Compassionate Senior Home Care in Detroit & Wayne County, MI
Keeping your aging parents safe, comfortable, and independent in the home they love.
When a parent is no longer safe alone due to dementia, mobility loss, or hospital discharge, finding reliable support is critical. Whether you need private pay home care rates or help navigating Michigan Medicaid Home Help Program approvals, our Detroit team provides dependable home care for seniors and compassionate elderly care at home every step of the way.
Speak directly with a local Detroit coordinator or request a free care assessment.
For medical emergencies, call 911 immediately.
Certified and approved from
Award honoreePayment Options
Three ways to pay for care. One team handles all of them.
Tap a card to see how each option works, who decides eligibility, and what we take off your plate.
Medicaid Home HelpMedicaid State Plan Benefit
The Michigan Medicaid Home Help Program allows eligible beneficiaries to hire a family member, friend, or neighbor to assist with personal care tasks. The state-set pay rate is $17.13 per hour as of January 1, 2026. This rate is established by MDHHS, subject to state policy updates, and is not a wage rate guaranteed directly by Cottage Home Care.
There is no enrollment waitlist for this program. Spouses cannot be hired as paid caregivers under Home Help rules. Medical necessity is documented using the Medical Needs Form (MSA-1572) completed by a licensed physician.
MDHHS caseworkers determine client eligibility and approved care hours. Cottage Home Care acts as your home care agency, taking care of CHAMPS caregiver enrollment, background checks, training requirements, and payroll processing. We do not determine state eligibility or guarantee state approval.
Eligibility is decided by MDHHS and the State of Michigan, never by Cottage. Authorization generally involves a needs assessment plus documents like a photo ID, proof of income, and a mihealth card. Details are on the MDHHS site.
See our statewide Medicaid Home Help guide for eligibility and program details across Michigan.
CHAMPS enrollment, caregiver training, and payroll, start to finish.
Approval, authorized hours, start dates, caregiver availability, or wages beyond the state rate.
MI Choice WaiverMedicaid HCBS Waiver
The MI Choice Waiver provides home and community-based care for adults who require a nursing facility level of care but wish to remain at home. This program covers broader support services than the standard Home Help Program.
Unlike the Home Help Program, MI Choice is administered through regional Waiver Agencies and can involve enrollment waitlists or local agency capacity limits.
Eligibility assessments are conducted by local aging agencies. Cottage Home Care collaborates with regional waiver coordinators to deliver authorized personal care assistant services once approved.
Talk to us about MI ChoicePrivate PaySelf-Funded Personal Care
Private pay home care offers maximum schedule flexibility with zero state paperwork or Medicaid income caps. Full-time private pay care in the Metro Detroit market averages approximately $6,100 per month, serving as a general regional benchmark.
We provide background-checked Personal Care Assistants and Certified Nursing Assistants (CNAs) for custom hourly schedules, companionship, hygiene assistance, and overnight oversight for seniors with fall risk.
Services begin following a simple agreement with Cottage Home Care, without state approval delays or clinical nursing requirements.
Compare rates and coverage on our private pay home care page for Michigan.
Get a personalized estimateNot sure how to pay for care? Call (313) 762-4272 and we will sort it out together in one call.
Why Home Care in Wayne County Requires Local Precision
Wayne County is home to roughly 1.77 million residents, including more than 300,000 seniors aged 65 and older. From urban neighborhoods in Detroit to suburban centers like Dearborn and Livonia, local families reflect strong automotive, immigrant, and working-class roots. With over 100 home care agencies competing in the county, finding a reliable agency comes down to working with a responsive, verified local office that understands regional administrative workflows.
Cottage Home Care operates an office at 150 W Jefferson Ave in downtown Detroit. Our team works directly with local area agencies on aging. We coordinate with the Detroit Area Agency on Aging for residents in Detroit, Hamtramck, Highland Park, Harper Woods, and the Grosse Pointe communities. For southern and western Wayne County, we coordinate with The Senior Alliance (AAA 1-C). Every caregiver we place is background-checked, MDHHS-trained, and CHAMPS-enrolled to maintain compliance and family trust.
For a statewide look at coverage, service areas, and pricing, visit our page on home care in Michigan.
Services
What our caregivers do every day
Non-medical home care for seniors in Detroit and across Wayne County, MI, delivered by background-checked caregivers.
Meals & housekeeping
Nutritious meal preparation, light housekeeping, laundry, and grocery shopping.
Ask usMedication reminders
Verbal prompts ensuring prescriptions are taken on schedule without clinical administration.
Ask usFall risk & mobility support
Overnight caregiver support providing non-medical safety and mobility assistance for seniors with fall risk.
Ask usDementia & memory support
Specialized dementia care focused on daily routines, home safety, and memory companionship.
Ask usPost-hospital & post-stroke support
Post-stroke home care assistance helping seniors manage daily physical tasks safely.
Ask usCaregiver matching
Caregiver matching based on language and cultural background for local comfort.
Ask us
Hospital to Home
Home care after hospital discharge, without the scramble
Discharge day moves fast, and the paperwork folder will not keep your mom safe at 2 a.m. A little planning before she leaves the hospital makes the first week at home far calmer.
We start as soon as a matched caregiver is available and cannot promise a specific start date, so the earlier you call, the better. For a medical emergency, call 911 first.
The earlier you call, the calmer the first week. We plan the handoff before she leaves the hospital.
Your discharge-day checklist
Call us before discharge day, not after it.
Confirm who is picking up prescriptions on the way home.
Clear the walking paths and pull up loose rugs.
Plan the first week of meals before she walks in the door.
Write down the warning signs the hospital says to watch for.
Post family and emergency contacts on the fridge.
Before you leave
Ask the discharge planner
Is skilled home health, nursing or therapy, being ordered? Who provides it?
What daily tasks will need help in the first two weeks?
Which warning signs mean call the doctor today?
When is the follow-up appointment, and who is driving?
Families often call us as a loved one leaves Henry Ford Hospital in Detroit or Corewell Health Wayne Hospital in the city of Wayne. We are not affiliated with or endorsed by any hospital.
Week one care focus
- Personal & daily care
- Meals & housekeeping
- Medication reminders
- Fall risk & mobility support
Why Cottage
Why Wayne County families choose Cottage Home Care
A Detroit-based team that handles the paperwork, the caregiver match, and the follow-up — so your family only has one number to call.
Call (313) 762-4272Physical Detroit Office
Located at 150 W Jefferson Ave, Suite P307 in Detroit.
CHAMPS & MDHHS Certified
Full state compliance and Medicaid registration management.
Vetted Caregivers
Caregivers complete CHAMPS background checks prior to placement.
Cultural Matching
Caregiver placements aligned with language and local preferences.
Unified Intake Team
One local office managing Medicaid Home Help and private pay care.
Prompt Response
Local coordinators respond quickly to guide your family.
Accepted Insurance
We work with major Medicaid insurers to bring quality home care to Michigan families.
How It Works
Three steps from worried to cared for
No forms to decode on your own. Our Detroit office walks you through each step and handles the Medicaid paperwork with you.
Tell Us What Changed
Share your parent's current daily routine and safety needs. No medical diagnoses required.
Review Your Options
We explain Home Help, MI Choice, and Private Pay. Note that Cottage does not determine state Medicaid eligibility.
Confirm the Care Plan
Match with a compatible caregiver and finalize a schedule. Specific caregiver availability or start dates are not guaranteed.
Get your free care assessment
Four quick answers, then a member of our Detroit office team calls you back.
Your details stay with our Detroit intake team. No obligation.
FAQ
Questions Wayne County families ask us
Does Medicaid cover home care in Michigan?
Yes. Michigan Medicaid covers non-medical home care in Michigan primarily through the Michigan Medicaid Home Help Program administered by MDHHS. Eligible individuals receive assistance with daily activities like bathing, dressing, meal preparation, and shopping. Cottage Home Care is a Medicaid and CHAMPS certified home care agency serving Wayne County, Michigan.
How do I get paid to take care of my aging parent in Michigan?
Under the Michigan Medicaid Home Help Program, eligible seniors can hire an approved family member, friend, or neighbor as their paid caregiver. As of January 1, 2026, the state-set pay rate is $17.13 per hour, subject to MDHHS adjustments. Spouses cannot be hired as paid caregivers under this program. Cottage Home Care assists Wayne County families with CHAMPS enrollment and payroll processing.
What's the difference between Home Help and the MI Choice Waiver?
The Home Help Program provides personal care assistance for Medicaid beneficiaries with no enrollment waitlist. The MI Choice Waiver offers broader home and community-based services for adults who meet nursing facility level of care, but it is administered by regional Waiver Agencies and can involve a waitlist or capacity limits. Cottage Home Care supports clients through both programs in Wayne County.
What is the average cost of private pay home care rates in Wayne County?
In the Detroit metropolitan area, private pay home care rates average approximately $6,100 per month for full-time non-medical care, depending on hours and schedule requirements. Cottage Home Care provides transparent private pay rates and customized caregiver matching for seniors in Wayne County, MI who do not qualify for Medicaid.
How is home care different from home health care?
Home care delivers non-medical assistance with daily activities like personal care, companionship, meal preparation, and light housekeeping. Home health care involves skilled medical treatment provided by licensed nurses or physical therapists under a doctor's order. Cottage Home Care provides non-medical home care services in Wayne County, Michigan and does not provide clinical nursing or physical therapy.
Do you provide home care after a hospital discharge in Wayne County?
Yes. Cottage Home Care provides home care after hospital discharge support across Detroit and Wayne County. Our non-medical caregivers assist seniors returning home from facilities like Henry Ford Hospital or Corewell Health Wayne Hospital with mobility, personal hygiene, and meal prep alongside any physician-ordered clinical care. We do not guarantee same-day start dates.
Do you provide the best home health aide in Wayne County MI?
Cottage Home Care provides non-medical Personal Care Assistants (PCAs) in Michigan through the Home Help Program and private pay. We do not employ certified Home Health Aides (HHAs) or clinical staff in Michigan. Our dedicated PCAs provide background-checked, compassionate daily assistance to seniors in Wayne County.
Are your caregivers background-checked?
Yes. All caregivers registered with Cottage Home Care in Michigan undergo thorough background screening and state vetting as required by the CHAMPS Medicaid provider enrollment process and MDHHS standards prior to placement in a client's home.
Do you offer 24 hour home care near me or overnight caregiver support for fall risk?
Yes. Cottage Home Care offers private pay 24 hour home care and overnight caregiver support for seniors with fall risk. For Medicaid Home Help clients, approved hours are assessed directly by MDHHS caseworkers based on medical necessity rather than unlimited coverage.
What areas of Wayne County do you serve, including Dearborn and Livonia?
Cottage Home Care serves Dearborn, Livonia, Detroit, Westland, Taylor, Wyandotte, Garden City, Inkster, Romulus, Canton, Plymouth, Wayne, and surrounding communities across Wayne County, Michigan, coordinating with both the Detroit Area Agency on Aging and The Senior Alliance / AAA 1-C.
