Medicaid Home Help Program

Personal Care Services 

Individuals needing Home Help Assistance
Assistance is available for individuals who need help with daily activities and meet eligibility requirements. To receive Home Help services, a person must be eligible for Medicaid and require physical assistance with at least one activity of daily living. 

Home Help Application - DHS-390

Assessment of Need
The Adult Services worker will meet with the client to conduct a comprehensive assessment to determine what services are needed and the amount of time it takes to  complete each task.

If you need to apply for Medicaid Healthcare or MDHHS assistance.

Apply online:

Apply by paper: (print and return to your local MDHHS Office) : Click Here

Home Help Services is a program administered by the Michigan Department of Health and Human Services (MDHHS). The program provides funding for qualified individuals to hire someone to assist them with their daily activities. It is designed to support individuals who wish to live independently in their home rather than live in an adult foster care home, home for the aged or nursing facility.


Assistance is available for individuals who need help with daily activities and meet eligibility requirements. To receive Home Help services, a person must be eligible for Medicaid and require physical assistance with at least one activity of daily living. Click to print -  Adult Services Application - DHS-390


Available Services Home Help Services may pay for the following activities of daily living:

• Eating or feeding.

• Bathing.

• Dressing.

• Grooming.

• Moving throughout the home.

• Transferring from one position to another.

• Using the toilet.


If you qualify for the program, you may also receive assistance with the following:

• Administering or setting up medicine.

• Laundry.

• Light housework.

• Meal preparation/clean up.

• Shopping for essential items.

Complex Care - Expanded home help services can be authorized for individuals who have severe functional limitations which require such extensive care 

• Eating or feeding assistance.

• Catheters or leg bags.

• Colostomy care.

• Bowel program.

• Suctioning.

• Specialized skincare.

• Range of motion exercises.

• Dialysis (In-home).

• Wound care.

• Respiratory treatment.

• Ventilators.

• Injections.

Services Not Covered The following services are not covered by Home Help:​

• Heavy housework.

• Home repairs.

• Prompting or reminding someone to complete a task.

• Supervision.

• Transportation.

• Yard work​


NOTE: Approved time for items 1 through 13 is for hands-on care only.

1. Eating/Feeding – helping with use of utensils, cup/glass, getting food/drink to mouth, cutting up/manipulating food on plate, cleaning face and hands, as needed after a meal.

2. Toileting – helping on/off toilet, commode/bed pan, emptying commode/bed pan, managing clothing, wiping and cleaning body after toileting, cleaning ostomy and/or catheter tubes/receptacles, applying diapers and disposable pads; may include doing catheter, ostomy or bowel programs.

3. Bathing – helping with cleaning the body or parts of the body, shampooing hair, using tub or shower, sponge bathing, including getting a basin of water, managing faucets, soaping, rinsing and drying.

4. Grooming – helping to maintain personal hygiene and neat appearance, including hair combing, brushing, oral hygiene, shaving, fingernail and toe nail care (unless a physician advises not to do so).

5. Dressing – helping with putting on/taking off, fastening/unfastening garments/undergarments, special devices such as back/leg braces, corsets, artificial limbs or splints.

6. Transferring – helping to move from one position to another, such as from a bed to a wheelchair or sofa, to come to a standing position and/or repositioning to prevent skin breakdown.

7. Mobility – helping with walking or moving around inside the living area, changing locations in a room, moving from room to room or climbing stairs.

8. Medication – helping with administering prescribed or over-the-counter medication.

9. Meal Preparation – helping with planning menus, washing, peeling, slicing, opening packages, cans and bags, mixing ingredients, lifting pots/pans, reheating food, cooking, operating stove/microwave, setting the table, serving the meal, washing/drying dishes and putting them away.

10. Shopping – helping to compile a list identifying needed items, picking up items at the store, managing cart/baskets, transferring items to home and storing them away.

11. Laundry – helping by getting laundry to machines, sorting, handling soap containers, placing laundry into machines, operating machine controls, handling wet laundry, drying, folding and storing laundry.

12. Light Housework – helping with sweeping, vacuuming, washing floors, washing kitchen counters and sinks, cleaning the bathroom, changing bed linen, taking out trash, dusting and picking up, bringing in fuel for heating/cooking purposes if necessary.

13. Complex Care tasks – require special techniques/knowledge; may replace most or all 1-9 tasks when approved by a specialist. Complex care tasks include bowel program, catheter or leg bags, colostomy care, eating or feeding assistance, peritoneal dialysis, range of motion exercises, specialized skin care, suctioning and wound care.

Caregivers travel time up to:

• 2 round-trips each week for shopping.

• 2 round-trips each week for laundry.