Reported October 16, 2026: Michigan’s MMP 26-39 adds Overnight Health and Safety Supports to its §1915(i) benefit, listing October 15 as the effective date—but implementation depends on CMS approval of the state plan amendment. OHSS requires an awake provider physically on-site, ready for unscheduled needs while the beneficiary typically sleeps. Need is established through person-centered planning. Community Living Supports and respite cannot run at the same time as OHSS.

DomAfina’s take: do not turn the bulletin into a billing promise. Michigan providers should confirm approval and implementation details with their PIHP before offering coverage. Build schedules around awake staffing, beneficiary-specific instructions and clear service boundaries. Flag overlapping service times before claims leave. A covered overnight shift is not the same thing as a sleeping caregiver—or remote monitoring.

Source reviewed: MDHHS: MMP 26-39. The source supports the reported update; the operational recommendations are DomAfina’s analysis.