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In-Home Care

Direct Care Programs to Help Seniors Stay Living At Home

Home care services can be a critical piece in helping seniors and people with disabilities continue to live safely in a home setting. These services provide assistance with those activities of daily life a senior might have trouble doing for themselves—things like bathing, dressing, meal preparation or housekeeping.

The Area Agency on Aging 1-B (AAA 1-B) has several programs that offer direct care for southeast Michigan families living in Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw counties. Some of our programs receive government funding, so people must meet eligibility requirements to qualify.  Government-funded programs include the MI-Choice Medicaid Waiver Program (offered through Medicaid for those with the highest financial need) and the Community Living Program (a state-funded program for those who do not qualify for the MI-Choice Program, but might still need some assistance to access care).

SameAddress is our private pay solution. It offers immediate help with no financial requirements. It makes high-quality care available to those who may not fit with government-funded programs.  Services range from chore services to personal care, all from a trusted resource, the AAA 1-B.


How do the programs work?

All Home Care programs provided by the AAA 1-B include some level of care coordination. This means we work one-on-one with clients and their families to assess what type of care is needed and then work with you on a continuing basis to ensure the right level of care is in place. Any home care services provided are delivered by one of the local home care agencies that the AAA 1-B works with. These home care agencies are carefully vetted and monitored to ensure the highest-quality care.


Which program is right for me?

The program that is right for you or your loved one will depend on two factors:

  • The income and assets of the person needing care
  • How much care and support you or your family member needs

The Resource Specialists in our Information and Assistance Call Center are available to help you understand which program you might qualify for and get started on the enrollment process. Our Call Center is available Monday through Friday, from 8 am to 5 pm, at 800-852-7795.



MI Choice Medicaid Waiver Program

Cost: Costs covered by Medicaid
Eligibility Requirements

  • Financial Eligibility: Low income—eligible for Medicaid (A rough estimate is less than $2250 in monthly income. Individual assets limited to $2,000. Note: If the client has a spouse, federal spousal impoverishment guidelines are used.)
  • Care Eligibility: Need a high level of care (typically a nursing home level of care)

This program is designed for those with the greatest level of need—both financially and in terms of care.  Through the MI Choice Home and Community Based Medicaid Waiver, Medicaid pays for home care services in an individual’s home. This program is available both to older adults and younger people with physical disabilities. This program may also provide additional services if needed, like adult day services or transportation.

To qualify, you must meet financial eligibility and require a nursing-home level of care. Services through this program are paid for by the Michigan Department of Health and Human Services and the Centers for Medicare and Medicaid Services.



Community Living Program

Cost: Participants pay a reduced rate for any care services they qualify for. Payment amount based on income.
Eligibility Requirements:

  • Financial Eligibility:  Low income and assets. This program is designed for people with high financial need
  • Care Eligibility: Must be over 60 and require assistance with some aspect of daily living

Through the Community Living Program,  AAA 1-B partners with vulnerable seniors and their families to help them understand their long-term care options and come up with a plan to help older adults stay living safely in their own home, apartment or with family members.  A social worker from the AAA 1-B consults with seniors or their caregivers —usually by phone—and helps them problem solve, understand how to stretch their own financial and care resources, and understand what outside resources and services might be available to help.

In some cases, if care services are truly needed (like in-home care or adult day services), we may also partner with families to help pay a portion of the cost. We usually only help pay for services if these services are truly critical to helping a senior stay living at home and they can’t afford to pay the entire cost themselves. Seniors or their families are asked to pay a “cost share”―or a portion of the cost of services―while the AAA 1-B pays the rest. The amount of the cost share is determined using a sliding scale, based on the senior’s income and assets. Having these services available on a cost share basis helps families make good use of whatever long-term care dollars they might have. It also helps cover the cost of program and lets us serve more people.

The program targets seniors who are the most vulnerable—people who may not have a lot of income, people who might not have family members available to help care for them or those need lots of help with daily activities.

Funding for this program is provided by the Michigan Aging & Adult Services Agency, the federal Older Americans Act, local contributions, donations and cost share payments. 




Cost: Services Available for a Fee
Eligibility Requirements:

SameAddress is a social enterprise program of the Area Agency on Aging 1-B, designed to help make sure families who may not qualify for government-funded programs have the reassurance that they are working with a trusted resource—the  AAA 1-B. The SameAddress one-source approach offers the most comprehensive solution for safe, comfortable and independent living at home. SameAddress offers not only direct care, but home modifications, transportation, errands, meals, home maintenance and more. Since there are no eligibility requirements or enrollment process, care can begin almost immediately. To find out more about SameAddress, visit the SameAddress website or call them at 866-Senior 1.


Finding Other Home Care Options

There are lots of home care agencies in metro Detroit offering home care services for those who are able to pay out of pocket. MichiganHomeCareGuide.com is a website developed by the Area Agency on Aging 1-B to help people find quality home care. It lets you search for home care providers in your area and see ratings and reviews entered by others who have used their services.

There Are Waits for Some Programs

Unfortunately, many of the government-funded programs offered to lower-income seniors often have wait lists. The length of wait will depend on how many other people are already waiting to enroll in the program and the level of funding available for that program. Home care is always available with no wait though our SameAddress program. (Please note that SameAddress is not a government-funded program, and you must pay directly for any services received through SameAddress .)

Have a Question?

Use one of our convenient online forms to connect with us quickly.

Are you looking for services or resources for yourself, an older adult or a person with a disability? Use the link below to get started on getting help:

Information and Assistance Contact form


Do you have general questions about the agency or doing business with us (Becoming a vendor or agency partner, advocacy, etc.)? Use the link below to send your questions.

General Inquiry Form