently Asked Questions Regarding the Heightened Scrutiny Review Process and Other Home and Community-Based Settings Information (PDF).

Heightened Scrutiny-Related Documents

Residential Survey

Non-Residential Survey

On-site review tool

Visit Agenda

Participant Interview Tool

Staff Interview Tool

Review Flowchart

Adult Day Settings

 

Grand Traverse Pavilions Adult Day Programs Isabella County Adult Day Program Marion E. Burch Adult Day Center

 

Residential Settings

 

Burcham Hills Grand Traverse Pavilions Cottages Harbors Health Facility (Grace of Douglas)
Maplewood of Sandy Creek Northcrest Assisted Living Pilgrim Manor
St. Anns Traverse Point Assisted Living Windemere Park Assisted Living and Apartments