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Community PartnershipHistorical + ongoing referral relationship

AgeWays — Two Decades of Relationship, Honestly Described

We were an active Medicaid home care vendor for the Area Agency on Aging 1-B (now AgeWays) for roughly two decades, exited the vendor system in 2019, and remain in their resource directory today for private-pay family referrals.

Counties served by AgeWays

Oakland, Macomb, Livingston, Monroe, St. Clair, Washtenaw

Our current relationship

Listed in resource directory · Receive private-pay referrals

AgeWays family helpline

(800) 852-7795

The relationship, by the years

  1. Late 1990s – 2019

    Active Medicaid home care vendor

    Affordable Home Care was a contracted vendor for the Area Agency on Aging 1-B, delivering Medicaid-funded home care to seniors across Oakland, Macomb, Livingston, and surrounding counties. The relationship spanned roughly two decades.

  2. 2007

    Service & Leadership Award

    During the active vendor years, Affordable Home Care received the Area Agency on Aging 1-B Service & Leadership Award — a recognition of consistent service to the aging community in Southeast Michigan.

  3. 2019

    Exit from Medicaid vendor system

    Reimbursement rates fell too far below the cost of delivering quality care, and Affordable Home Care exited the vendor system rather than reduce caregiver wages or staffing standards. The full story is in our policy commentary post.

  4. 2020 – present

    Listed in AgeWays resource directory

    AgeWays (the rebranded organization, now AgeWays Nonprofit Senior Services) continues to list Affordable Home Care in their resource directory. We receive informational referrals from AgeWays care coordinators each year for families paying privately, through long-term care insurance, or through VA benefits.

What this means for families today

  • If you pay privately or through long-term care insurance / VA benefits — AgeWays may refer you to us, and you receive the same staffing model and continuity standards we built the business around.

  • If your loved one's only realistic funding path is Medicaid — we are not your home care agency anymore. Call AgeWays directly at (800) 852-7795; they maintain the active Medicaid-vendor list and can also screen for MI Choice waiver eligibility.

  • If you're not sure which bucket you're in — call either of us. We'll talk through it honestly and point you toward the right resource, even if that resource isn't us.

Why we stopped accepting Medicaid in 2019

Owner Austin Adair on the rate dynamics behind the 2019 exit, what it meant for caregiver wages, and what we tell families today.

Read the full policy commentary

FAQ

Common questions about AgeWays & Affordable Home Care

No. We exited the Medicaid home care vendor system in 2019 because reimbursement rates fell too far below the cost of delivering quality care without cutting caregiver wages. Families whose only realistic funding path is Medicaid should call AgeWays directly at (800) 852-7795. The full story is in our Why we stopped accepting Medicaid in 2019 post.
AgeWays continues to list us in their resource directory and refers families paying privately, through long-term care insurance, or through VA Aid & Attendance benefits. Those families receive the same 12-Mile Care Standard we built the agency around — the funding source does not change the care.
AgeWays serves six counties: Oakland, Macomb, Livingston, Monroe, St. Clair, and Washtenaw. Our service area centers on Oakland and Wayne — see the Metro Detroit service map for the cities we cover routinely.
If reimbursement rates rose to a level where caregivers could earn a livable wage and we could maintain our 1:1 continuity model, we would consider it. Until then, the math does not support it — and going back without solving the underlying rate problem would put us right back in the position we left in 2019. See the full policy commentary for the rate dynamics behind that decision.
If you are not sure how care will be paid for, call either of us. Medicaid-only path → AgeWays at (800) 852-7795. Private-pay, LTC insurance, or VA benefits → call us at 248-419-5010 or use the cost calculator first to model the picture, then reach out. We will tell you honestly which call is the right one.

Have questions about paying for home care?

We'll talk through your family's situation honestly — even if Medicaid is your only path and we have to point you back to AgeWays.