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Federal Certification to Participate in Medicare/Medicaid

Federal Certification to Participate in Medicare/Medicaid

This page is designed to assist providers only through the federal certification process, as well as provide additional resources to maintain compliance. View state licensure requirements.

Long term care providers that provide skilled nursing services 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 by conducting certification surveys and complaint investigations.

For initial certification or change of ownership:

  • Complete Provider Enrollment Application (CMS-855A) and submit to Medicare Administrative Contractor (MAC)/Federal Fiscal Intermediary (FI).
  • Complete and submit to BCHS:
    • An e-mail confirming a successful electronic submission of your Civil Rights Clearance for Medicare Provider Certification from the Office for Civil Rights (OCR)
    • Two (2) signed originals Health Insurance Benefit Agreement (CMS-1561)
    • One (1) signed original Long Term Care Facility Application for Medicare and Medicaid (CMS-671)
    • Once occupancy has been granted by the Health Facilities Engineering Section, a state license has been issued, and at least 8 residents are receiving care, the provider must notify the state in writing that they are ready for their federal certification survey.  The letter must include the date each resident was admitted.  An unannounced survey will be conducted no sooner than 6 weeks after the criteria is met.

For address/location changes:

  • Complete Provider Enrollment Application (CMS-855A) and submit to MAC/FI within 90 days of the move

Note: For any change in licensee (owner), administrator/director of nursing, location, bed capacity and/or bed designations, please see State Licensing page for more information.

Contact Information

Michigan Department of Licensing and Regulatory Affairs
Bureau of Community & Health Systems
611 W. Ottawa Street
P.O. Box 30664
Lansing, MI 48909

Main Line: 517-335-1980

LTC Federal Certification
Phone: 517-284-8953
FAX: (517) 763-0214

Click here to help identify the specific manager for your nursing home.