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Portable X-Ray Suppliers

This page is designed to assist suppliers through the federal certification process, as well as provide additional resources to maintain compliance.

State Licensing

State licensing is not required for portable X-ray suppliers. Suppliers, however, must register with the Michigan Occupational Safety & Health Administration, Radiation Safety Section.

Federal Certification Process

Portable X-Ray suppliers 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-855B) 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 Request for Certification as Supplier of Portable XRAY Services (CMS-1880)


For a change in administrator, please email the following:

  • Facility name, address, and provider #
  • New administrator full name
  • Effective start date of administrator


Federal Reciprocal Agreements - For a federally certified provider in Michigan to provide services in another state, the provider must be federally certified in the other state or the provider must be recognized under a CMS-approved Reciprocal Agreement between the State of Michigan and the other applicable state.  Michigan has no reciprocal agreement with Indiana, Ohio or Wisconsin for Portable X-Ray services.  In short, federally certified portable X-ray suppliers in Michigan cannot offer services within a neighboring state unless certified as a provider within that state.

Contact Information

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

Phone: 517-284-8953
FAX: (517) 763-0214