The process for becoming a State of Michigan hospice residence provider is as follows:

1.	Contact the following offices to obtain the necessary Life Safety Code and Construction/Design approvals prior to being issued a construction permit and to submit the Application for a Hospice Residence License form (BHS-LC-107c) to the Division of Licensing & Certification.
		Life Safety Code Approval: Michigan Department of Labor & Economic Growth Bureau of Fire Services P.O. Box 30700, Lansing MI 48909 Contact Person:  Kim Osborn Telephone #:  517-335-5804             and Construction/Design Approval: Michigan Department of Community Health Division of Health Facilities & Services, Health Facilities Engineering Section P.O. Box 30664, Lansing, MI 48909 Contact Person:  Jim Scott Telephone #:  517-241-3420            and Application: Michigan Department of Community Health; Bureau of Health Systems Division of Licensing & Certification P.O. Box 30664, Lansing, MI 48909 Contact Person:  Janet Hobley Telephone: (517) 241-3830; Fax: (517) 241-3354
2.	The physical plant will then be inspected for compliance by the Bureau of Fire Services and the Division of Health Facilities & Services' staff.  Final approvals for occupancy of the residence will be issued to the agency and copies of the approval are sent to L&C.
3.	It is recommended that the applicant contact the Division of Licensing & Certification (L&C) to plan an onsite visit by hospice survey staff to ensure the agency is prepared to begin patient care.  MDCH will assign a hospice surveyor to conduct an onsite visit to review the agency's readiness to begin patient admissions. Additions or amendments to policy that are needed after the onsite visit may be made and submitted to MDCH after the onsite visit. Patients may not be admitted to the hospice residence until a license is issued.
4.	A request for authorization to issue a hospice residence license is made to the Bureau of Health Systems by L&C once the required basic documents are acceptable.
5.	The agency will then be invoiced a residence license fee of $200 plus $20 per each approved residence bed.
6.	A hospice residence license will be released to the agency upon BHS approval and can often be released in coordination with the agency's expected date of first patient admission.
7.	The licensed residence hospice may then admit patients. The agency should contact L&C to indicate readiness for a State survey when a caseload of three to five patients is reached.
8.	An unannounced hospice residence licensure survey to evaluate compliance with all licensure requirements will usually be conducted within three months of the call.

Relicensure
Annual fees ($200 + $20/bed) are based on a billing cycle of August 1^st to July 31^st. Please provide updated facility information by completing the Facility Information Sheet for Licensed Facilities form (BHS-LC-101) and sending it to the Division of Licensing & Certification by either faxing, e-mailing the attachment to dch-bhs-l&c@michigan.gov or by mailing it to the address shown below.

Contact Information
Michigan Department of Community Health; Bureau of Health Systems
Division of Licensing & Certification
P.O. Box 30664, Lansing, MI 48909
Telephone: (517) 241-3830; Fax: (517) 241-3354