How do I hire long-term services for myself or a loved one?

With self-direction, you have the right to live the life you choose—right in your own home and community, no matter your age or ability.

Everyone’s situation is different. For some, self-direction means the ability to receive services from a loved one. For others, it’s supporting parents so that they can care for children with disabilities. Or, it may simply be that as you get older, you want to continue living where you choose and get care from someone you trust. No matter your situation, self-direction helps you hire the long-term care and support that’s right for you.

People choose to self-direct their care for many reasons. GT Independence is here to support your decision. You make all the important choices—like who to hire, when to schedule services, how to manage your care, and even who to fire if things aren’t working out. We take care of the paperwork and are here to answer questions you may have.

In Michigan, GT Independence works with these programs:

  • MI Choice Waiver Program
  • Community Mental Health Waiver Programs (CMH)
  • Children’s Waiver Program
  • MI Health Link Waiver Program
  • Program for All Inclusive Care for the Elderly (PACE)
  • Veteran-Directed Care

You deserve to live the life you choose. GT is here to make that easier.

How GT Independence Can Help You

GT Independence is a financial management service (FMS) company that helps you live a life of your choosing. You decide what kind of support you want; we handle the details. For example, you hire providers you know and trust. We support you by taking care of all the necessary paperwork, such as timesheets, paychecks, payroll taxes, and help with liability and worker’s comp insurance.

At GT, we believe everyone should be able to decide where to live and who provides their care. Each person has a unique situation and personalized needs. GT is here to help you learn about how self-determination works in Michigan, so you have the information to decide what is best for you.

Want to Know How to Get Started?

Understand Your Long-Term Care Options

Why Choose GT?

  • We’ve Been In Your Shoes

    People with disabilities own and lead GT. We were started by a Michigan family in 2004, and we have focused on self-direction from day one. We understand that self-direction for your care can feel complicated, but we are here to help you through the process.

  • Self-Direction Is All We Do

    GT is an FMS company that focuses all our attention on one thing: self-direction. Our people understand how programs work in Michigan and in states all across the country. We serve thousands of people receiving services nationwide, helping each person live the life of their choosing.

  • Customer Service That Cares About You

    Our customer service team is here to help you live life on your terms. Our local team is trained on the ins and outs of Michigan’s programs. This ensures you always have access to the information you need to make informed decisions. And, we can support more than 200 languages on request.

    At GT, we’re ready to assist people receiving services and their employees. We’re also here for case managers, support coordinators, and other people involved in care and support. Our goal is to find solutions that fit a person’s life, and we know that doing so well is a team effort.

  • Tools and Resources Designed for the Details

    GT has designed many tools to help manage the details of self-direction. A secure online portal helps people self-directing care and their families keep track of services and spending. And the Caregiver app by GT lets employees log their hours and check the status of their paychecks. We take care of the details, so you can focus on living your life.

“Being able to choose and hire my own caregivers creates a much more comfortable environment for me in my home.”

Person Receiving Services

Find a Program

MI Choice Waiver Program

The MI Choice Waiver Program is for adults who are eligible for Medicaid. You may be able to receive skilled nursing services in your own home or other setting. The program also provides community living supports, homemaking services, personal care, and non-medical transportation.

Community Mental Health Waiver Programs (CMH)

Community Mental Health agencies work with many different programs. We partner with CMHs to support all the programs and waivers they serve.

Children Waiver Program

The Children’s Waiver Program (CWP) helps with supports and services for children at home. The program is for those who need medical or behavioral attention on a daily basis.

MI Health Link Waiver Program

MI Health Link offers many services in a single program. Medical and behavioral health services, pharmacy, home and community-based services, and nursing home care are all available.

Program for All Inclusive Care for the Elderly (PACE)

The Programs of All-Inclusive Care for the Elderly (PACE) is for people want to continue living where in their own homes and communities. The program offers medical and social services through teams of health professionals. People who choose PACE can self-direct specific services. These services are often eligible for both Medicare and Medicaid.

Veteran-Directed Care

Through the Veteran Directed Care (VDC) program, you can self-direct your long-term service and supports. If you are a veteran, you may be able to keep living independently and at home. And, you could be in control of using your flexible budget to meet your needs.

Three Steps to Get Started

  1. Find your local Area Agency on Aging (AAA) or Community Mental Health (CMH). You can also ask your health plan about self-direction.

  2. Find a program that fits your needs.

  3. Choose GT Independence as your financial management service (FMS) and begin self-directing your services.

*Your eligibility does not depend on immigration status. Contact your regional center or GT for more information. Undocumented residents can get benefits.

Would you like someone to walk you through the process?

Looking for more Michigan resources?

We’ve made it easy to find what’s relevant to your state.

Featured Resources

Looking for a form?

To view forms, talk to your case manager or visit your GT Portal account.

Don’t have access to a portal account? Get in Touch

Your GT Contact in Michigan

Tonya Lawerence smiles at the camera in a pink shirt.

Tonya Schwerin

Director of Relationships

Phone: 1.989.264.9001
Office: 1.877.659.4500
Email: tschwerin@gtindependence.com