Can a spouse be paid?
SometimesSometimes — it depends on the program and the care needed.
The fine print: limited — spouses barred under Home Help; reportedly payable under MI Choice Self-Determination Option
Michigan
Michigan has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.
$15.88–$17.13/hr
Source: Michigan Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
Home Help is an entitlement — no waitlist; MI Choice waiver has capped slots and regional waitlists
Sometimes — it depends on the program and the care needed.
The fine print: limited — spouses barred under Home Help; reportedly payable under MI Choice Self-Determination Option
Not for young children right now — but parents of adult children can often be paid.
The fine print: no under Home Help (parents of minors excluded); other adult relatives 18+ allowed
Run by: Michigan Department of Health and Human Services (MDHHS), via county MDHHS offices
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Contact your county MDHHS office to apply for Home Help and request an adult-services assessment; for MI Choice contact your regional waiver agency for a screening.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Michigan, they are overseen by the Michigan Department of Health and Human Services (MDHHS). We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Sometimes — it depends on the program and the care needed. The fine print: limited — spouses barred under Home Help; reportedly payable under MI Choice Self-Determination Option
Not for young children right now — but parents of adult children can often be paid. The fine print: no under Home Help (parents of minors excluded); other adult relatives 18+ allowed
Family caregivers here typically earn $15.88–$17.13/hr.
Some programs here have no waitlist. Others can have one. Details: Home Help is an entitlement — no waitlist; MI Choice waiver has capped slots and regional waitlists
It depends on the program. In Michigan: self-directed allowed — client hires an individual caregiver who enrolls as a provider in CHAMPS with background check and is paid directly by MDHHS (agency caregivers optional); MI Choice SDO uses a fiscal intermediary
Sources: medicaidplanningassistance.org · hcaoa.org · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Michigan. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.