Michigan pays direct care workers $17.13. Illinois pays $21.30. Same labor market, same year, same job. A four dollar and seventeen cent gap that Michigan rebuilds by hand every single...
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....
The CMS Access Rule: 5 new requirements that could transform HCBS if they survive A 2024 federal rule tells states how much of your adult child’s service dollar has to...
The Waskul settlement changed Michigan self-determination. Are you using your new rights? A federal court set a floor under Community Living Supports budgets, gave administrative law judges the power to...
Self-direction as a survival strategy: when you can’t find a worker, become the employer Every state and the District of Columbia now offer some form of consumer-directed personal care. In...
Can Michigan pay you to care for your adult child? A step-by-step guide to Home Help Yes, once they turn eighteen. Michigan’s Home Help program is a Medicaid State Plan...
Customized employment: is it a real option for your high-support-needs adult? It is promoted specifically for people most affected by disability. A 2023 review found eighteen studies and zero randomized...
Employment First is failing Level 3 adults, and nobody’s tracking the outcomes Thirty-one states passed Employment First legislation. The national competitive integrated employment rate for people served by state disability...
Building evidence that gets services approved: photograph, video, write it down Five kinds of evidence decide most waiver and service disputes, and four of them you have to create yourself....
The binder that could save your family: building a lifetime advocacy record Nine sections, one three-ring binder, and a rule about writing things down that has settled more disputes in...
