Forms & Resources

Services Not Covered

According to the State of Michigan Department of Health and Human Services, home help services must not be approved for the following:

Supervising, monitoring, reminding, guiding, teaching or encouraging (functional assessment rank 2).
Services provided for the benefit of others.
Services for which a responsible relative is able and available to provide (such as house cleaning, laundry or shopping). A responsible relative is defined as an individual’s spouse or a parent of an unmarried child under age 18.
Services provided by another resource at the same time (for example, hospitalization, Ml-Choice Waiver).
Transportation – See Bridges Administrative Manual (BAM) 825 for medical transportation policy and procedures.
Money management such as power of attorney or representative payee.
Home delivered meals.
Adult or child day care.
Recreational activities. (For example, accompanying and/or transporting to the movies, sporting events etc.)

Note: The above list is not all inclusive.

View page in DHS Health Services Manual

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Medical Needs Form

Provided by the State of Michigan Department of Health and Human Services, this form is to be completed annually by a physician, nurse practitioner, physical or occupation therapist.

Download Form

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