This page is designed to assist providers through the state licensure and federal certification processes, as well as provide additional resources to maintain compliance.
State licensing is required for psychiatric hospitals/units under the MI Mental Health Code.
A state licensure application (BCHS-HFD-100) is required to (Licensure fee required):
A state licensure application is also required to (No fee required):
LICENSURE
Other state agencies may require approval prior to licensing actions. Contact the following state agencies to determine whether their approval is required.
Certificate of Need
Michigan Department of Health & Human Services (MDHHS)
Lewis Cass Building, 3rd Floor
320 S. Walnut Street
Lansing, MI 48913
Phone: 517-241-3344
Health Facilities Engineering Section
Michigan Department of Licensing and Regulatory Affairs (LARA)
PO Box 30664
Lansing, MI 48909
Phone: 517-241-3408
Bureau of Fire Services
Michigan Department of Licensing and Regulatory Affairs (LARA)
3101 Technology Boulevard, Suite H
PO Box 30700
Lansing, MI 48909
Phone: 517-335-5804
Psychiatric hospitals may apply for certification to participate in the Medicare/Medicaid programs. The Centers for Medicare and Medicaid Services (CMS) contracts with LARA to evaluate compliance with the federal regulations. Hospitals must be licensed with the State of Michigan before Medicare certification is approved.
For initial certification, relocations or change of ownership:
This section is to assist psychiatric and rehabilitation units seeking to become a Prospective Payment System (PPS) exempt unit.
PPS contact BCHS-HFD-826.
Information for excluded Rehabilitation Units only:
Documentation such as payroll records, duty rosters, records of appointments, etc., that permits verification that the provider has a qualified medical director who meets the regulatory standards at 42 CFR 412.29(f).
Note: Psychiatric units require an annual attestation and Rehabilitation units require a triennial attestation in order to stay in compliance with Federal Regulations.
Psychiatric Notification of Death - MCL 333.1720 requires licensed psychiatric hospitals or units to report to the department all deaths - Psychiatric Notification of Death Report (BCHS-HFD-160). This form must be completed and submitted to the department within five working days (recommended) from when the patient died within the psychiatric hospital or unit.
Hospital Restraint/Seclusion Deaths – Centers for Medicare and Medicaid Services (CMS) requires (S&C: 14-27) all hospitals, including psychiatric hospitals, to report (by close of next business day) deaths associated with restraint and/or seclusion on form CMS-10455. Submit reports either via fax at 443-380-8952 or confidential email at 05RESTRAINTRF@CMS.HHS.GOV. Hospitals should attach an additional page to the worksheet to further describe circumstances surrounding the death (e.g., reason for restraint, total length of time in restraints, how patient was monitored, and frequency of monitoring while in restraint). Hospitals should not call to report a death. Questions may be directed to CMS ROV Chicago, Tiffany Lowe-Ross, 312-353-9804 or via email tiffany.lowe@cms.hhs.gov. Please note that reports contain personal health information and should be sent via a secure method.
For a change in administrator, please email BCHS_FedDivision@michigan.gov the following:
Michigan Department of Licensing & Regulatory Affairs
Bureau of Community and Health Systems
611 W. Ottawa Street
PO Box 30664
Lansing, MI 48909
Main Line: 517-335-1980
Federal Certification
Phone: 517-284-8953
FAX: 515-241-2635
State Licensing
Phone: 517-241-1970
FAX: 517-241-3354
CMS Conditions of Participation/for Coverage – Federal
CMS Forms – Federal
HHS Forms (Civil Rights) – Federal
State Operations Manual – Federal
Wisconsin Physician Services (WPS) – Federal Fiscal Intermediary (FI)
The Joint Commission (JC) - AO
State Licensing Administrative Rules - State
Michigan Public Health Code – State (emphasis on Part 201)
Mental Health Code – State (emphasis on Chapters 1 and 7)
Healthcare Workforce Background Check Information - State (Hospitals with psychiatric services)