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Submit Documents to the MDHHS Home Help Section

The complete Home Help Agency enrollment process can be found within MSA 21-52 or the Medicaid Provider Manual, Home Help Chapter.

As MSA 21-52 outlines, documentation must be sent to the Home Help Policy Section as part of the Home Help agency provider application process.

Submit the following documents to the MDHHS Home Help Policy Section by email to MDHHS-HHNewAgencyProviderApplications@michigan.gov

1. A copy of the county registration if the agency registered with its local County Clerk's office.

Note: This document is not required if the agency is registered with the Michigan Department of Licensing and Regulatory Affairs (LARA).

2. A letter of intent on agency letterhead with the current date and the agency owner(s) written signature(s) that includes:

  • A list of the services the agency will provide and the county(ies) it intends to serve.
  • Names, email addresses, and phone numbers of the agency owner(s) and managing employee(s).

3. A copy of Internal Revenue Service (IRS) correspondence confirming the agency's EIN.

4. A completed, signed Home Help Agency Provider Employment Requirements form (HASA-2104). The MDHHS Home Help Policy Section includes the HASA-2104 in the agency application packet emailed to the agency.


Approval Determination

Within 30 calendar days of the receipt of all required documents, the MDHHS Home Help Policy Section notifies the applicant in writing of its approval, denial, or the need for additional information.

An applicant is denied enrollment if any of the agency owners, agency representatives/ resident agents, or managing employees had direct or indirect ownership interest or control interest of an agency that was suspended or terminated from the Michigan Medicaid program within the preceding five years.


Audit Information

The Michigan Department of Health and Human Services (MDHHS) audits Home Help agency providers to ensure compliance with policy and procedures.

Training- PDF, Recording

 

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