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Michigan provider organizations that employ direct support workers to provide Medicaid home- and community-based waiver services (HCBS) for long-term care services and supports face a 30% turnover rate among direct care staff. Among community mental health (CMH) direct care workers who provide habilitation supports, the annual turnover rate is 32%. Among Home Help waiver service provider organizations, the turnover rate is 39%. Among Michigan Choice HCBS provider organizations, turnover is about 32%...
