---
title: "Michigan Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/michigan/medicaid-long-term-care/
description: "How Michigan delivers long-term care through nursing-facility Medicaid, the MI Choice Waiver, and PACE rather than one unified program."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Michigan · Medicaid Program

# Michigan Medicaid Long-Term Care

Last updated 2026-10-20

Michigan spreads long-term care funding across several distinct programs rather than folding everything into one. The Michigan Department of Health and Human Services administers all of them, but which one applies depends on the setting: nursing-facility Medicaid covers institutional care, MI Choice serves people at home or in the community, and PACE blends Medicare and Medicaid financing for participants enrolled with a PACE organization.

MI Choice itself runs as a federal 1915(b)/(c) waiver, operated through regional waiver agencies that function as Prepaid Ambulatory Health Plans. Those agencies handle the practical work of intake, assessment, and care coordination on the ground.

## Sources and official resources

- [MDHHS: Nursing Facility Eligibility](https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Doing-Business-with-MDHHS/Forms-and-Applications/nursing_fac_elig_134653_7.pdf)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Michigan guide](https://fundingltcmarketplace.com/states/michigan/)