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Home Our Programs In-home Care Options Care Management

Senior Couple Hospital

Providing a Care Management Program in Grand Rapids, MI

Care Management is an in-home long term care program for older adults who are unable to take care of their needs without help. Clients are matched with a Care Management team (made up of a licensed Social Worker and a Registered Nurse) who arrange for in-home services (such as help with bathing or dressing, cleaning and laundry or in-home respite relief for a family caregiver). Services are arranged through a pool of provider organizations that are under strict guidelines and oversight. The Care Management team also helps people connect with other available resources in the community. 


  • Over age 60
  • Unable to take care of needs without help
  • At risk of nursing home placement
  • Desire to remain at home
  • Live in our region (Allegan, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo and Osceola county-for a list of resources outside of our region, click here)

Referral Process:

To participate in the Care Management program, a referral must be made to AAAWM (referrals can be made by medical professionals, family members, friends or the individual themselves).

To Make a Referral:

Please note, we are able to provide language translation services over the phone.

Contact our Information and Assistance team at (888) 456-5664 or (616) 456-5664 or click here to send an email (please note that our Information and Assistance team may need to contact somone by phone for additional information).  

What information is needed for a referral to the Care Management Program?

The following questions will be asked to determine if someone qualifies for the Care Management program. If they do qualify, an in-home assessment will also be done to determine what services are needed.

  • Name
  • Date of Birth
  • Address
  • Phone Number
  • Marital Status
  • Gross, monthly income amount
  • Income source(s)
  • Medicare number (if applicable)
  • Medicaid number (if applicable)
  • Preferred language
  • Preferred contact person and relationship
  • Description of care needs, including:
  •   Primary medical diagnoses
  •   Description of your ability to take care of daily needs (i.e. personal care, meals, housekeeping, and medication management).
  •   Assistance received from family members, friends, or other support persons (if applicable).
  •   Assistance received from another program (i.e. Mental Health, Adult Home Help, Skilled Nursing, private duty care, etc.

To view a list of frequently asked questions for all of our In-home Care programs, click here. Our In-Home Care Options, which includes information on the Care Management program brochure can be viewed here.

Area Agency on Aging of Western Michigan
3215 Eaglecrest Dr NE, Grand Rapids, MI 49525
Phone: 616-456-5664 or 888-456-5664 • Fax: 616-456-5692


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