An MDHHS case manager — officially called an Adult Services Worker — is the state employee responsible for your loved one's Home Help case from the initial MDHHS-5534 assessment through every renewal. They're your main point of contact for questions, changes in condition, or issues with approved hours.
What they handle
- Conducting or reviewing the home assessment
- Setting and adjusting approved hours
- Processing renewals
- Handling reported changes in condition
- Fielding questions about who's enrolled as a paid caregiver
What they don't handle
Billing and payment issues generally run through a separate CHAMPS/fiscal channel rather than your case manager directly, and if you're working through a licensed agency instead of self-directing, day-to-day HR matters go through the agency, not MDHHS.
How to find and reach your case worker
Your county's MDHHS office handles case assignment — see our Wayne, Oakland, or Macomb county guides for office details. Keep your case number handy, since caseworkers can occasionally change.
When to call your case manager vs. wait for renewal
Report meaningful changes in condition as they happen rather than waiting for the scheduled renewal — see our posts on what adult services workers look for and what to expect at renewal for more on how that timing works.
