Aetna Better Health of Michigan

MI Health Link Self Determination Option



Aging (Adult)


Physical Disability (Adult)



This program helps people with the elderly and adults with disabilities who have difficulty with three or more of the following: taking care of themselves, understanding and expressing themselves using words, learning, decision-making, being able to live without help, and moving around.  

If you qualify, you will be able to: 

Participants can 

Be in charge, but also have help and support available when you need it.

Establish work evaluation criteria for each employee

Manage your monthly authorization using reports provided by Public Partnerships

Determine your workers’ schedules and tasks so you’re choosing how and when services are delivered to you

Find, hire, manage, and dismiss your careworkers.

Use BetterOnline or Time4Care to review, approve, and submit your careworker’s timesheets.

Services include

Payroll – We process payroll for your careworker using money from your budget.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Monthly budget managementWe help you keep your spending on track. 

Enrollment support – We help you and your careworker with enrollment and training.

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

Service reports – With our reports you’ll always have a clear picture of the services you’ve received. 

How to get started

Take the questionnaire


Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.

Time4Care is our highly rated mobile solution for Apple and Android smart devices.

Reminders to submit timesheets

Timesheet submission and approval alerts

Timesheet error checking

Offline time entry

Simple calendar interface

Privacy features


Instant timesheet approval

Works right in the MyAccount/BetterOnline portal


Better Online is a web-based app that keeps you organized and gives you the tools and info you need to manage your self-direction journey. Handle timesheets, check how much you spend each month, and get answers when you need them. It’s easy to use and available from any internet-connected device.

Log in

Select the system to go to the login page.


Log time and review, approve, and submit timesheets with ease.

Learn more about the benefits of Time4Care

Download on App Store Download on Google Play

Fill out, approve, and submit timesheets, complete enrollment paperwork, and run reports 

Program Documents


Contact Information

Customer Service Hours:
Monday – Friday: 8am – 6pm | EST