- Admin@MMHomeCare.com
- 32003 Plymouth Road Livonia, MI 48150
M & M Home Care delivers comprehensive, clinically directed services to individuals who require skilled medical support, rehabilitative therapy, and long-term functional assistance in the home setting. We are not a basic sit-and-watch agency. We are a medically structured organization built to manage complexity.
Our core services include:
Physical therapy addresses mobility, strength, gait training, balance, fall prevention, and functional endurance. We concentrate on measurable improvement and practical recovery—not just passive treatment.
When clinically indicated, massage therapy is incorporated as part of a comprehensive rehabilitation strategy to address pain, muscle spasm, tissue restriction, and mobility limitations.
Speech therapy extends beyond speech alone. Our clinicians address cognitive deficits, memory impairment, executive functioning, swallowing disorders, and communication challenges commonly seen in traumatic brain injury and neurological cases.
We conduct formal assessments to determine necessary environmental modifications that promote accessibility and reduce risk. Recommendations may include ramp systems, bathroom modifications, door widening, lift systems, and structural adaptations.
Proper seating is critical in catastrophic injury cases. We assess posture, pressure distribution, alignment, and mobility needs to prevent secondary complications such as pressure ulcers, contractures, and spinal deformity.
Our licensed nurses provide hands-on clinical care in the home, including wound management, medication oversight, care coordination, assessment of medical stability, and monitoring of complex conditions. Skilled nursing is appropriate when a patient requires professional medical judgment—not simply supervision.
We provide structured assistance with activities of daily living such as bathing, dressing, mobility, toileting, meal support, and safety supervision. For catastrophically injured patients, this may include extended or 24-hour care. Services are delivered based on documented medical necessity and functional limitation.
Yes. Since 2014 M & M Home Care has developed extensive experience serving patients injured in motor vehicle collisions under Michigan’s Auto No-Fault system. We understand documentation requirements, medical necessity standards, and coordination with attorneys and insurers.
What types of injuries do you commonly treat?
We regularly serve individuals with:
We regularly serve individuals with:
Yes. We have the capability to serve clients across the entire State of Michigan for most of our core services.
Because our structure includes both direct clinical staff and strategically deployed providers, we are able to deliver skilled nursing, attendant care, therapy services, and evaluations in urban, suburban, and many rural areas. Availability may vary slightly depending on service type and clinical intensity, but in the vast majority of cases, we can mobilize care wherever it is needed.
For catastrophic injury cases in particular, geographic location is not a limiting factor. We are accustomed to coordinating complex services statewide and structuring care plans that meet both medical and regulatory standards.
If you are unsure whether your specific location can be covered, contact our office. We will give you a direct answer quickly—no guessing, no runaround.
We routinely serve individuals who have sustained serious and often life-altering injuries. A significant portion of our patients involve traumatic brain injuries, spinal cord injuries, multiple orthopedic trauma, neurological impairment, and chronic pain syndromes. Many of our patients require coordinated long-term rehabilitation rather than short-term episodic care.
Our team is structured to manage medically complex cases where cognitive deficits, mobility limitations, behavioral changes, and safety risks intersect. We focus not only on stabilization, but on measurable functional improvement and preservation of independence wherever possible.
Yes. While we have extensive experience within the Michigan Auto No-Fault system, private duty services are also available on a private-pay basis.
Families often seek private duty support for aging parents, post-surgical recovery, supervision needs, or progressive neurological conditions. Care plans are customized based on the individual’s functional limitations and medical status. We are transparent about scope, cost structure, and scheduling from the outset.
Private duty care focuses primarily on assistance with daily living activities and safety supervision. This may include bathing, dressing, transfers, mobility assistance, and monitoring for fall risk or cognitive impairment.
Skilled nursing, by contrast, involves licensed clinical judgment and medical intervention. This includes wound care, medication management, assessment of complex medical conditions, and coordination with physicians. The distinction matters — one is custodial in nature, the other is clinical.
Yes. Occupational therapy, physical therapy, speech-language pathology, and therapeutic massage can all be delivered in the home when medically appropriate.
Home-based therapy allows clinicians to treat patients within the environment where real-life challenges occur. This improves functional carryover, safety, and independence. We focus on practical outcomes — mobility in the actual home, safe bathroom transfers, cognitive strategies that work in daily life — not abstract clinic-based exercises.
Yes. In fact, we expect to.
Effective catastrophic and complex injury care requires coordination. If you already have a nurse case manager, catastrophic case manager, or rehabilitation coordinator involved in your claim, we will collaborate directly with them to ensure services are aligned, medically supported, and clearly documented.
Our team communicates regularly regarding:
We understand that case managers operate within regulatory, clinical, and insurance frameworks. Our documentation is structured, timely, and designed to support transparency and accountability. When questions arise, we address them directly — with objective findings and clinical rationale.
The goal is simple: coordinated care that is medically appropriate, properly supported, and focused on measurable outcomes.
Certainly. When a serious injury is involved—especially in a motor vehicle crash case—legal representation is often part of the process. We understand that. If you have retained an attorney, we will coordinate appropriately to ensure your care is clearly documented, medically supported, and accurately communicated.
Our role remains clinical. We do not provide legal advice, and we do not advocate beyond the scope of medically necessary care. What we do provide is structured documentation, objective reporting, and timely updates when requested and properly authorized.
We routinely assist with:
Our documentation is factual, defensible, and based on measurable findings. If your attorney has questions about services being provided, we address them directly and professionally.
At the end of the day, the focus stays where it belongs: delivering appropriate care and supporting it with clear clinical evidence.
Our experienced professionals are available to provide expert analysis, care coordination reports, and life care planning when appropriate.
These services are grounded in objective clinical findings and long-term care forecasting. The focus is always on defensible, medically supported recommendations — not speculation.
For most therapy services — including occupational, physical, massage and speech therapy — care can typically begin within just a few days once physician orders and any required authorization are in place.
More complex services, particularly 24/7 in-home attendant care, require a more deliberate process. In those cases, startup may take several weeks. That is because intensive in-home care requires careful recruiting, vetting, and onboarding of staff who possess the specific skill set appropriate for the individual patient. Catastrophic injury cases are not interchangeable. Cognitive deficits, behavioral considerations, mobility challenges, and medical complexity all influence staffing decisions.
We do not assign whoever is available simply to fill a shift. Proper care requires matching the right professional to the right patient. That process is individualized, structured, and intentional.
When care begins, it begins correctly.
Yes — and this is an area where experience truly matters.
We conduct comprehensive home safety and accessibility evaluations to identify environmental barriers that restrict independence or create unnecessary risk. These are not casual walkthroughs. They are structured, clinically grounded assessments performed by highly experienced professionals.
Our Occupational Therapists, Registered and Licensed (OTRLs), bring advanced credentials that elevate the quality of our evaluations. Members of our team hold certifications including:
This combination of rehabilitation expertise and environmental design training allows us to look beyond surface-level recommendations. We assess mobility patterns, cognitive limitations, transfer safety, endurance, behavioral considerations, and long-term functional prognosis before making structural recommendations.
Suggested modifications may include:
Every recommendation is clinically justified, function-driven, and tailored to the individual — not based on generic checklists. When major structural decisions are involved, precision and foresight are critical. That is the standard we operate under.
A wheelchair seating evaluation is a comprehensive assessment performed by our licensed therapists and seating specialists to ensure that a wheelchair properly supports posture, pressure distribution, and functional mobility. Whether someone uses a manual or power wheelchair, the goal is simple: improve comfort, enhance mobility, and prevent complications such as pressure sores, skin breakdown, joint pain, and long-term postural deformity. Proper seating is not just about comfort — it directly impacts health, safety, and independence.
During the evaluation, we assess postural alignment, pelvic and trunk support, pressure relief, skin integrity, and the individual’s ability to maneuver and participate in daily activities. We review medical history, current equipment, areas of discomfort, and functional goals. When appropriate, we trial positioning supports and simulate adjustments to optimize posture and performance. We also coordinate with physicians, DME providers, and insurers to ensure recommendations are properly documented and implemented.
Poor seating can lead to serious medical consequences over time, including pressure injuries, contractures, scoliosis, and even respiratory compromise. A properly fitted system, on the other hand, promotes activity, improves self-care, and enhances overall quality of life. Our focus is long-term positioning success — ensuring that the wheelchair supports the individual, rather than creating preventable problems.
Yes. Effective care requires clear and consistent communication with the treating medical team. We routinely coordinate with primary care physicians, specialists, surgeons, rehabilitation providers, and other involved clinicians to ensure that services are aligned with the overall medical plan. Orders, updates, and changes in condition are communicated promptly so that care remains appropriate and medically supported.
Our team provides structured progress reports, plan-of-care updates, and clinical documentation as needed to support informed decision-making. When a patient’s status improves, declines, or requires modification of services, we collaborate directly with the physician to adjust the care plan responsibly. The goal is continuity, clarity, and medically sound coordination at every stage.
Therapy services may continue long term when they remain medically necessary and functionally justified. Each case is evaluated individually, with measurable goals, objective findings, and documented benefit guiding the duration of care. If a patient continues to demonstrate clinical need—whether for active rehabilitation, maintenance therapy, or prevention of decline—services can be structured accordingly. Therapy is never indefinite by default; it must be purposeful and supported by medical necessity.
For individuals with unlimited lifetime No-Fault medical benefits under pre-reform Michigan Auto No-Fault policies, reasonably necessary therapy services may continue without an artificial dollar cap, provided the care remains reasonable and necessary. In those cases, the determining factor is clinical justification—not an arbitrary coverage limit. Our responsibility is to ensure that any ongoing therapy is properly documented, defensible, and directly related to the injury and functional condition of the patient.
That is a very complex issue. In Michigan, family members are permitted to provide in-home attendant care to an injured individual when the care is medically necessary and properly documented. However, under the revised No-Fault law that took effect through Public Act 21 of 2019, auto insurers are generally only required to reimburse up to 56 hours per week for in-home attendant care provided by certain individuals after July 1, 2021. This limitation applies when care is provided by a relative, someone living in the household, or someone who had a prior business or social relationship with the injured person. The 56-hour cap does not apply to services delivered by nurses, home health aides from commercial agencies like M & M Home Care.
Individuals injured before the reform do not have such restrictions.
Referrals may be made by physicians, attorneys, case managers, or family members.
Contact our office directly. We will outline the intake requirements, required documentation, and next steps clearly and efficiently.
