Starting a Michigan Home Health or Personal Care Agency?

• Non-certified Home Health Agency — no Michigan HHA state license, but cannot bill Medicare or Medicaid without required certification and enrollment.
• Medicare-certified Home Health Agency — completes CMS enrollment and a LARA state-agency or approved-accreditor survey.
• Private-pay Personal Care Agency — provides non-medical services in clients' homes without a general Michigan facility license.
• MDHHS Home Help Agency — completes separate program approval, CHAMPS, caregiver, EVV, and client-authorization steps.

No. Michigan LARA expressly states that state licensing is not required for Home Health Agencies. Individual health professionals must still satisfy their own licensure requirements.

The agency submits CMS-855A through PECOS or to the Medicare Administrative Contractor, completes federal civil-rights clearance, signs CMS-1561, and completes an initial certification survey through LARA or a CMS-approved accrediting organization.

LARA currently requests confirmation of skilled nursing plus another therapeutic service, at least 10 skilled patients with at least seven active at survey, the readiness date, and operating hours. Applicants should verify current CMS survey priorities before relying on the state-agency route.

LARA's Bureau of Survey and Certification performs federal certification work under agreement with CMS. A CMS-approved accrediting organization may provide the optional deemed-status pathway.

No. MDHHS states that certification is required for Medicare or Medicaid HHA participation, but Michigan Medicaid enrollment, CHAMPS, billing, and ongoing program requirements remain separate.

Michigan does not issue a general statewide facility license specifically for a private-pay, non-medical Personal Care Agency operating in clients' homes. Business registration, employment, tax, insurance, local, professional-scope, and program-specific requirements still apply.

Typical non-medical services include assistance with bathing, dressing, grooming, toileting, transfers, mobility, meals, light housekeeping, laundry, companionship, transportation, errands, and medication reminders within each worker's lawful scope and competency.

Home Help is a Medicaid program for authorized personal care assistance with activities of daily living and instrumental activities of daily living. An agency must be approved before it can bill for Home Help services or receive the agency rate.

MDHHS directs agencies to obtain an EIN, register with LARA or the county clerk, obtain an NPI, register in SIGMA, create MiLogin access, enroll in CHAMPS, submit Home Help documents, complete EVV onboarding, and obtain approval before furnishing program services.

The Home Help Policy Section identifies registration evidence when applicable, a signed letter of intent, IRS EIN confirmation, and the signed HASA-2104 employment-requirements form, along with separate CHAMPS and provider-enrollment materials.

Yes for Home Help. Caregivers must complete applicable criminal-history screening, enroll in CHAMPS, and be associated with the agency before providing Home Help services.

Yes for applicable Home Help services. Agency providers have been required to report EVV since July 1, 2024, while continuing the program's current service-verification or invoice process until MDHHS changes it.

Yes. These startup pages concern services in clients' own homes. Providing room, board, supervision, or personal care in an agency-controlled residence may trigger Adult Foster Care or Home for the Aged requirements.

• Logo creation, customized WordPress website, one year of hosting, and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Michigan-specific policies, human-resources documents, admission or client-service documents, and operational forms.
• LARA/CMS certification preparation for the HHA package, or private-pay and optional MDHHS Home Help preparation for the Personal Care package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. Government filings, Medicare or Medicaid enrollment, accreditation, background checks, insurance, office, personnel, EVV, survey expenses, software, mailing, and other third-party costs are separate unless expressly included in writing.

Home Health Forms provides customized documents, guidance, and preparation assistance. LARA, MDHHS, CMS, CHAMPS, survey organizations, accreditors, and payers make their own decisions. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all information needed for customization is received. Website development, printing, shipping, and other components may have separate timelines.

Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.