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STATE PROFILE • Last updated: April 23, 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.

leaderboard RANKED #32
GRADE C
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

C Grade
AFFORDABILITY STRONG
QUALITY MODERATE
STAFFING CRITICAL
ACCESS CRITICAL
MEDICAID SUPPORT STRONG

Composite score: 49.2 / 100

Methodology arrow_forward
Michigan state capitol

Michigan At a Glance

Nursing Home Facilities
423
Senior Medicaid Waivers
1
National Rank
#32 / 51

Senior Care Costs in Michigan

Nearby States

TOPICAL GUIDES — HOW MEDICAID WORKS

EXPLORE MICHIGAN