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Family Caregiver Pay Map · Michigan · Verified October 1, 2026

Michigan: Who Can Be a Paid Family Caregiver Under Medicaid

Under the Home Help Program the client chooses the caregiver, but by MDHHS rule the caregiver cannot be the client's spouse, and a parent cannot be paid to care for a minor child.

Spouse
No
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: An adult child, sibling, other relative, friend or neighbor who is at least 18 and passes a background check.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Home Help Program

Administered by Michigan Department of Health and Human Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Client is the employer of an individual provider; agency providers also enroll

MI Choice Waiver

Administered by MDHHS.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Waitlist
  • Regional waiver-agent contracts; capped

See if your family qualifies in Michigan

We match Michigan families with licensed, Medicaid-approved home care agencies that serve their county. The service is free to families; we are paid a flat marketing fee by the partner agency. Eligibility is determined by the state program.

Check your options in Michigan Call (929) 460-3141

Official sources

Facts on this page were last reviewed October 1, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Michigan

Can a spouse be paid to care for their husband or wife in Michigan?
No. Michigan's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in Michigan?
An adult child, sibling, other relative, friend or neighbor who is at least 18 and passes a background check.
Is there a waitlist for Medicaid home care in Michigan?
Home Help Program: no waitlist (Client is the employer of an individual provider; agency providers also enroll). MI Choice Waiver: waitlist (Regional waiver-agent contracts; capped).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.