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Rehabilitation Hospitals and Units | Community and Health Systems

This page is designed to assist providers with federal certification.

State Licensing

Rehabilitation hospitals are required to be state licensed.

Federal Certification

Rehabilitation 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:

  • Complete Provider Enrollment Application (CMS-855A) and submit to the Medicare Administrative Contractor (MAC)
  • Complete and submit to BCHS:
    • An e-mail confirming successful submission of your Civil Rights Clearance for Medicare Provider Certification from the Office for Civil Rights (OCR)
    • A signed Health Insurance Benefit Agreement (CMS-1561)
    • A signed Hospital/CAH Medicare Database Worksheet (Exhibit 286)

Federal PPS-Exempt Rehabilitation Hospitals and Units

This information is to assist with Prospective Payment System (PPS) exemption.

  • Complete Provider Enrollment Application (CMS-855A)
  • Complete and submit to BCHS:
    • CMS-437A for units or CMS-437B for hospitals.
    • Attestation statement BCHS-HFD-825.
    • PPS contact BCHS-HFD-826.
    • 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: A triennial attestation is required for compliance with Federal Regulations.

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.  Thank you for your assistance in self-reporting this information.

  • 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

Email change of information to:


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: (517) 763-0214