Illinois Built the DSP Wage Into the Rate. Michigan Stacked Three Temporary Add-Ons.Both states raised direct care wages. Only one of them made the raise permanent. Michigan’s entire increase sits...
96% of the Money That Keeps People Home Is Optional. Most of the Money That Institutionalizes Them Is Not.Federal Medicaid law makes nursing facility care mandatory and home and community...
The ARPA cliff: what happens now that the emergency HCBS money is gone States planned to spend an estimated $37.1 billion on home and community based services, most of it...
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...
Twenty one years, 35 percent, and the gap that ate the workforce Kansas put the numbers side by side and the arithmetic is unforgiving. Provider rates rose 35.2 percent. Consumer...
What Maine’s billion dollar hole teaches Michigan Community based support costs roughly a third of institutional care, generates more economic activity per dollar than most state spending, and is the...
Michigan’s FY27 budget, read the way a disability family reads it Seventy five point two billion dollars, signed on July 21, 2026. Direct care wages held. The autism navigator survived....
How Oakland County families killed a $215 million rate cut Section 1033 would have stripped $4.56 an hour out of direct care agency rates while leaving the wage mandate in...
