February 16, 2026
The Michigan Long Term Care Ombudsman Program and MEJI are proud to support the Statewide Residents' Council in advocating for an increase in the personal needs allowance for nursing home residents on Medicaid. The $60 allowance, which was adopted decades ago, is the amount of monthly income most nursing home residents are allowed to keep if their stay is being paid for by Medicaid.
Residents need to rely on the limited allowance for everything from their cellphone contracts and clothes to haircuts, personal care items, reading material, snacks, and stamps and birthday cards for their family or friends. Many find that they have to make painful choices between urgently needed items and often have to wait months to save up for a small item or go without. They tell ombudsmen that having enough money for their basic expenses is a matter of dignity as well as necessity.