Download Forms for Michigan Home Help Program
Below you will find the necessary forms required for applying to the Michigan Home Help Program. Click on the links to view or download the forms, and read the descriptions to understand their purpose. If you have any questions, please feel free to contact us.
Adult Services Application (DHS-390)
This form starts the application process for the Michigan Home Help Program. It must be filled out by the applicant or their legal guardian and submitted to MDHHS.
Medical Needs Form (DHS-54A)
This form certifies the need for personal care services. It must be completed by a Medicaid-approved medical professional.