Once a senior qualifies for Michigan Medicaid, the program covers far more than doctor visits, from expanded adult dental to transportation, hospice, and long-term care. MDHHS also names hospital and physician care, prescriptions, vision, hearing and speech services, therapy, medical supplies, and personal care among the medically necessary services it covers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
This guide lists the services Michigan Medicaid covers for adults 65 and older in 2026, names the three channels that deliver them, and flags the carve-outs (behavioral health and MI Choice waiver services) where a different agency handles part of your care.
How Michigan Medicaid Delivers Covered Services
Michigan Medicaid coverage for seniors runs through three delivery channels:Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
- Medicaid Health Plans (MHPs): the managed care plans that cover most medical care for most seniors, including doctor visits, hospital care, prescriptions, dental, vision, hearing, therapy, and transportation. Michigan's Comprehensive Health Care Program runs through nine MHPs under the contract cycle that took effect October 1, 2024; UPHP serves the Upper Peninsula and is one of the nine. Members choose among the plans available in their county through MI ENROLLS at 1-888-367-6557.Centers for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116
- Prepaid Inpatient Health Plans (PIHPs): the regional plans that handle specialty behavioral health, substance use disorder, and developmental disability services. These services are carved out of the MHPs.Centers for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116,Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
- The MI Choice waiver agency, or fee-for-service Medicaid: MI Choice waiver services are carved out of MHP coverage and delivered through the participant's waiver agency, while acute care continues through the MHP; for members who are not in an MHP at all, MDHHS pays providers directly.Centers for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116
The table below maps each service to the channel that covers it. Service-by-service detail follows.
| Service | Channel |
|---|---|
| Primary care, specialist visits | MHP |
| Hospital inpatient and outpatient | MHP |
| Prescriptions | MHP |
| Dental | MHP |
| Vision, hearing and speech services | MHP |
| Physical, occupational, speech therapy | MHP |
| Non-emergency medical transportation | MHP |
| Specialty behavioral health, substance use disorder | PIHP |
| Nursing facility care | Covered by Medicaid; ask MDHHS which channel pays |
| MI Choice Waiver services | Regional waiver agency |
| Home Help personal care | MDHHS Adult Services |
Federally Mandated Covered Services
The federal Medicaid statute requires every state's program to cover a baseline set of services. Michigan covers all of them:Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
- Inpatient and outpatient hospital
- Physician services
- Laboratory and X-ray
- Nursing facility care
- Home health
- Federally Qualified Health Center (FQHC) and Rural Health Clinic services
- Family planning services and supplies
- Transportation to medical care
Michigan Medicaid's Optional Covered Services
On top of the federal floor, Michigan covers an extensive set of optional state-plan services, most of them delivered through the MHPs. MDHHS attaches one caution to its own list that matters at 65: some of these services are limited and may not be covered for beneficiaries age 21 and older, and some require prior approval.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits So treat the list below as the categories Michigan covers, and confirm the specific service, device, or quantity with your plan before you count on it.
Prescription Drugs
Outpatient prescriptions are covered through the MHP's pharmacy benefit, subject to the plan's preferred drug list. Some specialty drugs require prior authorization. Dual eligibles (Medicare plus Medicaid) get most prescriptions through Medicare Part D; Medicaid covers a limited set of Part D excluded drugs, such as certain over-the-counter products.
Adult Dental (Expanded April 2023)
Michigan substantially expanded the adult Medicaid dental benefit effective April 1, 2023, adding deep teeth cleanings, sealants, root canals, crowns, and gum care for beneficiaries 21 and older. Under a separate rate policy implemented January 1, 2023, dental providers are now paid at 100% of the Average Commercial Rate.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Some services require prior approval, so ask your plan before treatment starts.
The practical hurdle in Michigan is access, not coverage: historically, many dentists did not accept Medicaid, and the 2023 rate increase was aimed at changing that. To find a participating dentist:
- Call your MHP's member services line and ask for the dental network directory.
- Use an FQHC with a dental program, which accept Medicaid statewide.
- Try a dental school clinic, such as the University of Michigan School of Dentistry in Ann Arbor or the University of Detroit Mercy School of Dentistry in Detroit.
Vision
MDHHS lists vision services among the medically necessary services Michigan Medicaid covers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Eyeglasses are an optional Medicaid benefit that each state decides whether to cover for adults, so ask your MHP what its vision benefit includes for a member over 21, how often lenses and frames can be replaced, and whether contact lenses or cataract surgery need prior approval.U.S. Government Publishing Office. (2024). 42 U.S.C. 1396d — medical assistance categories and EPSDT (govinfo.gov, USCODE 2024 ed., current). govinfo.gov. Retrieved Sep 4, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX-sec1396d.pdf
Hearing and Speech
MDHHS lists hearing and speech services among the services Michigan Medicaid covers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Hearing aids for adults 21 and older are a separate question: federal law makes them optional rather than mandatory, so each state decides whether to cover them and whether to cap or limit them.U.S. Government Publishing Office. (2024). 42 U.S.C. 1396d — medical assistance categories and EPSDT hearing services (govinfo.gov, USCODE 2024 ed., current). govinfo.gov. Retrieved Sep 4, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX-sec1396d.pdf Call your MHP's member services line and ask specifically whether it covers hearing aids, fittings, and repairs, what prior approval it requires, and how often a device can be replaced.
Therapy Services
Physical and occupational therapy are on MDHHS's covered-services list, as are speech services.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Expect a medical-necessity review, and ask your plan whether it reassesses on a schedule.
Medical Supplies and Equipment
MDHHS lists medical supplies among the services Michigan Medicaid covers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Whether a particular item (a wheelchair, a walker, a hospital bed, oxygen, CPAP, or diabetic supplies) is covered, and what prior approval it needs, is a plan-level question: ask your MHP before you order or rent anything. MI Choice participants have a separate route, since the waiver covers specialized medical equipment and supplies for people enrolled in it.U.S. Government Publishing Office. (n.d.). 42 CFR 441.310 — Limits on Federal financial participation (FFP) (eCFR, current). ecfr.gov. Retrieved Sep 3, 2026, from https://www.ecfr.gov/current/title-42/section-441.310
Hospice
Hospice care is on MDHHS's list of medically necessary services Michigan Medicaid covers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits That is not automatic nationally: the Medicaid hospice benefit is an optional state-plan service each state chooses whether to offer, and Michigan offers it.Centers for Medicare & Medicaid Services. (n.d.). Hospice Benefits — Medicaid.gov. medicaid.gov. Retrieved Jul 13, 2026, from https://www.medicaid.gov/medicaid/benefits/hospice-benefits Ask the hospice agency what its Medicaid contract covers and what it bills to Medicare if you are also enrolled there.
Non-Emergency Medical Transportation (NEMT)
Transportation to medical care is not one of Michigan's optional elections at all: it is among the benefits federal law requires every state Medicaid program to cover, and MDHHS lists non-emergency medical transportation among its covered services.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits It is arranged through your MHP, and it is one of the most underused Medicaid benefits. To use it:
Schedule the medical appointment
Book the covered visit first, so you have a firm date, time, and provider address to give the plan.
Call your MHP's transportation line ahead of time
Plans ask for advance notice, so call as early as you can once the appointment is set.
Give the trip details
Provide the pick-up address, the appointment time, and the destination.
The plan arranges the ride
It is often a rideshare for ambulatory members or a wheelchair-accessible van for those who need one.
Podiatry, Chiropractic, and Other Specialty Services
Podiatry (foot care) and chiropractic services are both on MDHHS's covered-services list, as are private duty nursing and personal care services.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Some are limited for beneficiaries over 21 and some need prior approval, so confirm before you schedule.
Personal Care (Home Help)
The Home Help Program is Michigan's Medicaid state-plan personal care benefit, administered by MDHHS Adult Services. Because it is a state-plan benefit rather than a capped waiver, it is an entitlement with no enrollment cap and no waitlist: any Medicaid-eligible adult who meets the functional criteria must be offered services. An MDHHS Adult Services worker does a face-to-face in-home assessment to determine functional need.Centers for Medicare & Medicaid Services. (1915). Self-Directed Personal Assistant Services 1915 (j). medicaid.gov. Retrieved Jun 24, 2026, from https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/self-directed-personal-assistant-services-1915-j See the full Home Help guide for eligibility, covered services, and pay rates.
Behavioral Health: The PIHP Carve-Out
Behavioral health services are carved out of the Medicaid Health Plans in MichiganCenters for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116 and administered through regional Prepaid Inpatient Health Plans (PIHPs), which manage the network of behavioral health providers, including county Community Mental Health Services Programs (CMHSPs).Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
PIHP and CMHSP services include:
- Outpatient mental health (psychiatry, therapy, counseling)
- Substance use disorder treatment (outpatient, residential, medication-assisted)
- Crisis intervention and stabilization
- Partial hospitalization and intensive outpatient programs
- Assertive Community Treatment (ACT) for severe mental illness
- Case management for serious mental illness or substance use disorder
- Psychiatric inpatient hospitalization
- Services for people with intellectual and developmental disabilities
In practice, if you are on Medicaid and need mental health or substance use treatment, your MHP refers you to the regional CMHSP. You do not get these services through your MHP's usual network. In a crisis, call the 988 Suicide and Crisis Lifeline.
The PIHP contracts are being re-procured: MDHHS issued a request for proposals for the PIHPs in summer 2025 with a goal of an October 1, 2026 service start date. Treat that date as MDHHS's stated goal rather than a settled change, and confirm with your regional PIHP before assuming your plan or contacts have moved.Centers for Medicare & Medicaid Services. (n.d.). MI Coordinated Health HCBS Waiver (1126.R02.00) — State Waivers List (Medicaid.gov, CMS). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82131
What Michigan Medicaid Does Not Cover
One exclusion is firm, documented, and worth planning around: MI Choice does not pay for room and board. Community living supports exclude the costs associated with room and board, and respite excludes room and board except when it is furnished in a facility approved by MDHHS that is not a private residence.U.S. Government Publishing Office. (n.d.). 42 CFR 441.310 — Limits on Federal financial participation (FFP) (eCFR, current). ecfr.gov. Retrieved Sep 3, 2026, from https://www.ecfr.gov/current/title-42/section-441.310 So a member living in an adult foster care home or a home for the aged pays for the room from their own income, even while MI Choice covers the care services delivered there.
Past that, most "is it covered?" answers in Michigan are plan-level and service-specific rather than blanket exclusions. MDHHS's own covered-services list carries the caution that some services are limited and may not be covered for beneficiaries age 21 and older, and that some require prior approval.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Before you accept that something is not covered, ask your MHP three questions:
- Is this service covered for a member my age, and is there a quantity or frequency limit?
- Does it require prior approval, and does the provider submit that request or do I?
- If the plan denies it, how do I appeal? A denial is not the end of the road; see the Michigan Medicaid appeals guide.
Value-Added Benefits From Medicaid Health Plans
MHPs compete on extras layered on top of the standard Medicaid package, and those extras vary by plan and by year. When you call a plan's member services line, ask for its current value-added benefits sheet and ask specifically about a quarterly over-the-counter allowance, a supplemental dental allowance, rideshare for non-medical trips, a gym membership, and a healthy-food card for members with chronic conditions. Get the amounts in writing before you choose, since nothing in this layer is guaranteed by the state.
Wondering whether Michigan Medicaid covers a specific service? Chat with Brevy and we will tell you, plus how to access it.
How Michigan Medicaid Works With Medicare
If you hold both Medicare and Medicaid, the two programs coordinate:
- Medicare pays first for acute care, including doctor visits, hospital care, and most prescriptions through Part D.
- Medicaid wraps around it, covering services Medicare does not, such as long-term care, dental, vision, hearing, and NEMT. If you also qualify for a Medicare Savings Program, Medicaid helps with Medicare premiums and cost-sharing; that guide carries Michigan's 2026 income and asset limits.
- MI Coordinated Health (MICH) is Michigan's integrated option for full-benefit dual eligibles, combining Medicare and Medicaid in a single plan. It is the successor to MI Health Link, the state's earlier capitated Medicare-Medicaid demonstration, which ended December 31, 2025; MICH took over on January 1, 2026 as a Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) program, and MI Health Link enrollees had the option of moving into it with no break in coverage.Centers for Medicare & Medicaid Services. (n.d.). MI Coordinated Health HCBS Waiver (1126.R02.00) — State Waivers List (Medicaid.gov, CMS). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82131
- MICH is not statewide yet, and the Upper Peninsula is not fully in. For 2026 it runs in Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, and Wayne counties, plus every Upper Peninsula county except Chippewa, Gogebic, and Menominee.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Statewide expansion is planned for 2027.Centers for Medicare & Medicaid Services. (n.d.). MI Coordinated Health HCBS Waiver (1126.R02.00) — State Waivers List (Medicaid.gov, CMS). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82131
See the Michigan Medicaid programs hub for the full picture.
Common Misconceptions About Michigan Medicaid Coverage
"Medicaid doesn't cover adult dental." Michigan does, and substantially expanded the benefit on April 1, 2023.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Finding a participating dentist is the real hurdle, not whether the benefit exists.
"Medicaid only pays for doctor visits and prescriptions." MDHHS's own list is much longer: dental, vision, hearing and speech, therapy, medical supplies, transportation, nursing home care, hospice, private duty nursing, and personal care services.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
"My MHP doesn't cover my mental health." Correct, by design. Specialty behavioral health is carved out to the regional PIHPCenters for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116 and its network of providers, including your county CMHSP.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Call your county CMHSP, or 988 in a crisis.
"If Medicaid covers it, I pay nothing." Not quite. If you are also on Medicare, what Medicaid picks up of your Medicare premiums and cost-sharing depends on which Medicare Savings Program you qualify for. For MI Choice and nursing-home Medicaid, the beneficiary contributes a patient-pay amount from their own income.
"I have to use Medicaid transportation." You do not have to, but NEMT is free for covered appointments, while private rideshare is out of pocket.
Frequently Asked Questions
Does Michigan Medicaid cover adult dental?
Yes. Michigan expanded the adult Medicaid dental benefit effective April 1, 2023, adding deep teeth cleanings, sealants, root canals, crowns, and gum care for beneficiaries 21 and older, and a separate rate policy from January 1, 2023 pays dental providers at 100% of the Average Commercial Rate.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Some services need prior approval. The real challenge is access: call your MHP's dental line, or check FQHCs and dental school clinics.
How do I get a ride to a medical appointment through Michigan Medicaid?
Non-emergency medical transportation (NEMT) is a covered benefit. Call your MHP's transportation line ahead of the appointment, give the pick-up address, appointment time, and destination, and the plan arranges the ride, often a rideshare for ambulatory members or a wheelchair-accessible van when needed.
Does Michigan Medicaid cover hearing aids for adults?
MDHHS lists hearing and speech services among the services Michigan Medicaid covers, and cautions that some services are limited and may not be covered for beneficiaries 21 and older.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Hearing aids specifically are an optional Medicaid benefit for adults, which each state decides whether to cover and whether to limit,U.S. Government Publishing Office. (2024). 42 U.S.C. 1396d — medical assistance categories and EPSDT hearing services (govinfo.gov, USCODE 2024 ed., current). govinfo.gov. Retrieved Sep 4, 2026, from https://www.govinfo.gov/content/pkg/USCODE-2024-title42/pdf/USCODE-2024-title42-chap7-subchapXIX-sec1396d.pdf so ask your Medicaid Health Plan directly whether a device, fitting, or repair is covered for you and what prior approval it needs.
Why won't my Medicaid Health Plan cover my mental health care?
Specialty behavioral health and substance use disorder services are carved out of the MHPs in MichiganCenters for Medicare & Medicaid Services. (1915). Michigan Comprehensive Health Care Program 1915(b) (MI-0011). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82116 and managed under MDHHS contracts with regional Prepaid Inpatient Health Plans (PIHPs), which manage the provider network, including county Community Mental Health Services Programs (CMHSPs).Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits Your MHP refers you to the regional CMHSP for these services.
Does Michigan Medicaid pay for room and board in assisted living?
No. MI Choice covers care services such as community living supports, supports coordination, and respite, but community living supports exclude the costs associated with room and board, and respite excludes room and board except when furnished in an MDHHS-approved facility that is not a private residence.U.S. Government Publishing Office. (n.d.). 42 CFR 441.310 — Limits on Federal financial participation (FFP) (eCFR, current). ecfr.gov. Retrieved Sep 3, 2026, from https://www.ecfr.gov/current/title-42/section-441.310 The resident pays room and board from their own income, often Social Security or a pension, sometimes supplemented by VA Aid and Attendance.
Related Terms
- Managed Care Organization (MCO): the umbrella term for a Medicaid Health Plan.
- HCBS waiver: the waiver authority MI Choice operates under.
- Activities of Daily Living (ADLs): the daily tasks used to assess need for many services.
Learn More
Find personalized help understanding your Michigan Medicaid benefits at brevy.com.
The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.
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