Case Studies of Six State Personal Assistance Service Programs Funded by the Medicaid Personal Care Option. I. Program Overview: Size of Population and Expenditures, Program Objectives


The Home Help Services (HHS) program is administered by the Michigan Department of Social Services (DSS). Program expenditures were $91 million in FY 1990, and provides Personal Care to an average of 27,558 people per month at an average cost of $275 per person per month. HHS serves SSI and Medicaid recipients. The program primarily utilizes independent providers and family members, although private agencies may be used in some cases. Expenditures are capped at $333 per client per month, unless a special policy exception is authorized. The program objectives are:

  1. Support the client in his/her own place of residence as the normal or preferred mode of independence and self-determination.

  2. Encourage the development of maximum self-determination and independence possible in the individual and authorize services only to the extent necessitated by the individual's functional limitations.

  3. Support available and functioning natural support systems (i.e. friends, neighbors, relatives) whenever possible.

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