Disability services in Michigan

Children under 18 with a developmental disability who need ICF/IID level of care, have daily in-home medical or behavioral needs, and live with a parent or legal guardian relative. Parent income is not counted.

Start with: Community Mental Health Services Program (CMHSP) Access Center in your county · Website (opens in a new tab)

MDHHS sends an invitation to apply when an opening occurs; children are not enrolled until a slot opens.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the CMHSP Access Center for your county and ask for a Children's Waiver Program assessment
2. Describe your child's needs, functional limits, and the in-home help you want
3. Share your family's income, resources and insurance
4. The CMHSP completes a MichiCANS assessment and submits it
5. When an opening occurs, MDHHS invites you to apply

Have these ready

• Records of your child's developmental disability
• List of daily care and behavior needs
• Insurance and Medicaid information
• Family income and resource information

About this program (opens in a new tab) · Providers in the Atlas

People of any age with intellectual or developmental disabilities who meet ICF/IID level of care and Medicaid rules.

Start with: Community Mental Health Services Program (CMHSP) Access Center in your county · Website (opens in a new tab)

Michigan reported no one waiting for I/DD waiver services in KFF 2026 state data. Your CMHSP manages access to slots.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call the CMHSP Access Center for your county
2. Ask for an assessment for developmental disability services and the Habilitation Supports Waiver
3. Complete the person-centered planning meeting
4. Apply for Medicaid if you do not have it

Have these ready

• Records of the developmental disability
• List of daily support needs
• Medicaid card if you have one

About this program (opens in a new tab) · Providers in the Atlas

Children and youth through age 21 with serious emotional disturbance who meet criteria for state psychiatric hospital admission or are at risk of it.

Start with: Community Mental Health Services Program (CMHSP) · Website (opens in a new tab)

Michigan reported no one waiting for mental health waiver services in KFF 2026 state data.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Contact the CMHSP for your county
2. Ask for an assessment for the Serious Emotional Disturbance Waiver (SEDW)
3. If eligible, work with a Wraparound facilitator and your family team
4. Build a Wraparound Individual Plan of Service

Have these ready

• Child's mental health diagnosis and records
• Hospital records if any
• Insurance or Medicaid information

About this program (opens in a new tab) · Providers in the Atlas

Older adults and adults with disabilities who meet nursing facility level of care and Medicaid income and asset rules and want services at home or in another community setting.

Start with: MI Choice waiver agency (mostly Area Agencies on Aging) · Website (opens in a new tab)

Michigan reported 2,994 older adults and adults with physical disabilities waiting for home and community services in KFF 2026 state data. Ask your local waiver agency about its list.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Find the MI Choice waiver agency for your area (most are Area Agencies on Aging)
2. Call and ask for a MI Choice screening
3. Complete the nursing facility level of care assessment
4. Apply for Medicaid if you do not have it
5. Work with your supports coordinator on a service plan

Have these ready

• Social Security number
• Income and asset information
• List of help needed with daily activities
• Medicaid card if you have one

Your local Aging and Disability Resource Center can start the application. Find yours.

About this program (opens in a new tab) · Providers in the Atlas

Adults 21 and older with both Medicare and Medicaid who join a MI Coordinated Health plan, live in a covered county, and need nursing home level of care but want to live in the community.

Start with: MI Coordinated Health (MICH) health plan · Website (opens in a new tab)

No waiting list information was found.

Apply for Medicaid first.

Steps

1. Make sure you have both Medicare and Medicaid
2. Check that you live in a MICH county: Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, Wayne, or most Upper Peninsula counties
3. Choose and enroll in a MICH health plan offered in your region
4. Ask your plan care coordinator for a nursing home level of care assessment for HCBS waiver services

Have these ready

• Medicare card
• Medicaid card
• List of help needed with daily activities

About this program (opens in a new tab) · Providers in the Atlas