Home Modification and Repairs for Older Adults: Challenges and Opportunities for State Units on Aging: This report by the USC Fall Prevention Center of Excellence and ADvancing States reports on a national survey
MICHIGAN AGING AND ADULT SERVICES AGENCY: STATE UNIT ON AGING (State Unit on Aging)
State Units on Aging (SUAs) are designated state-level agencies that develop and administer state plans that advocate for and provide assistance, including home modifications or repairs, to older residents, their families, and adults with physical disabilities. SUAs administer funds, including Older Americans Act funds, which may be used to support home modification or repair services through local Area Agencies on Aging and other state and local entities. Program(s) with home modification or repairs include:
1. The Michigan State Unit on Aging has established home repair and home modification/home injury control as approved services under Older Americans Act (OAA) Title III-B. In FY 2018, Michigan Area Agencies on Aging expended $191,782 in OAA and local funds on home modification/home injury control and $79,500 on home repair services. Home modification/home injury control programs served 1,245 individuals with 4,196 units of service.
2. The Michigan State Unit on Aging has a Weatherization Program run through the Area Agencies on Aging that offers home modifications.
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES: MEDICAID PROGRAM
1. Children’s Waiver Program
Program Description: The Children’s Medicaid Waiver Program provides community-based services for children who are under age 18 who have a documented developmental disability and need medical or behavioral services at home. Supports include environmental accessibility adaptations.
Population Served: Individuals with autism, developmental disabilities, and intellectual disabilities age 0–17 years who are Medicaid-eligible and meet medical and behavior criteria.
2. Habilitation Supports Waiver
Program Description: This home and community-based, active treatment and support program assists individuals with severe developmental disabilities to live independently with support in their community of choice as a community based alternative to living in a group home. It can include environmental modifications individuals.
Population Served: Medicaid-eligible persons of all ages with developmental disabilities as defined by federal law who, without the availability of home and community based services, would require the level of care provided in an intermediate care facility.
3. Health Link Home and Community-Based Services
Program Description: The Health Link Medicaid Waiver provides home and community-based services for individuals who are age 65 and older and for individuals with physical disabilities ages 18 through 64 years old. The waiver provides services to these individuals who, absent the waiver, would require a nursing facility level of care. Services include but are not limited to: respite, adaptive medical equipment and supplies, assistive technology, chore, and environmental modifications.
Population Served: Individuals age 65 and older, and individuals with physical disabilities age 21-64.
4. MI Choice Waiver Program
Program Description: The Michigan Choice Medicaid Waiver program provides services and support coordination in the home, including environmental accessibility adaptations. It is administered via Area Agencies on Aging and other home and community-based care agencies across the state of Michigan.
Population Served: Individuals must meet the Medicaid State Agency’s definition of nursing facility level of care and be age 65 and older or age 18-64 with a physical disability.
MICHIGAN REHABILITATION SERVICES/UCP MICHIGAN
Assistive Technology Loan Program
Program Description: The maximum $30,000 loan covers any item, piece of equipment, or device that will improve independence and quality of life. Examples include: wheelchairs, scooters, hearing aids, vision aids, vehicle modifications, and home modifications (e.g., ramps, widened doorways, and roll-in showers).
Population Served: Michigan residents who have a disability, older adults who need assistive technology, or a family member or guardian may apply on behalf of the person with the disability.
MICHIGAN STATE HOUSING DEVELOPMENT AUTHORITY
Property Improvement Program (PIP) Loans for Homeowners
Program Description: Low-interest loans with terms of up to 20 years designed to support home improvements that substantially protect or improve the basic livability of a single-family or manufactured home. A maximum $25,000 loan may cover major systems repairs, replacement and energy efficiency updates and include kitchen and bathroom remodeling.
Population Served: Michigan homeowners with equity in their home, an annual household income of up to $125,300, and a credit score of at least 620. The home must be the borrower’s primary residence.
MICHIGAN STATE ASSISTIVE TECHNOLOGY PROGRAM
Michigan Assistive Technology Program (MATP)
Program Description: This program provides low cost, fixed-rate loans of up to $30,000 to qualified applicants to finance the purchase of assistive technology devices and/or services, including modification of vehicles and homes, wheelchairs, computers, and hearing aids. This is a joint effort of the United Cerebral Palsy of Michigan, Disability Network agencies throughout the state, Michigan State University Federal Credit Union (MSUFCU) in East Lansing and, for the twelve counties of northeast Michigan, Region 9 Area Agency on Aging.
Population Served: The Program is available to any resident of the state of Michigan who has a disability, or an older adult who needs assistive technology.
The State Assistive Technology Grant Program, funded under the Assistive Technology Act of 2004, supports comprehensive, statewide programs in each state that improve the provision of assistive technology (often home modification-related) to individuals with disabilities of all ages.
MICHIGAN STATE FALL PREVENTION COALITION
Michigan Fall Prevention Partnership
For an up to date list of all state fall prevention coalitions, visit: https://www.ncoa.org/resources/list-of-state-falls-prevention-coalitions/