Michigan's Home Help program pays for personal care through Medicaid, and a medical needs certification is a prerequisite. The MDHHS-6200, new in September 2025, replaces the DHS-54A for this purpose. A Medicaid-enrolled provider certifies the person's diagnoses, whether the condition is chronic, mobility and equipment needs, and which ADL, IADL and complex care tasks need hands-on assistance.
A Medicaid-enrolled physician (M.D. or D.O.), physician assistant, nurse practitioner, occupational therapist, physical therapist or clinical nurse specialist completes Sections 3 and 4, including NPI and signature. The patient signs the release in Section 1, and Section 2 is for departmental use.
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Adult Services Medical Needs Certification
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The MDHHS-6200, Adult Services Medical Needs Certification, introduced in September 2025. It replaces the DHS-54A Medical Needs for Home Help personal care services. The DHS-54A remains in use for Family Independence Program and PATH incapacity verification.
A physician (M.D. or D.O.), physician assistant, nurse practitioner, occupational therapist, physical therapist or clinical nurse specialist who is enrolled as a Medicaid provider. They complete the certification in Section 3 and give their NPI and signature in Section 4.