The age-21 cliff when the Medicaid Autism Benefit ends Michigan’s Medicaid Autism Benefit does not send a warning letter before it ends. It simply stops on a birthday, and what...
Michigan’s Habilitation Supports Waiver, step by step The HSW is the funding source behind most adult autism services in Michigan, and almost nobody explains it in order. Here is the...
Michigan’s PIHP maze Why the county line you live on decides whether your autistic adult gets day programming, crisis support, and respite, or waits years for any of it. By...
HSW renewals and changes: what to watch for The waiver funding your family’s services gets renewed and amended on a schedule most families never learn exists, through a public comment...
Appeals, grievances, and fair hearings (MDHHS/PIHP denials) A denial letter looks final. It isn’t. Michigan gives you a real, structured path to challenge it, with a clock that starts the...
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...
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....
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...
Sixty years of promises and the crisis they built Nobody designed this. That is the problem. Six decades of reasonable decisions, each solving the previous decade’s emergency, stacked into a...



