Which Michigan program pays for what
Every service below is delivered by our own staff. The right-hand column shows the funding sources that most commonly authorize it. We verify your specific case before care begins, at no cost.
Where most people begin
These are the four situations we are contacted about most often. Each one has a defined path and a program behind it.
You are already the caregiver and nobody is paying you
You moved in, cut your hours, or left a job to care for a parent or spouse. Michigan runs programs that compensate family caregivers directly, and most families are never told they exist. If the person you care for is Medicaid eligible and needs substantial daily help, this is very likely available to you. Check caregiver eligibility.
Living alone is no longer safe
Falls, wandering, missed medications, or a hospital discharge that made the current arrangement untenable. Licensed residential care with 24-hour staffing, in houses on ordinary streets rather than facilities. Review residential options.
Discharge is coming and there is no plan yet
Post-acute rehabilitation after a stroke or brain injury, delivered at home. We coordinate with the hospital team and begin intake before discharge rather than after, so authorization and staffing are in place when the patient arrives home. Review rehabilitation coverage.
The current group home is not working
Escalating incidents, a placement that has broken down, or a resident who has been asked to leave. Our one and two resident homes exist specifically for adults who do not do well in larger settings. Compare formats.
What happens after you call
Four steps, in this order. The sequence matters because funding has to be confirmed before care can be authorized, and an assessment scheduled before funding is confirmed usually has to be repeated.
- 1Intake call. Fifteen to twenty minutes. We ask about the care situation, current coverage, and what has already been tried. You will know by the end of this call whether we are a fit and roughly what the timeline looks like.
- 2Coverage verification. We confirm the funding source and what it authorizes. No charge, no obligation. If nothing covers it, we say so rather than starting an assessment that will not lead anywhere.
- 3In-person assessment. A nurse or care coordinator visits, assesses need in the actual environment, and builds the care plan against what the funding authorizes.
- 4Care begins. In-home services often start within days. Paid caregiver enrollment runs four to eight weeks because it involves a state assessment. Residential placement depends on current openings and we will tell you honestly what those are.
A family-owned provider, not a referral network
Focused Health Care Services is owned and operated by Stacy and Matt Moree and based in Livonia. Every service on this site is delivered by our own staff. We are not a matching service, we do not sell enquiries to other agencies, and the person who answers your call works here.
That matters practically rather than sentimentally. When a care plan needs adjusting, the people who assess, the people who staff, and the people who bill are in the same organization, which removes most of the coordination failures that make home care frustrating.
What we will tell you honestly
- If a program you are asking about will not cover your situation
- If the assessment is unlikely to authorize the hours you need
- If a different provider is closer, faster, or a better clinical fit
- If there is a waitlist, and how long it actually is
- If we do not think we can help at all
We would rather lose an enquiry on the first call than start an intake that falls apart six weeks later. That is not a philosophy, it is scheduling: a placement or care plan that breaks down costs everyone considerably more than a straight no would have.
Questions we get on the first call
Often, yes. If she is Medicaid eligible and needs substantial daily assistance, Michigan programs including MI Choice and Home Help can compensate a family member as the paid caregiver. Three conditions have to line up: her Medicaid eligibility, an assessed level of need, and a genuine ongoing caregiving relationship. One phone call will tell you whether your situation clears them.
Yes, through several routes. Residents receiving SSI have an established AFC payment rate. Adults on the Habilitation Supports Waiver or MI Choice have residential services authorized under those programs. The specific mix depends on individual eligibility, which we verify during intake.
In-home care usually begins within a few days once funding is confirmed. Paid caregiver enrollment typically takes four to eight weeks because it involves a state assessment and program enrollment. Residential placement depends entirely on current openings, and we give you the real number rather than a comfortable one.
Several of our services are authorized by Michigan No-Fault auto insurance and workers compensation, which pay at broader service levels than Medicaid and have no income test at all. Private pay is also accepted. If Medicaid eligibility looks plausible but has never been applied for, we can point you toward the right application path.
Routinely. We accept referrals directly from discharge planning, case management, and physician offices, and we can begin intake before discharge so services are authorized and staffed by the time the patient goes home. Clinical documentation flows back to the referring team on whatever schedule they need.
Southeast Michigan, based out of Livonia. That covers most of Wayne, Oakland and Macomb counties, including Livonia, Farmington Hills, Westland, Canton, Plymouth, Northville, Novi, Redford, Garden City, Dearborn, Southfield, Troy and surrounding communities. If you are outside that radius, call anyway and we will tell you.
Tell us the situation and we will tell you what applies
No sales sequence and no drip campaign. One person reads this and calls you back, usually the same day.