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Self-Directed Services

Services that are self directed provide an opportunity to receive Medicaid services where the beneficiary has more decision-making authority and can take direct responsibility for managing their services. It is an alternative method to traditionally delivered and managed services  and should be offered during the person centered planning process.

Below are supportive materials you may find helpful in your decision-making process.

Habilitation Supports Waiver Self Directed FAQ: This document is MDHHS responses to Frequently Asked Questions from Community Stakeholders

Final Bulletin Medicaid Provider Manual 25-31: This document outlines changes in the Medicaid Provider Manual effective 10/1/2025.

Final Bulletin Medicaid Provider Manual 25-41: This document outlines changes in the Medicaid Provider Manual effective 10/1/2025.

Medicaid Provider Manual

ESTA (Earned Sick Time Act) Guidance Memo: This document outlines Earned Sick Time Act guidance for employers of record.

Response Memo: This document is a Q & A based on questions asked by Washtenaw CMH.

Clarification and Update Memo

Non-Binding Guidance: This document outlines non-binding guidance examples and the memo used to distribute them.

Self-Direction Technical Requirement Implementation Guide: This document is under review by MDHHS. Please reference the Medicaid Provider Manual for more up-to-date information on Self-Directed Service.

Self-Directed Services Technical Requirements: This document is under review by MDHHS. Please reference the Medicaid Provider Manual for more up-to-date information on Self-Directed Service.

Additional guides and materials are under construction and will be available to help you and your provider implement self-directed services!

Please reach out to mdhhs-bhfederalcompliance@michigan.gov with any questions.