In-home care built around daily activities, not a fixed checklist.

Hearthaven caregivers support the activities of daily living (ADLs) and instrumental activities of daily living (IADLs) that MDHHS assessments are built around — the same categories of help most families actually need.

Personal Care (ADLs)

Activities of Daily Living

ADLs are the hands-on physical tasks that MDHHS assessors look at first when determining eligibility and approved hours. If your loved one needs genuine physical help — not just a reminder — with any of these, it's worth having a conversation.

Bathing & grooming

Hands-on assistance with bathing, hair care, oral hygiene, and dressing, delivered with patience and dignity.

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Mobility & transferring

Support moving safely between bed, chair, and bathroom, reducing fall risk during daily routines.

Eating assistance

Help at mealtimes for clients who need physical assistance getting food and drink safely.

Toileting support

Respectful, private assistance with toileting and continence care.

Medication reminders

Consistent, scheduled reminders to help medications get taken correctly — not medication administration or clinical dosing.

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Companionship

A familiar, trusted presence throughout the day — often the difference between isolation and genuine wellbeing.

Household Support (IADLs)

Instrumental Activities of Daily Living

IADLs cover the household and logistical tasks that keep a home running — and they add to total approved hours once an ADL need is already established.

Meal preparation

Nutritious, dietary-appropriate meals planned and cooked at home, with attention to any dietary restrictions.

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Light housekeeping

Tidying, laundry, dishes, and the everyday upkeep that becomes difficult with limited mobility.

Transportation

Safe rides to medical appointments, therapy sessions, pharmacy runs, and essential errands.

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Grocery & essentials shopping

Shopping for groceries, household essentials, and prescriptions, planned around your loved one's needs.

Appointment coordination

Keeping track of medical appointments and helping communicate updates back to family.

Routine & schedule support

Consistent daily structure that helps clients — especially those with memory-related needs — feel steady and secure.

How Care Gets Paid For

MDHHS Home Help, private pay, or both.

Hearthaven provides care under Michigan's MDHHS Home Help Program for Medicaid-eligible clients, and also accepts private-pay arrangements for families who don't qualify for or don't want to pursue the Medicaid pathway. Many families start with a mix of both while an application is pending.

  • MDHHS Home Help Program (Medicaid-funded, income and asset limits apply)
  • Private pay, hourly or scheduled care
  • A blended plan while an MDHHS application is in progress
  • Check eligibility requirements

    Not sure what level of care your family needs?

    Tell us what a typical day looks like and we'll help you understand what's covered, what isn't, and what to expect from an assessment.

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