KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

Michigan home care rules

None of the Michigan documents we hold creates a state license for non-medical home care; instead, the Michigan Department of Health and Human Services (MDHHS) approves agencies for Home Help, its Medicaid personal care program, and pays them directly at $27.00 an hour. MI Choice waiver agencies pay for waiver services, and since January 1, 2026 nine MI Coordinated Health plans pay for personal care for adults 21 or older with full Medicare and Medicaid in four regions. Since April 1, 2026, MDHHS has enforced its expectation that agencies keep at least 85% of their verified EVV visits free of manual edits each quarter.

117 official documents·collected September 22, 2026·checked against them September 22, 2026
License for non-medical home care?NoNo state license in the documents we hold. MDHHS must approve your agency before it is paid the Home Help agency rate.
License for home health?Medicare certificationMedicaid enrolls only Medicare-certified home health agencies. LARA's facility rules we hold license hospices, not home health.
EVV85% rule since April 1HHAeXchange, free from the state. At least 85% of verified visits each quarter without manual edits, for each payer.
Medicaid health plans9 plans in 4 regionsMI Coordinated Health plans pay personal care for dual-eligible members in Regions 1, 8, 10 and 12. Home Help itself is paid by MDHHS.

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowEnforced since April 1, 2026 (bulletin MMP 26-10)

Keep 85% of EVV visits free of manual edits — July to September is reviewed in October

MDHHS expects agencies, including financial management services providers, to have at least 85% of verified EVV visits each quarter with no manual edits, counted separately for each payer. Missing clock-ins or clock-outs, missing GPS or phone numbers, and changed times all count as manual edits. MDHHS checks Home Help and fee-for-service home health; the health plans and waiver agencies check their own networks. Corrective action can include retraining, required training, a compliance plan and a formal meeting.

What to do: Open your monthly HHAeXchange compliance report for each payer. Find the caregivers behind the manual edits and retrain them before the quarter ends.
Read this monthEffective May 1 and Aug. 1, 2026

Home Help agencies: caregiver revalidation duty and new audit forms

Since May 1, agency owners must make sure every agency caregiver completes CHAMPS revalidation and is actively enrolled while giving Home Help. Since August 1, audits and new agency compliance reviews use forms HS-2601 (caregiver list, marking approved live-in EVV exemptions), HS-2602 (submission checklist) and HS-2603 (payroll template, for agencies without a payroll company), and new agencies must send a current W-9. Audited agencies have 30 calendar days to send documents.

What to do: Check each caregiver's revalidation status in CHAMPS ("View Servicing Provider Details"). Keep payroll and tax records ready in case an audit letter arrives.
Read this monthProgram began Jan. 1, 2026 · policy revised Aug. 1, 2026

MI Coordinated Health: the plan pays when a Home Help client joins

MI Coordinated Health (MICH) replaced MI Health Link on January 1, 2026. In Regions 1, 8, 10 and 12, a Home Help client who enrolls in a MICH plan gets personal care from that plan from the first day. The plan must finish a criminal history review of the caregiver within 30 calendar days and may pay only CHAMPS-enrolled agencies.

What to do: If you serve dual-eligible clients in these regions, contact the MICH plans' provider contracting teams so your clients' care is not interrupted.
For the recordLetter L 26-15, March 2, 2026 · comments closed April 1, 2026

MI Choice: new Coordinated Caregiving service proposed

MDHHS said it would ask CMS to add Coordinated Caregiving (structured family caregiving) to MI Choice, with a proposed daily rate of no less than $80.80 and at least 70% going to the live-in caregiver as a stipend. The letter gave an anticipated effective date of July 1, 2026. The same amendment updates the waiver's EVV language to reflect that EVV is now operational and required. The documents we hold do not show CMS approval.

What to do: If you serve MI Choice participants, ask your waiver agency whether the service has started.

Deadlines coming up

Dates taken from the rules and notices as we read them.

8days
October 1, 2026

October 2026 Medicaid Provider Manual update takes effect

Adds the Home Help audit form and compliance review changes (MMP 26-21) and the MI Coordinated Health revisions (MMP 26-26) to the manual.

100days
January 1, 2027

MI Coordinated Health phase 2: at least Chippewa, Gogebic and Menominee counties join

The approved waiver lists the rest of the state for phase 2 on this date; MDHHS's draft 2027 amendment (Aug. 6, 2026) would add only these three Upper Peninsula counties and leave other regions "to be determined." See "Where the official documents disagree."