Health Screenings

Comprehensive health screenings are conducted by a registered nurse at various locations. Optional tests include cholesterol, cancer, diabetes, glaucoma, and Alzheimer’s/dementia. Genesee County Health Department Men: (810) 785-8530 Women: (810) 257-3840 Lapeer County Health Department (810) 667-0391 Shiawassee County Health Department (989) 743-2355


MI Choice Waiver Program

The Medicaid Waiver Program is targeted to older adults, and younger person with disabilities, who have limited financial resources, and who medically qualify for nursing home admission. The program has a wide range of service options from which a care plan can be designed that is most responsive to the individuals home care needs. The Medicaid Waiver program is funded by the Michigan Department of Community Health (MDCH). This program and/or service is funded in whole or in part by Genesee County Senior Millage funds. Your tax dollars are at work.  



  • Age 65+ and medically eligible for nursing home admission, OR
  • Age 18 or older, with a disability and medically eligible for nursing home admission, OR
  • A nursing home resident assessed as able to return home if supportive services are provided and financial guideline are met.
  • Monthly income criteria
Note: A spouse’s income is not computed in the monthly income determination
  • Individual assets limited to $2000
Note: If the client has a spouse, federal spousal impoverishment guidelines are used.    


Program Services

  • Personal care
  • Homemaking
  • Respite for caregivers
  • Adult day services
  • Home delivered meals
  • Transportation
  • Personal emergency response systems
  • Chore service
  • Home injury control
  • Medical equipment and supplies
  • Medication Management


Persons determined eligible for the program are made aware of the assistance which can be provided; often, the individual and/or family may need to supplement the amount of care which the program is able to purchase on behalf of the client.      



Becoming a Client

All persons referred to the program receive a telephone interview to determine whether they are appropriate to receive an in-home assessment. When it appears that the person might qualify for the program, a nurse and social worker visit the client’s home for an in-depth assessment of their needs. The assessment evaluates physical and mental health, functional status, current formal and informal support being provided, home environment, financial resources, and third party insurance coverage. If the individual is eligible after assessment, a care plan is developed and discussed with the older adult and/or family. Pending acceptance of the plan, services start in the home. Client care is monitored and plans are revised, as client needs change.  


Hearing Impaired Services

A staff fluent in American Sign Language provides information and casework services to older persons who are deaf or who are experiencing hearing loss. Genesee, Lapeer and Shiawassee Counties Communication Access Center 1631 Miller Rd., Flint, MI 48503 Voice and TDD (810) 239-3112


Nursing Home Assistance (Long Term Care Ombudsman)

Residents of long-term care facilities are assisted in resolving complaints; information regarding long-term care services is provided. Genesee, Lapeer and Shiawassee Counties: Adult Well-Being Services 1-313-825-2405    


Visual Impairment

Clients are provided assistance in developing coping skills through in-home rehabilitation. Genesee, Lapeer and Shiawassee Counties: Visually Impaired Center 1422 W. Court St., Flint, MI 48503 Visit the Visually Impaired Center Website (810) 235-2544    


MI Medicare/Medicaid Assistance Program (MMAP)

Volunteer counselors with MMAP answer questions about Medicare, Medicaid, Medigap, or other health care coverage. To be referred to your local counselor, call: Genesee, Lapeer & Shiawassee Counties: Valley Area Agency on Aging 1-800-803-7174

*Programs and services are subject to availability and may have eligibility requirements