Understanding the Annual Reassessment Process for Michigan’s Home Help Program

Getting approved for Michigan’s Medicaid Home Help Program is an important milestone — but to keep receiving services, families must complete an annual reassessment.

This process allows the state to review the care recipient’s condition, ensure eligibility is still met, and update the number of paid caregiver hours if needed.

Here’s what to expect during your annual reassessment and how to prepare.

🔁 What Is a Reassessment?

A reassessment is a yearly review conducted by your assigned Adult Services Worker (ASW). It ensures that:

  • The care recipient still qualifies for Home Help

  • Their care needs haven’t significantly changed

  • Medicaid is still active

  • All documentation is up to date

The reassessment is required by the Michigan Department of Health and Human Services (MDHHS) for continued participation in the program.

🏠 What Does the Reassessment Include?

The ASW will either:

  • Schedule a home visit

  • Conduct a phone reassessment

  • Request updated documentation only (in some cases)

During the review, they may:

  • Re-evaluate how the person manages daily tasks (Activities of Daily Living)

  • Ask if the caregiver has changed

  • Update the care plan if needed

  • Verify Medicaid enrollment

  • Review changes in behavior or medical condition

📋 What You May Need to Submit

You may be asked to submit or update:

  • DHS-54A Medical Needs form — completed by a doctor

  • Updated contact information for the care recipient and caregiver

  • Changes in living situation or health status

  • Any documents showing hospitalizations, medications, or diagnoses that affect care

Even if you aren’t asked to re-submit the application, keeping these documents on hand is helpful.

⚠️ What If You Miss the Reassessment?

Failure to complete the reassessment can result in:

  • A pause in services

  • Delayed or stopped caregiver payments

  • Potential case closure

If you're unsure whether you have a reassessment due, call your ASW or check your notices from MDHHS.

🗓 When Does the Reassessment Happen?

Typically, reassessments are scheduled every 12 months from the original approval date. However, one may also occur earlier if:

  • There is a change in condition

  • You request additional hours

  • The ASW believes a review is necessary

✅ Tips to Prepare

  • Keep a folder with your most recent forms

  • Track ADL changes (e.g., if mobility worsens or supervision is needed)

  • Notify MDHHS or your ASW of any hospital stays or medication changes

  • Have your care recipient present for the reassessment visit or call

🧭 Final Thoughts

Annual reassessments are a routine — but essential — part of the Home Help Program. Being proactive and organized can help ensure your services continue without interruption.

👉 For reassessment tips, checklists, and more, visit michiganhomehelp.org

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Understanding the Role of the Adult Services Worker (ASW) in Michigan’s Home Help Program

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What’s the Difference Between Home Help and Home Health Services in Michigan?