Key regulations governing home care services include: 

• Michigan Medicaid Regulations: Services must comply with Medicaid standards for reimbursement. 

• Federal Requirements for Medicare and Medicaid: Skilled home health care services must meet federal Conditions of Participation (CoPs). 

• State Health Codes: Establish standards for health and safety in home environments. 

3. Licensing or Certification 

Currently, Michigan does not require a state license for home care agencies, but they must comply with federal regulations if participating in Medicare and Medicaid programs. Skilled home health agencies must be certified by CMS to participate in these programs 

4. Responsible State Agency 

The Michigan Department of Health and Human Services (MDHHS) oversees Medicaid services, while the Michigan Department of Licensing and Regulatory Affairs (LARA) handles federal certification surveys for skilled home health agencies. 

5. Application Process 

For Medicaid enrollment, providers must use the CHAMPS (Community Health Automated Medicaid Processing System). For skilled home health services, agencies must apply for CMS certification. 

6. Required Documentation 

• Business Registration Documents: Proof of business registration in Michigan. 

• Insurance and Liability Coverage: Proof of adequate insurance coverage. 

• Staff Qualifications: Documentation of staff qualifications, including licenses and certifications. 

• Medicaid Enrollment Forms: Completed forms for Medicaid provider enrollment. 

• CMS Certification Application (for skilled services): Completed application for Medicare certification. 

• Policies and Procedures Manual: Outlining service delivery standards. 

7. Timeline for Approval 

The approval timeline varies depending on the completeness of the application. Generally, it can take several weeks to a few months. 

8. Pre-Application Process 

Prospective providers should familiarize themselves with state and federal regulations before applying. 

9. Pre-Application Training 

While not explicitly mandated, providers must ensure their staff are trained in home care principles and practices, including patient rights and safety protocols. 

10. Additional Notes 

• Consumer-Directed Care: Beneficiaries may have the option to self-direct their care, hiring family members or friends as caregivers. 

• Community Partnerships: Building partnerships with local healthcare providers and community organizations can enhance service delivery.