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    Nursing Home License (Including Hospital Nursing Home Units)

    Agency: Licensing and Regulatory Affairs

    The Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services issues licenses to all nursing homes providing organized nursing care and medical treatment 24 hours per day in a residential setting to seven (7) or more unrelated individuals. Nursing Homes are required to be licensed by the Michigan Department of Licensing and Regulatory Affairs. Licensure is mandatory and facilities must meet the state regulations to become licensed.

    New!  Renewals for these tasks are accessible through the Michigan Business One Stop portal.


    A. NAME OF LICENSE OR APPROVAL:

    Nursing Home Licensing

    B. STATUTORY AUTHORITY:

    Public Act 368 of 1978, as amended

    C. APPLICABLE REGULATION:

    MCL 333.20141 and MCL 333.20142

    D. SUMMARY OF LICENSE/APPROVAL PROCESS:

     1.  Applicability (activities that require the license)

    Initial certification and renewal

     2.  Pre-Application Requirements

    Requirements include the completion and submission of the following forms: (please see Licensing and Certification Forms for Nursing Homes

    Nursing Home License Application (BHCS-LTC-101)
    Certification of Appointment for Authorized Representative (BHCS-LTC-125)
    Surety Bond for Patient Trust Funds Held by a Nursing Home (BHCS-LTC-126)
    Transfer Agreement
    Survey and Certification Guidance for Laws and Regulations
    General information regarding Medicare/Medicaid Initial Certification and Application documents
    Medicare Fee-For-Service Provider/Supplier Enrollment Announcements & new information
    Application for Health Care Providers that will bill Medicare Fiscal Intermediaries;
    Expression of Intermediary Preference
    Information regarding Civil Rights Clearance for Medicare Provider Certification
    Office of Civil Rights Regulations
    Medicare Certification Civil Rights Information Request Form
    Assurance of Compliance Form
    Michigan RAI/MDS System Facility Application and Instructions
    Provider Enrollment Unit Medicaid Payments Division CMS-671
    LTC Facility Application for Medicare/Medicaid CMS-1561 (Health Insurance Benefit Agreement)

     3.  Application Submission Requirements

    All forms must be completed and submitted

     4.  Procedures and Time-Frame for Obtaining Permit or Approval

    6 Months from the time application submitted

     5.  Operational Requirements

    Refer to MCL 333.20141 and MCL 333.20142

     6.  Fees

    $2.20 per bed

     7.  Appeal Process

    MCL 333.20165

     8.  Public Input Opportunities


    E. Contact Information:

    Contact Us

    Revised:  September 2013

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