Lauren’s Greenhouse Living Now Accepts MI Choice Medicaid Waiver Referrals

Lauren’s Greenhouse Living of Livonia can now accept referrals for eligible residents using authorized services through the MI Choice Medicaid Waiver coordinated by The Senior Alliance. This gives Wayne County families another possible path to consider when a loved one needs ongoing support in a small, home-like adult foster care setting.

Our goal is to make this change easy to understand. The MI Choice Waiver may help qualified adults receive authorized long-term services and supports in a community setting. Eligibility, assessment, enrollment, and the exact services covered are determined by The Senior Alliance and Medicaid—not by the adult foster care home.

What the MI Choice Medicaid Waiver Means for Wayne County Families

The MI Choice Waiver is a Michigan Medicaid program for qualifying adults who meet financial and medical eligibility requirements and need long-term services and supports. The Senior Alliance administers the program in western Wayne County and Downriver, including Livonia. Its team conducts intake and assessment, determines eligibility, develops person-centered service plans, and authorizes appropriate services.

For a family exploring adult foster care, the important word is authorized. A person’s services must be approved within an individual plan. Lauren’s Greenhouse Living does not decide who qualifies or guarantee that a particular service, number of hours, or dollar amount will be approved.

What the Waiver May Cover—and What It May Not

Depending on the participant’s approved plan, MI Choice services can include supports coordination, community living supports, respite, nursing services, transportation, medical equipment, personal emergency response systems, and other long-term supports. The exact combination is based on the individual’s assessed needs and authorization.

Families should not assume that Medicaid pays the entire monthly residential cost. Authorized waiver services and residential charges are not the same thing. Room and board, personal expenses, and services outside the approved plan may remain the resident’s responsibility. Before admission, our team will help the family identify the residential costs, while The Senior Alliance explains eligibility and the approved waiver services.

Why a Small Adult Foster Care Home May Be the Right Setting

Lauren’s Greenhouse Living is a small, licensed adult foster care home in a wheelchair-accessible brick ranch in Livonia. With a six-bed capacity, the environment is quieter and more personal than a large senior living building. Residents receive 24-hour supervision and support, medication assistance, home-cooked meals, familiar routines, and communication with involved family members.

Debbie Waldo, RN, BSN, lives close by and stays personally involved with the home. She does not live on-site. Trained caregivers are present to support residents around the clock.

A small-home setting may be especially helpful for someone who becomes overwhelmed in a large facility, benefits from consistent routines, needs a wheelchair-accessible layout, or would feel more comfortable in a real neighborhood home. Every admission still depends on care needs, room fit, safety, and the home’s ability to meet the person’s needs.

How to Start a MI Choice Referral

1. Call Lauren’s Greenhouse Living. Contact us at (734) 414-8000 to discuss current needs, timing, room availability, and whether an adult foster care placement appears appropriate.
2. Contact The Senior Alliance. Call 734-722-2830 or complete the official MI Choice Waiver referral form. Their specialists can conduct an intake and explain the assessment process.
3. Complete the eligibility and care assessment. The Senior Alliance reviews medical and financial eligibility and identifies the services needed to support the individual in the community.
4. Confirm the authorized plan and private responsibility. Before moving forward, make sure everyone understands which services are authorized, which costs are not covered, and how room and board will be paid.
5. Coordinate admission. If Lauren’s Greenhouse is an appropriate fit and a room is available, we coordinate with the family and involved professionals for a safe transition.

Information Families Should Gather Before Calling

It helps to have the person’s Medicaid information, current diagnoses, medication list, mobility needs, recent hospital or rehabilitation records, income and asset information, current living arrangement, and the name of any guardian or patient advocate. Do not delay making a referral if every document is not immediately available; The Senior Alliance can explain what is needed.

Families should also think about what daily support is required. Does the person need help with bathing, dressing, toileting, transfers, meals, medication routines, nighttime supervision, or transportation? Clear information helps both the waiver team and the adult foster care home evaluate the safest plan.

Two Calls Can Clarify the Next Step

Lauren’s Greenhouse Living can answer questions about the home, care environment, current openings, and residential costs. The Senior Alliance is the authoritative source for MI Choice eligibility, assessment, and service authorization.

Call Lauren’s Greenhouse Living at (734) 414-8000 to discuss a possible placement. You can also review our Livonia adult foster care openings page and our guide to adult foster care costs in Michigan.

This information is educational and is not a guarantee of Medicaid eligibility, admission, service approval, payment amount, or coverage. Program rules and authorizations may change. Confirm current requirements directly with The Senior Alliance and Medicaid.

Frequently Asked Questions

Does Lauren's Greenhouse Living accept the MI Choice Medicaid Waiver?

Lauren's Greenhouse Living can now accept referrals for eligible residents whose authorized MI Choice Waiver services are coordinated through The Senior Alliance. Enrollment, eligibility, assessment, and service authorization are determined by The Senior Alliance and Medicaid.

Does the MI Choice Waiver pay the entire monthly cost of adult foster care?

Not necessarily. The waiver may pay for authorized care and support services, but Medicaid waiver coverage generally does not mean every residential expense is covered. Room and board and other non-covered costs may remain the resident's responsibility. Families should confirm the approved service plan and financial responsibility before admission.

Who determines whether someone qualifies?

The Senior Alliance determines program eligibility and coordinates assessment and service authorization for its MI Choice service area. Livonia is within The Senior Alliance service area.

How can a family start the process?

Call Lauren's Greenhouse Living at 734-414-8000 to discuss care needs and room fit, and contact The Senior Alliance at 734-722-2830 or use its official MI Choice referral form to request an eligibility screening.