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State Licensing Survey Waiver Process

Overview of State Licensing Survey Waiver


Public Acts 59 and 104 of 2015 require that the department, through the State Licensing Section, make at least one (1) visit to each licensed provider every three (3) years for survey and evaluation purposes of licensure. 

The department may waive this required visit if the licensed provider requests a waiver and submits evidence that the facility is fully accredited from an acceptable accrediting body.

In lieu of performing an unannounced on-site state licensing survey, the department will perform a desk review of documentation submitted through the waiver request.  The licensed provider will be contacted by the State Licensing Section with its decision. 

 

Acceptable Accrediting Organizations by Licensed Provider Type


Pursuant to MCL 333.20155(8)(a), the following is a list of approved accrediting organizations whose documentation may be submitted for waiver purposes.

 

  • Freestanding Surgical Outpatient Facilities (FSOF/ASC)
    • The Joint Commission
    • Accreditation Association for Ambulatory Health Care (AAAHC)
    • American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
       
  • Hospice Agencies & Residences
    • The Joint Commission
    • Community Health Accreditation Partner (CHAP)
    • Accreditation Commission for Health Care (ACHC)
       
  • Hospitals
    • The Joint Commission
    • American Osteopathic Organization
    • Det Norske Veritas

  • Psychiatric Hospitals & Units
    • The Joint Commission
    • American Osteopathic Organization
    • Det Norske Veritas
                
  • Substance Use Disorder Programs (SUD)
    • To Be Determined. 

 

Eligible Licensed Providers


NOTE: In part due to the COVID-19 pandemic, all eligible hospice agencies and hospice residences will be given an opportunity to seek a waiver for the calendar year 2022 cycle with this earlier special cycle waiver request session.  This earlier special cycle for all hospices will require those seeking a waiver to submit a waiver request by August 15, 2022.  The normal cycle for all hospices will begin again on October 1, 2022, with a new list published.  A provider not on the July 2022 survey schedule list linked below should return in October 2022 to see if they are listed on the hospice survey schedule and thus eligible to request a new three-year waiver request.  The waiver from survey is not related or connected to license renewal.  If your license expires in 2022, you must separately still renew your license before the expiration date.  Other provider types will be posted soon.  

Each year the department will publish a state licensing survey schedule list on October 1 for the next calendar year.  If a licensed provider is scheduled for survey for the next calendar year, the provider may submit a waiver request on or before December 1 prior to the scheduled next calendar year.  The department will not accept a waiver request from a licensed provider not listed on the below link. 

State Licensing Section 2022 Hospice Schedule 

 

Process for a Licensed Provider to Request Waiver


If a licensed provider is eligible to request a waiver based on the survey schedule list above, submit a request to LARA-BCHS-NLTCSLS@michigan.gov with the following information:

  • Only 1 facility waiver request can be made per email. 
  • Include in the subject line of the email "State Licensing Survey Waiver Request". 
  • In the body of the email, include:
    • Licensed provider name and address for licensed site as identified in the survey schedule list above
    • State License # or Permanent ID as identified in the survey schedule list above
    • Contact information for an individual that can provide more documents if necessary
  • Attach an executive summary of the most recent accreditation report (must be less than three years old). Accreditation certificates are not accepted.  The facility must either submit an executive summary from a recognized agency or a full accreditation report. 
       
  • Include the following statement within the body of the email submitted: "It is hereby certified that all information submitted in this waiver request is true and understand that any falsification, omission, or exclusion of information can result in non-acceptance or rejection of the waiver request." 
     

NOTE: For hospices applying in July 2022 only, requests for a waiver from a state licensing survey must be received before August 15, 2022.  Facilities will receive a determination by email on or before September 30, 2022.

Requests for a waiver from a State Licensing Survey will receive a determination by email on or before January 1 of the survey year.  The State Licensing Section will contact you if additional information is needed during the review process.

 

General Guidance for Waiver Approval


Acceptance of a survey waiver request and review remains at the discretion of the department and may be denied for reasons including, but not limited to:

  • Submission of an accreditation report that does not meet the timeframe specified in code and/or demonstrates the licensed provider is not in "good standing" with the accrediting organization. 
  • There is indication of substantial non-compliance with licensure standards or deficiencies that represent a threat to public safety or patient care.  The department may review and consider recent history of complaints, status of current license (e.g., temporary vs. permanent), as well as other inspection reports available to the department for consideration. 

Pursuant to MCL 333.20155(10), the denial of a waiver request is not subject to appeal. 

 

Contact Information


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

Non-Long-Term Care State Licensing Section
Phone: 517-241-1970
Email: LARA-BCHS-NLTCSLS@michigan.gov