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Michigan Coordinated Caregiving is the new MI Choice Waiver service for people age 21+ who need nursing-home-level care and want to stay home with an eligible live-in caregiver like a relative, spouse or friend. Effective December 1, 2026, it provides qualified caregivers with a stipend, training, coaching, nursing support, and oversight from an approved Coordinated Caregiving agency.
Coordinated Caregiving isn’t a standalone cash benefit. Participants must qualify for MI Choice, and Coordinated Caregiving has to fit their person-centered service plan.
Our family caregiver guide explains who benefits, how much family caregivers get paid, how to combine Coordinated Caregiving with MI Choice, and how to start.
Coordinated Caregiving is a new MI Choice Waiver service for people with a live-in caregiver who provides personal care, supervision, and support. The Supports Coordinator reviews the needed level of care and develops a person-centered service plan with the participant. A Coordinated Caregiving agency, like Givers, trains, coaches, and supports the eligible caregiver, assesses the case, checks in, and handles stipends.
MI Choice generally supports Michigan adults 18+ with disabilities and adults 65+ who meet nursing-facility level-of-care and Medicaid requirements. The Coordinated Caregiving Waiver service is for adults age 21 and over. To be part of Michigan’s Coordinated Caregiving program, the caregiver needs to live in the same home and be the primary source of daily support. The care recipient should live in a safe home and community.
The caregiver can be a spouse, family member, friend or another trusted person. The caregiver doesn’t need to be related to the care recipient. They can only provide this service to one or two people in one private home. Caregivers need to meet all program requirements, pass the background check, and complete training.
The local MDHHS office determines Medicaid eligibility, while the MI Choice waiver agency decides the medical eligibility and the service plan. The person-centered service plan should clearly explain coordinated caregiving arrangements. The goal of this program is to prevent your family member from moving to institutionalized care or a nursing home facility. Caregivers are expected to provide daily notes and updates to the agency.
In general, Coordinated Caregiving and Community Living Supports are not paid together. Separate payments aren’t allowed for Community Living Supports while the participant receives Coordinated Caregiving.
You May Not Be the Right Fit When:
Under Coordinated Caregiving, the proposed tax-free daily stipend may be $56.56 and tax-free. This is a daily stipend, not an hourly wage. The caregiver receives pay through a Coordinated Caregiving agency like Givers, which provides training, coaching, monitoring, and nurse consultation.
A qualified Coordinated Caregiving agency provides your daily caregiver stipend. Qualified Medicaid waiver payments for caregiving in your family member’s home might be excluded from your gross federal taxable income under IRS Notice 2014-7.
Always verify the finalized caregiver stipend with the Coordinated Caregiving agency. The current proposal amount may be updated in 2027 with later guidance.
Besides a daily caregiver stipend, Michigan’s Coordinated Caregiving program has ongoing caregiver support:
Coordinated Caregiving provides families with a trusted in-home caregiver and a dependable support system for the caregiver.
Sometimes, depending on the Coordinated Caregiving person-centered service plan. Other MI Choice services may be allowed if they directly address needs. Coordinated Caregiving can be combined with adult day health, respite, home-delivered meals, transportation, personal emergency response, private-duty nursing/respiratory care, training. Home and car modifications to accommodate your family member’s disability or medical condition may be included.
Your family member can’t be enrolled in MI Choice and Home Help at the same time. Coordinate with your agency during program transitions from Home Help to other programs to avoid any breaks in services and benefits.
Limitations:
Enrollment depends on your eligibility, an available waiver slot, providers, and available authorized services. Meeting requirements doesn’t mean services start right away.
Already caring for someone at home in Michigan? Givers can help you understand whether Coordinated Caregiving may fit your family.
Yes, Michigan’s new Coordinated Caregiving program mirrors Structured Family Caregiving (SFC), which is common in other states. Coordinated Caregiving uses the same caregiver support model: personal coaching, nursing consultations with the care team, training, in-home nursing visits, and a regular caregiver stipend. Caregivers provide information and electronic notes to the agency weekly.
Generally, a spouse or legally responsible adult may be a live-in caregiver if the participant meets MI Choice eligibility, service plan requirements, and final program rules. They must work with an approved Coordinated Caregiving agency and be approved before any services start.
Yes. The live-in caregiver must live in the participant's primary residence, typically where the care recipient receives their daily care, shares meals, and completes daily routines like bathing.
Coordinated Caregiving may pay caregivers a daily tax-free stipend of $56.56 in 2026. This isn’t the same as an hourly wage. The caregiver stipend usually isn’t applied to the yearly gross income under IRS Notice 2014-7.
No, separate payments aren’t made for Community Living Supports when a participant receives Coordinated Caregiving. However, other MI Choice services like transportation, respiratory care, home modifications, and home-delivered meals may still be available if they are included in the person-centered service plan.
Check your family member’s Michigan Medicaid and MI Choice eligibility and ask about Coordinated Caregiving during the initial assessment and person-centered service planning process. Givers can help your family through the entire process.
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