State licensing is required for hospice agencies and residences. 

1. Complete state licensure application LARA-SLACR-101 and email completed application to LARA-BCHS-NLTCSLS@michigan.gov

2. Payment:  For electronic payments, visit Initial Licensure Payment.  There is a 2% processing fee for electronic payments. 

Fees for New Licensure
Hospice Agency          $2500
Hospice Residence     $2500 plus $5/bed

For hospice residence new applicants only, you must have approval from the below state agencies.  If you have not already done so, contact the following state agencies to initiate the process for their approval.

Centers for Medicare and Medicaid Services (CMS) Multi-Site Hospice Locations: State licensure is required for the primary hospice agency. If a state licensed hospice agency that is certified by CMS applies and is approved for a multi-site location, the approved multi-site location is not required to be licensed as long the following is met.  The state licensed hospice agency retains proof of CMS approval for each multi-site location, and each multi-site location has this CMS approval proof available on-site. If a hospice agency cannot demonstrate CMS approval, a multi-site location must also be state licensed and/or must apply for a hospice agency license.  A hospice residence cannot be considered a multi-site location and must maintain a state license.  To apply for a CMS multi-site location, contact the LARA Bureau of Survey and Certification. 

To make changes to an existing licensed facility including relocation, facility and/or corporate name change, change of ownership, and change in bed capacity (residence only), complete the following steps below.  To report a change in administrator, please report the change to Bureau of Survey and Certification. 

1. Complete the state licensure application and change request form LARA-SLACR-101

2. Fees/Payment:  To make your payment electronically for changes to an existing license, visit Licensure Change Request Payments.  There is a 2% processing fee for credit card payments or $0.15 processing fee for electronic check payments.

Fees for Changes to an Existing License

Hospice Agency and Hospice Residence

► License (facility/DBA) name change    $500

► CHOW or corporate name change      $500

► Relocation                                                $500

Hospice Residence Only

► Bed Capacity Decrease        No Fee

► Bed Capacity Increase          $500 plus $5/bed 

Other state agencies may require approval prior to licensing actions. Contact the following state agencies to determine whether their approval is required.

All State Licenses must be renewed annually.  Annual renewal letters and invoices are sent in June of each year. You may also sign up to receive these and all notifications/alerts at Non-Long Term Care State Licensing Alerts.  Licenses cannot be renewed prior to June 1st or prior to receiving the renewal notices.  

 License renewals must be paid online no later than July 31st at eLicense (michigan.gov).

Note: A license is required by MCL 333.20141(1) to establish or maintain and operate a health facility or agency. A provider’s non-renewal of a license by September 1st is not considered as a refusal to renew by the department under MCL 333.20165.  All licenses must be renewed, in accordance with Administrative Rule 325.45113. All licenses non-renewed by a licensee will receive a notice on or after September 1st that the license is closed and this notice will be posted to the license on the department web page (State Licensing).

Fees for Renewal
Hospice Agency $500
Hospice Residence Only $500 plus 5$/bed

MCL 333.20155 requires 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. 

Additionally, under MCL 333.20155, 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.  

For more information pertaining to the waiver process, to see the list of currently eligible licensees, and to see when waivers can be applied for, please go to the waiver process page.

In accordance with R 325.45169, you must notify the department in writing at least 30 days prior to your proposed closure date.  The required closure plan must be sent to LARA-BCHS-NLTCSLS@michigan.gov and the closure plan must meet all of the requirements as provided for in R 325.45169, which the details can be found:  Administrative Rules (under “Licensing Health Facilities or Agencies)   Please review the Closure Plan Checklist to aid you in this process. 

State Licensing Administrative Rules (under Licensing Health Facilities or Agencies)

Michigan Public Health Code (emphasis on Parts 201 and 214)

Healthcare Workforce Background Check Information - State

Bureau of Survey & Certification – (CMS forms, administrator changes, CMS Coverage/Participation)