We help Michigan families arrange in-home care through Medicaid Home Help, MICH and private pay. Eligible adult relatives or friends may be paid for approved care after the required assessment and caregiver enrollment. Our intake team helps you understand your next step.
Certified and Approved From
Start with the person receiving care and the caregiver. Then let our team help you understand the requirements.
Caregiver relationship restrictions apply. See the full requirements below.
Home Help relationship rules matter: spouses and parents caring for children under 18 cannot be paid through this program. See the requirements.
Not sure? We can help you check.
Check If I QualifyHome Help requires eligible Michigan Medicaid coverage and an assessed need for physical assistance with at least one activity of daily living. MDHHS assesses the person at home and determines the approved tasks and hours. Household help or verbal reminders alone do not establish eligibility.
Caregivers must be at least 18, complete CHAMPS enrollment and pass the required screening. Home Help does not pay a spouse to care for a spouse or a parent to care for a child under 18. A caregiver cannot also receive Home Help services.
Cottage helps you understand the process; MDHHS makes the Home Help eligibility and service-authorization decisions.
Explore Michigan Medicaid home careSource: MDHHS Home Help requirements
MI Coordinated Health (MICH) is designed for eligible Michigan residents who have both Medicare and Medicaid. Enrollment depends on meeting the program’s eligibility rules, participating plan availability and the coverage requirements that apply to the individual.
Covered services and care coordination depend on the member’s needs, plan participation and any required service authorizations.
Cottage can help you understand whether the MICH pathway may fit your situation and what next steps to ask about; MICH eligibility, enrollment and service-authorization decisions are made by the applicable program and health plan.
Explore MI Coordinated Health (MICH)Source: Michigan MICH program information
Home Help eligibility starts with an assessed need for hands-on personal care. Certain household tasks may also be authorized as part of an approved care plan; chores alone do not establish eligibility.
If your loved one has eligible Michigan Medicaid and needs hands-on help at home, Home Help may allow approved personal care from a family member or trusted caregiver. Cottage helps explain the requirements, organize the paperwork, prepare for the assessment and guide the caregiver approval steps.
Explore Michigan Medicaid home careIf you need care quickly or do not want to wait for program approval, private pay lets your family arrange home care directly. Cottage helps arrange your care from A to Z based on your needs—from the type of care and preferred schedule to caregiver matching, language preferences, pricing, and every step needed to build the right care plan for your family.
Explore Michigan private pay careIf your loved one has both Medicare and Medicaid, MI Coordinated Health (MICH) may be a better fit for coordinated benefits and services. Cottage helps you understand whether this pathway matches your situation, what participation and service requirements apply, and how to move forward with more clarity.
Explore MI Coordinated Health (MICH)Services, caregiver matching, plan participation and schedules depend on individual needs, program authorization and availability. Home Help and MICH follow different approval pathways.
Tell us your county, your loved one’s coverage and the physical help they need. We will explain the relevant care options.
We help handle the required paperwork, guide you through the MDHHS assessment and caregiver enrollment, and follow up every day on the status of your paperwork so you always know where things stand. Our team stays on top of the process, so you do not have to chase updates or manage each step on your own.
After the required approvals, provide the authorized services and follow the agreed visit-recording and payment process.
This optional guide helps you prepare for a conversation. Answers are used only on this page and are not sent to Cottage. This is not an application or an eligibility decision.
Read what people share about working with our Michigan team.
Medicaid Home Help
★★★★★
“I was already helping my mother every day, but I had no idea I could go through a caregiver enrollment process. Cottage explained the paperwork, followed up with us, and made each step much easier to understand.”
Medicaid Home Help
★★★★★
“My father needed help with bathing, meals, and getting around the house. Cottage helped me understand the Home Help process and what I needed to complete as his caregiver. I finally felt like I knew what I was doing.”
MICH
★★★★★
“My aunt has both Medicare and Medicaid, and our family was confused about which direction to take. Cottage explained MICH in plain language and helped us understand the next steps without making the process feel overwhelming.”
Medicaid Home Help
★★★★★
“I had been caring for my dad for months before I learned there might be a program for the care I was already providing. Cottage helped with the forms, caregiver steps, and follow-up so I could focus more on him.”
Private Pay
★★★★★
“The family I care for needed a schedule that changed from week to week. Cottage worked around the actual care needs instead of forcing a fixed plan, and that made the arrangement much easier for everyone.”
MICH
★★★★★
“My mother needed support, but the Medicare and Medicaid side of things was confusing for us. Cottage helped our family understand the MICH option and what questions we should be asking.”
Medicaid Home Help
★★★★★
“I did not know how the caregiver approval part worked or where to send everything. Cottage walked me through it, checked on the paperwork, and kept me updated instead of leaving me to figure it out alone.”
Private Pay
★★★★★
“The client needed help in the morning and evening, not a one-size-fits-all schedule. Cottage listened to what the family actually needed and built the care around that.”
MICH
★★★★★
“We were comparing Home Help and MICH and honestly did not understand the difference. Cottage broke it down for us and helped us see which questions mattered for my brother’s situation.”
Medicaid Home Help
★★★★★
“I take care of my adult daughter at home. Cottage helped me understand the assessment, caregiver enrollment, and paperwork so I could support her without constantly worrying that I had missed something.”
Private Pay
★★★★★
“I wanted to care for someone who spoke the same language and felt comfortable with me. Cottage paid attention to language, schedule, and the family’s preferences, which made the match feel much more personal.”
MICH
★★★★★
“My uncle has several services and we were getting different information from different places. Cottage helped us organize the situation and understand how MICH could fit into his care.”
Medicaid Home Help
★★★★★
“I was already helping my grandmother with dressing, meals, and mobility. Cottage showed me what the Home Help process looked like and helped me stay on top of the paperwork while she kept receiving care at home.”
Private Pay
★★★★★
“The family needed care quickly after a hospital stay. Cottage handled the details, explained the schedule and responsibilities clearly, and helped us get into a routine without a lot of back-and-forth.”
MICH
★★★★★
“My mother has both Medicare and Medicaid, and I did not know what that meant for her home-care options. Cottage explained the MICH pathway clearly enough that our whole family could finally understand it.”
Medicaid Home Help
★★★★★
“The paperwork was the part that stressed me out most. Cottage helped me understand what was needed, what came next, and where things stood so I could keep my attention on caring for my family member.”
Private Pay
★★★★★
“I care for an older adult whose needs change depending on the day. Cottage worked with the family on hours and responsibilities so the care plan actually matched what was happening at home.”
MICH
★★★★★
“We had been calling around and getting more confused. Cottage gave us a clear explanation of MICH and helped us understand what information we needed before moving forward.”
Medicaid Home Help
★★★★★
“I was caring for my mother before Cottage came into the picture. They helped me understand the caregiver process, stayed on top of the paperwork, and made the whole experience feel organized instead of stressful.”
Medicaid Home Help
★★★★★
“My brother needs daily help at home, and I wanted to be the one caring for him. Cottage explained the program, helped me through the caregiver steps, and made it easier for our family to keep his care at home.”
Speak with our Detroit-based intake team about your next step.
Cottage serves families in all 83 Michigan counties.
Tell us your preferred language when you contact our team.
Explore Cottage Home Care services in all 83 counties.
83 counties available. Open the directory to browse all counties.
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Search your county or contact us to discuss your care options.
Open the office map ↗Phone: (313) 762-4272
Fax: (313) 887-8989
Email: michigan@cottagehomecare.com
Address: 150 W Jefferson Ave, Suite P307
Detroit, MI 48226
Office hours: Monday–Friday, 8:30 AM–5 PM Eastern.
Saturday and Sunday: Closed.
Office hours are separate from a client’s agreed care schedule.
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Tell us the language you prefer. Our team will discuss available support and caregiver matching.
An eligible adult child may be paid for approved care through Michigan Home Help. Your parent must qualify for the program, and you must meet the caregiver enrollment and screening requirements. Caring for a parent does not automatically qualify you for payment. Cottage can help you understand the next steps.
Eligible adult relatives, friends or neighbors may become Home Help caregivers. Caregivers must be at least 18. A spouse cannot be paid to care for a spouse through Home Help, and a parent cannot be paid to care for a child under 18. A parent caring for an adult child may be considered, subject to the program requirements.
Read MDHHS Home Help guidanceHome Help requires eligible Michigan Medicaid coverage. Medicare alone does not qualify someone for Home Help. If coverage is uncertain or you have not applied for Medicaid, our team can explain where to start. Private pay home care is a separate option.
Home Help requires an assessed need for physical assistance with personal care, such as bathing, dressing, eating or toileting. Certain household tasks may also be approved. MDHHS determines the approved services and hours.
Read MDHHS Home Help guidanceYour payment depends on the applicable caregiver pay terms, approved services and authorized hours. The state’s reimbursement to an agency is not the same as an individual caregiver’s wage. Ask Cottage for the pay terms that apply to your situation before making a decision; this page does not promise a fixed monthly amount.
MDHHS describes a Home Help application process of up to 45 days. Medicaid coverage, required paperwork, the assessment and caregiver enrollment must also be in place. Our team can help you understand the steps that apply to your situation.
Read MDHHS Home Help guidanceMichigan Home Help is a Medicaid-funded program administered by the Michigan Department of Health and Human Services (MDHHS). It funds approved assistance at home for eligible people. Cottage supports families with the application and caregiver process; MDHHS decides Home Help eligibility and authorized services.
Read MDHHS Home Help guidanceYou can arrange in-home care paid for directly by you or your family. Cottage will discuss the care needed, schedule, language preference and available caregivers, then explain the quote and terms. Private pay care does not require Home Help approval.
Explore Michigan private pay careWe work with major Medicaid insurers to bring quality home care to Michigan families.
Whether you already care for a family member or need in-home care, our Michigan team can help you explore your options.
