Medicaid work requirements start January 2027. Is your family member exempt? Eighty hours a month, ages 19 to 64, starting January 1, 2027. Your adult child is almost certainly exempt....
Medicaid Waivers and HCBS Basics What a waiver actually is, what “level of care” really means, why waiting lists exist, and the questions every caregiver should walk into the first...
Meaningful activity when employment is not realistic Not everyone can hold a competitive job. That does not mean the day has to be television. Contribution, mastery, and connection are the...
Managing Self-Injurious Behavior and Aggression at Home: Safety Without Restraint System-level crisis response gets written about constantly. What actually happens in your living room, alone, at eleven at night, almost...
K.B. v. Michigan DHHS: what the children’s HCBS settlement means for adult services A federal court made Michigan build statewide intensive home and community based services for children. Your adult...
Isolation as disability discrimination Years alone at home with no day program, no transportation, and no plan is not simply a gap in services. Under federal law, unnecessary segregation of...
Incontinence in Autistic Adults: Management, Dignity, and Getting Help One of the most common daily realities of caregiving for a Level 2 or 3 adult, and one of the least...
How to Testify at the Michigan Legislature: A Practical Guide for Families Three minutes. That’s often all the time a family gets in front of a legislative committee. Used well,...
How to document harm when services disappear When a service ends, the harm doesn’t announce itself with a diagnosis code. It shows up as lost skills, disrupted sleep, and a...
How caregivers become unpaid DSPs Nobody hands you a job offer. The direct support shift just goes uncovered long enough that you pick it up yourself, and then it never...
