State Licensing

State licensing is required for hospitals under the Michigan Public Health Code.

To begin operation of a new hospital, all of the following steps must be completed:

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

2. Payment:  For electronic payments, visit LARA BCHS NLTC LICENSE - Electronic Payment.  Paying electronically is the fastest way to have your application processed.  There is a 1.75% processing fee for electronic payments.  Paying electronically expedites the application process.  If you do not agree to pay the processing fee, a written check may be submitted by mail.  Please note, submitting by mail may delay processing 4-6 weeks.  When submitting for a new license by mail, you must submit the application, licensure invoice (only required for written check submissions) and written check to:

Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Health Facilities Licensing, Permits and Support Division
P.O. Box 30664
Lansing, MI 48909

Fees for New Licensure
Hospital                             $2,500 plus $10/bed

To make changes to an existing licensed facility including relocation, facility name change, change of ownership, and change in bed capacity (residence only).  See below for Change of Administrator information.

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 LARA Change Request Payments.  Paying electronically is the fastest way to have your application processed.  There is a 1.75% processing fee for credit card payments or $0.15 processing fee for electronic check payments.  Paying electronically expedites the process for changes to existing licenses.  If you do not agree to pay the processing fee, a written check may be submitted by mail.  Please note, submitting by mail may delay processing 4-6 weeks.  When submitting a change request by mail, you must submit the change request form, licensure invoice (only required for written check submissions) and written check to:

Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Health Facilities Licensing, Permits and Support Division
P.O. Box 30664
Lansing, MI 48909

Fees for Changes to an Existing License
► License (facility/DBA) name change          $500
► CHOW or corporate name change            $500
► Relocation                                                      $500
► Bed Designation Change                             No Fee
► Bed Capacity Decrease                                No Fee
► Bed Capacity Increase                                  $500 plus $10/added beds

Federal Certification

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 by conducting certification surveys and complaint investigations. Hospitals must be licensed with the State of Michigan before Medicare certification is approved.

For initial certification, relocations, or change of ownership:

• Complete Provider Enrollment Application (CMS-855A) and submit to Medicare Administrative Contractor (MAC)
• Contact CMS approved accrediting organization (AO) to schedule initial certification survey
• Complete and submit the following to Federal Survey & Certification Division email BCHS_FedDivision@michigan.gov
• An e-mail confirming a successful electronic submission of your Civil Rights Clearance for Medicare Provider Certification from the Office for Civil Rights (OCR)
  • Health Insurance Benefit Agreement (CMS-1561)
  • Hospital/CAH Medicare Database Worksheet (Exhibit 286) - Needed for Initial and relocation only.

Change in Administrator

If your facility or agency is state licensed or federally certified, we request that you update the bureau when there is a change in administrator.  The information requested below will allow us to keep both the state licensing and federally certification data bases current.  Email BCHS_FedDivision@michigan.gov the following:

• Facility or agency name, address, and federal (CCN) provider # (23-xxxx) or state facility ID (xx-xxxx)
• New administrator full name
• Effective start date of administrator
• Best contact number for our office to reach this facility or agency
• Best email address for our office to reach this facility or agency