Birmingham's walkable downtown and historic housing stock are home to both longtime residents and families who've moved in more recently — and regardless of how long a family has lived here, Home Help's eligibility rules run on the same statewide asset and functional-need tests.
The Home Help Program works the same way across all of Oakland County — Birmingham residents apply through the same county MDHHS office, go through the same MDHHS-5534 home assessment, and are paid $17.13/hr if self-directed — or up to $23/hr through one of our licensed agency partners — once approved and enrolled in CHAMPS. What differs city to city isn't the program rules, it's the local context families are navigating around it.
If you're in Birmingham and think a parent, grandparent, or other loved one might qualify, the fastest way to find out is our full eligibility checklist, which covers the 2026 asset limits and the functional ADL test MDHHS uses. If you're specifically wondering whether you personally could become the paid caregiver, our self-direction guide covers exactly who can and can't be paid.
For your local MDHHS office's current contact details, MDHHS's own directory is the most reliable source — see our Oakland County guide for the direct link, plus more on what makes care planning in Oakland County a little different.
Both paths are available to Birmingham families. A self-directed family caregiver is paid $17.13/hr directly and keeps care inside the family; a licensed provider agency handles hiring, payroll, and backup coverage, and can pay the caregiver up to $23/hr. Our family vs. agency comparison breaks down the trade-offs plainly, and our free pay calculator can show what either path looks like for your specific approved hours.
The same statewide rates apply in Birmingham as anywhere else in Oakland County: $17.13/hr if you self-direct as an individual provider, or up to $23/hr through one of CarePay Michigan's licensed agency partners.
Birmingham residents apply through their local Oakland County MDHHS office, complete the MDHHS-5534 home assessment, and enroll the chosen caregiver through the state's CHAMPS system. Our full application walkthrough covers every step.
We'll help Birmingham families figure out the right next step — no obligation.
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