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Respite care for family caregivers in Michigan

Yes. In Michigan, family caregivers can get respite through one program on record: Respite (MI Choice Waiver).

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Respite program

Respite (MI Choice Waiver)

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Who qualifies

MI Choice participants who cannot care for themselves, so that the unpaid people who normally care for them can be away or get relief. MI Choice is for people 65 or older, or adults 18 or older with disabilities, who meet Michigan's nursing facility level of care, are financially eligible for Medicaid (the waiver allows income up to 300% of the SSI Federal Benefit Rate) and need at least two waiver services, one of them supports coordination. For in-home respite, the person must need continual supervision to live at home, or a substitute caregiver while the primary caregiver needs relief, and must have difficulty with daily activities without help.

Respite can be given in the person's home, in a Medicaid-certified hospital or nursing facility, or in a licensed adult foster care facility, and in the home of another person only under the self-determination option. A family member who is not the regular caregiver can provide respite, but MI Choice funds cannot pay a spouse for it.

Source: Medicaid Provider Manual, MI Choice Waiver chapter (Michigan Department of Health and Human Services, version October 1, 2026)Checked

Hours limit

Respite outside the home is limited to 30 days per calendar year. Respite cannot be scheduled on a daily basis, except for longer stays at an out-of-home respite facility: it is meant for intermittent, scheduled relief.

Source: Medicaid Provider Manual, MI Choice Waiver chapter (Michigan Department of Health and Human Services, version October 1, 2026)Checked

How to apply

Respite (MI Choice Waiver)

How to apply

MI Choice is run through waiver agencies. Ask the MI Choice waiver agency serving your area. It checks your functional eligibility with an in-person nursing facility level of care determination, and services are set through an in-person assessment and person-centered planning. If the agency is at capacity, it screens you by phone or in person with the MI Choice Intake Guidelines, and if you appear potentially eligible it places you on its waiting list in order of the date of that contact. Someone else can call on your behalf.

Before you enroll you are told about all the long-term care options you qualify for and sign a Freedom of Choice form. You can be enrolled in only one long-term care program at a time, so MI Choice cannot be combined with Home Help, a nursing facility or PACE.

Source: Medicaid Provider Manual, MI Choice Waiver chapter (Michigan Department of Health and Human Services, version October 1, 2026)Checked

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