MI Choice Waiver Program

Families in crisis frequently think the only choice for their loved one is a nursing home. But there are alternatives, Valley Area Agency on Aging (VAAA) currently receives funding from Michigan Department of Community Health (MDCH) and Genesee County Senior Millage funds to provide MI Choice Program services. The goal of the program is to help eligible persons to obtain the services they need to live at home as independently as possible. A  comprehensive array of supportive services is provided under the direction of a care management team of both a nurse and social worker. Our purpose is to prevent an unnecessary move into a nursing home.


To qualify for these services you must:

  • Be a current resident of Genesee, Lapeer or Shiawassee Counties
  • Be age 18-64 if disabled or 65+ if elderly
  • Are unable to take care of their needs, and family and friends cannot provide the level of care needed
  • Care needs must meet Nursing Facility Level of Care
  • Must meet program financial eligibility criteria

If you, or someone you who may benefit from this program, please call the Valley Area Agency on Aging Information & Assistance Department at 810-239-7671, Monday through Friday, 8:00 a.m. – 5:00p.m.


Care Management Program

The Care Management Program provides care management services for persons 60+ years of age who need assistance managing their care. Through the program, eligible participants receive the services of a Nurse and a Social Worker (Supports Coordinators) that complete a comprehensive assessment at the person’s home. After the completion of the assessment, the Supports Coordinators along with the participant and his/her family develop a care plan to meet the needs of the participant. As a part of the care plan, the Supports Coordinators will work to assist the participant and family to meet the individual’s needs by arranging private pay services when funding is available. The Supports Coordinators will monitor service delivery and the participant needs through monthly contact and in-home reassessments every three to six months depending on the participant’s needs.



  • Age 60+ and at risk of nursing home admission.



Becoming a Client
All persons referred to the program receive telephone interview to determine whether they are eligible for an in-home assessment. When it appears that the person may be eligible for the program an in-home assessment is scheduled with a Supports Coordinator team to determine final eligibility and implement care management services.


Crisis Intervention Program

The Crisis Intervention Program provides short-term care management and in-home care services for seniors who have short-term health care crisis.



  • Genesee County Resident
  • Age 60+ years of age or older
  • Short-term health care needs of 3 months or less
  • Referral from physician, social worker or nurse


Program Services

  • Homemaking
  • Meal Preparation
  • Light Housekeeping
  • Personal Care

Service provision is determined by assessment of need and available funding.



For more information, please call Valley Area Agency on Aging at 810-239-7671.


Nursing Facility Transition Program

The Nursing Facility Transition Program (NFT) provides transition assistance for those individuals residing in a nursing home who wish to return to community living.



  • Age 18+
  • Medicaid Active
  • Reside in a Nursing Home in Genesee, Lapeer or Shiawassee County


Program Services

  • Assessments
  • Transition Assistance Planning
  • Assistance in finding housing and establishing utility hook-ups
  • Assistance securing housing and utility deposits
  • Securing household items needed for transition


Becoming a Client
All persons referred to the program receive a telephone interview to determine if he/she is appropriate for the program. When it appears the person may be an appropriate candidate for the program an assessment is completed at the nursing home to discuss the person’s desires and needs for a successful transition back to the community.


Home Delivered Meals Program

The Home Delivered Meals Program (also known as Meals on Wheels) provides nutritionally balanced meals (including meals designed for special diets) daily to homebound seniors to reduce nutritional risk. A Home Delivered Meal Case manager will conduct an opening assessment and re-assessment to determine program eligibility, nutritional risk and resource linkage. There is no charge for this program, but donations are suggested.



  • Age 60+ years of age or older
  • Homebound
  • Unable to obtain food or prepare complete meals
  • There is no adult living at the residence able to prepare meals


Suggested Donation:

$2.00 per meal

To learn about more programs and services offered, please click here. Or call Valley Area Agency on Aging at 810-239-7671.