Michigan Home Care

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Michigan Home Care: Common Terms, How to pay for Home Care, Licensing and Questions to ask

We all know that as we age some people may require care at some point. Typically, when people think of senior care they envision a nursing home. However, nursing homes are definitely not the only option for caring for a loved one who might require some care. Michigan Home Care (or In home Care) is designed specifically for aging adults who only require some basic assistance at home without medical help.

Home Care may also called In Home Care in Michigan

Home Care (or In home Care) is suited for seniors who may only require some basic non-medical assistance at home. Home aides may support with activities of daily living (ADLs), which include medication reminders, assistance with bathing and eating, among other helpful tasks. Home Care may be an excellent care option for family members if they must leave town or just need a break from caring for their loved one. The Home Care aides bring a sense of personalization, providing companionship and socialization, and a sense of connection.

Home care and aging in place

In home care services include assistance with activities of daily living (ADLs). These in-home aides may assist with personal care and monitoring like they would receive in a long-term care community. All while they remain in the comfort of their own home.

How do you know it may be time for Home Care?

What are the signs to look for?

Have you noticed your loved one is spending less and less time managing their hygiene or personal appearance. They may stop brushing their teeth or let their facial hair grow in an unkempt fashion when they didn’t before. Are they going longer periods of time in the same clothing, or neglecting relatively scheduled eating habits? Grooming and hygiene live under the umbrella of ADLs, and as such a Personal Care Assistant may help with these tasks.

Is your loved one forgetting things more frequently? Typically, people forget things sometimes, but if you notice they are forgetting simple tasks they normally perform regularly, this may be a a sign that assistance is necessary.

It is not uncommon for elderly adults to experience trouble walking, getting up from a seated position or need help getting in and out of bed. Signs like this can be dangerous. The risk of a fall increases as mobility declines. The aide of a home care caregiver may assist with moving around the house safely.

Did you notice your loved one’s home is in disarray? Have they usually shown signs of tidiness or regular cleanliness, and now the home is disheveled and dirty. In Home Aides may assist in normal household maintenance like dusting and sweeping, cleaning the kitchen or doing laundry.

What Assistance do In-Home Care Aides Provide?

Home Care Aides provide a variety of services and assistance. Depending on the individuals condition, elderly adults may require different types of care.

Services included in home care:

  • Companionship 
  • Socialization 
  • Cognitive stimulation 
  • Medication reminders 
  • Grocery shopping 
  • Transportation 
  • Respite for family caregivers 

Often times, people think of nursing homes or retirement homes as the only places for senior care. As we’ve discussed earlier, there are multiple care options. And even within home care, there are levels of care suited for an individuals needs. The specific services offered in home care will vary state by state.

What are the different Home care options?

 

Personal Care Assistant 

  • Companionship as well as assistance with activities of daily living, (non-medical personal care) toileting, dressing, grooming, and bathing.  
  • They can help with grocery shopping and meal preparation. 
  • A personal care assistant can help with family difficulties. If a family caregiver must leave town or be away from the home overnight the caretaker can stay with the individual and monitor and assist as needed. 
  • If a spouse is too heavy, a personal assistant can be a great asset in helping the individual move without risk of injury. 
  • These care assistants cannot perform any medical care. 

Companion Care 

  • These companions spend time with older adults. Providing companionship is especially relevant for people who live alone, or do not leave the house due to cognitive impairments or frailty.  
  • These companions are there to look after the person, keep a watchful eye, act as an extension of the person to help with mobility and general physic functions.  
  • They may drive the person to appointments, prepare light meals and snacks. They may even play games or read and listen to music together. 
  • Companion care is a great way to bring social interaction and assistance to a person who may otherwise spend long periods of time alone. 

Laws and Regulations

Licensing

Licensing is not required for home care in Michigan. However, the state has strict regulations regarding agency operations.

Care plans

non-medical care providers are not required to have care plans. But a client may ask for a written plan to be presented.

Staffing

Michigan has no state mandated requirements for staff training. Though, all employees must undergo a state mandated criminal background check.

Grievances

Any suspected abuse must be reported to the State Department of Health.

The individual under care has the right to file a complaint with the agency: 

  • Regarding their treatment and care provided. 
  • The failure of the agency to provide certain care. 
  • The lack of respect for property and/or person. 
  • Individuals have the right to participate in and be informed about, and consent to or refuse care in advance of and during treatment. 

How much does home care cost in Michigan?

The cost of home care in Michigan is more expensive than the national average.

National average for home care per month: $5,000

Michigan: $5,550

Michigan home care is the most expensive in the region.

Questions and inquiries about home care

Agency Information

  • Is the agency RN operated?
  • Is the agency a franchise or locally owned and operated?
  • Is the agency licensed by WA State Department of Health?
  • Is the agency licensed for both home care and home health?
  • Does the agency have liability insurance?
  • Can the agency respond to you 24/7?

Caregiver Information

  • Are employees licensed, bonded & insured? Or are they independent contractors?
  • Does the agency test skills, conduct behavioral interviews and verify caregiver credentials?
  • Are caregivers required to have current certifications for First Aid, CPR, and TB?
  • Are caregivers provided continuing education/training?
  • Can authorized individuals monitor care and make requests online in real time?
  • Does the agency offer caregiver replacement when the “fit” may not be right?

Documentation and Supervision

  • Does an RN/MSW/Care Manager conduct a free home care assessment?
  • Does an RN/MSW/Care Manager create a home care plan?
  • Does an RN/MSW/Care Manager supervise the caregivers?
  • Do caregivers receive client orientation before arriving at a client’s home?

Policies and Cost

  • Can services be cancelled with a 4-hour notification?
  • Does the agency offer flexible scheduling, custom care plans, and  a continuum of care?
  • Does the agency have weekly or monthly minimums?
  • What is the hourly minimum per shift?
  • Does the agency offer home care discounts?
  • What is the required deposit?
  • Will the agency accept long-term care insurance?

Aging and Adult Services Agency  AASA provides leadership on aging at the state level serving Michigan’s older adult population in a collaborative process, working in partnership with the 16 Area Agencies on Aging and more than 1,300 service providers to offer a wide variety of program available for older adults.

Michigan Department of Health and Human Services Centralized Intake Line If you suspect abuse or neglect, call 855-444-3911 any time day or night. This toll-free phone number allows you to report abuse or neglect of any child or adult.

Michigan Advocacy Program To advance the safety, independence, and economic stability of those most affected by poverty, racism, and other structurally oppressive systems by increasing access to justice and working for systemic solutions.

MMAP, Inc. MMAP, Inc. is a free health-benefit counseling service provided to Michigan residents. Our goal is to help Michigan’s Medicare beneficiaries find their way through the health benefits maze.

Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.

Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings

Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support, and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.

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Written by The Care Availability Team
Experts in the senior care & retirement living industries

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