STATE PROFILE • Last updated: November 11, 2026
Michigan Elder Care & Medicaid
Michigan's Medicaid landscape for seniors offers robust home and community-based services through the MI Choice Waiver, alongside a Medically Needy pathway for those with higher incomes.
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RANKED #14
GRADE B
FEATURED
Medicaid Coverage Guide for Michigan
Full breakdown of MI Choice Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
MI Choice Waiver
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
GRADE C · 69
QUALITY
GRADE C · 48
STAFFING
GRADE C · 40
ACCESS
GRADE D · 27
MEDICAID SUPPORT
GRADE A · 66
Composite score: 63.4 / 100 (50 = average state)
Methodology arrow_forward
Michigan At a Glance
Nursing Home Facilities
423
Senior Medicaid Waivers
1
National Rank
#14 / 51
Range #11–#21 when the pillar weights shift
Senior Care Costs in Michigan
local_hospital
Nursing Home
$10,965/mo
-0.7% vs national avg
- 423 nursing homes · 44,034 beds
- Avg CMS rating 3.17★ (107 rated 5★, 65 rated 1★)
- 4.03 nurse hrs/resident/day (0.77 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$27/hr
- Median aide wage $16.06/hr
- ~83,960 aides employed statewide
Source: BLS OEWS
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