RESPITE CARE SERVICES PROVIDER IN MICHIGAN

PROVIDING TEMPORARY RELIEF FOR FAMILY CAREGIVERS WHILE ENSURING SAFE, COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES OR COMPLEX NEEDS

Respite Care Services in Michigan offer short-term, substitute care for individuals with disabilities, chronic conditions, or age-related limitations—giving unpaid caregivers a break while ensuring the individual continues to receive needed support. Respite services are authorized under several Home and Community-Based Services (HCBS) waivers, including the MI Choice Waiver Program, and may occur in-home, at licensed facilities, or in community settings.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Regulates respite services under HCBS waivers and monitors provider quality and licensure

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for 1915(c) waiver-funded respite programs

Agency: Medicaid Health Plans (MHPs)
Role: Coordinate and authorize respite services under managed care

Agency: Local Area Agencies on Aging (AAA)
Role: Facilitate respite care for seniors under the MI Choice Waiver

2. RESPITE CARE SERVICE OVERVIEW

Respite care gives family caregivers scheduled or emergency breaks by having trained providers step in to support the individual’s daily needs and well-being.

Approved services may include:

In-home respite: Temporary caregiving within the participant’s home

Out-of-home respite: Care in a licensed residential or day facility

Planned or emergency coverage: (e.g., medical appointments, travel, caregiver illness)

Overnight or weekend respite: (as authorized)

Behavioral support and ADL/IADL assistance: During the respite period

Respite services must be documented in the participant’s Plan of Care (POC) and align with individual needs and safety considerations.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Apply for respite service provider enrollment via the CHAMPS system

Obtain relevant licensure if operating a facility-based respite program

Maintain general liability and worker’s compensation insurance

Hire qualified respite workers or direct support staff

Develop a Respite Care Policy & Procedure Manual

Ensure HIPAA-compliant documentation and emergency protocols

4. PROVIDER ENROLLMENT PROCESS

Option A: In-Home Respite Provider

Enroll as a waiver respite provider through CHAMPS:
CHAMPS Login

Submit staff qualifications, policies, and service plans to MDHHS

Coordinate with waiver support coordinators for referrals

Option B: Facility-Based Respite Provider

Apply for appropriate licensure through LARA

Ensure facility meets safety, ADA, and programmatic standards

Enroll as a Medicaid provider and coordinate with local AAAs

5. REQUIRED DOCUMENTATION

Articles of Incorporation or sole proprietor filing

IRS EIN and NPI confirmation

Proof of insurance coverage

Licensure (if providing facility-based care)

Respite Care Policy & Procedure Manual, including:

Client intake and scheduling templates

Daily activity logs and shift documentation forms

Medication administration protocols (if applicable)

Emergency and incident response procedures

Participant rights and consent forms

Abuse prevention, training logs, and supervision checklists

Billing logs and audit-ready documentation

6. STAFFING REQUIREMENTS

Role: Respite Worker / Direct Support Professional (DSP)
Requirements: High school diploma or equivalent; experience with caregiving or disability support; CPR/First Aid training; background check clearance

Role: Program Supervisor / Scheduler (for agencies)
Requirements: Experience in service coordination and personnel management; ensures scheduling, documentation, and care quality

Training Requirements for All Staff:

HIPAA and participant confidentiality

Abuse and neglect prevention (mandatory reporter training)

Basic ADL/IADL support techniques

Emergency procedures and infection control

Person-centered care and documentation practices

7. MEDICAID WAIVER PROGRAMS THAT COVER RESPITE CARE

Respite Care is reimbursed under:

MI Choice Waiver Program (for seniors and adults with disabilities)

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Community Mental Health (CMH) Programs (for behavioral support)

Children’s Waiver Program (CWP) (for minors with severe disabilities)

Serious Emotional Disturbance (SED) Waiver (for children with significant behavioral needs)

Approved providers may deliver:

Flexible short-term care hours based on caregiver needs

Daily, hourly, or overnight billing (based on waiver authorizations)

In-home or licensed setting-based coverage

Coordination with waiver support coordinators and service teams

8. TIMELINE TO LAUNCH

Phase: Business Registration and Staff Hiring
Timeline: 1–2 months

Phase: Medicaid Enrollment and Policy Manual Development
Timeline: 60–90 days

Phase: Staff Credentialing and Licensing (if facility-based)
Timeline: 1 month

Phase: Referral Coordination and Service Delivery
Timeline: Ongoing, based on waiver caseloads and caregiver demand

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

Area Agency on Aging (AAA) Locator
https://www.michigan.gov/osa

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN RESPITE CARE PROVIDER

WCG supports caregiver agencies, community organizations, and independent providers in launching licensed, Medicaid-approved Respite Care programs across Michigan.

​

Scope of Work:

Business registration and Medicaid enrollment

LARA facility licensure (if applicable)

Respite Care Policy & Procedure Manual creation

Staff credentialing and onboarding tools

Daily log templates and service documentation forms

Referral strategies with waiver support coordinators and discharge planners

Audit readiness checklists and Medicaid billing systems

RESIDENTIAL CARE SERVICES PROVIDER IN MICHIGAN

PROVIDING SAFE AND SUPPORTIVE LIVING ENVIRONMENTS FOR INDIVIDUALS WITH DISABILITIES

Residential Care Services in Michigan are designed to support individuals with disabilities, mental health needs, or chronic conditions by offering supervised, supportive living environments. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Residential Care Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Residential Care Services provide individuals with a safe, structured living environment that supports their physical, mental, and emotional well-being. Services include assistance with daily living, health monitoring, and access to community resources.

Approved providers may deliver:

Supervised living arrangements (group homes or individual apartments)

Assistance with activities of daily living (ADLs) such as bathing, dressing, and mobility

Meal preparation and nutrition management

Medication administration and health monitoring

Community integration and social skill development

Documentation of care and progress notes

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical residential care facility in Michigan.

Acquire proper licensure for residential care from MDHHS.

Hire staff trained in caregiving, health monitoring, and resident support.

Develop safety, emergency, and hygiene protocols for residential settings.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Residential Care Provider Application Packet from MDHHS.

Submit a comprehensive business and residential care plan outlining supervision, care protocols, and resident safety.

Include policies for medication management, daily living support, and emergency response.

Background & Credentialing:

Background checks for all caregiving and administrative staff.

Verification of qualifications in healthcare, caregiving, or social services.

Proof of ongoing training in client care and residential support.

Program Readiness Review:

Demonstrate readiness for daily care provision and safety management.

Establish protocols for resident intake, care planning, and incident reporting.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of residential care facility in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Resident care plans and supervision guidelines.

Emergency and safety protocols.

Health monitoring and medication administration procedures.

Financial tracking and residential maintenance logs.

6. STAFFING REQUIREMENTS

Role: Residential Program Director
Requirements: Experience in managing residential care, healthcare administration, or social services.

Role: Direct Care Worker
Requirements: Certification in caregiving, CPR, and first aid.

Role: Residential Care Coordinator
Requirements: Experience in community living support and care coordination.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on caregiving best practices and safety protocols.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Residential Care Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Supervised residential care

Daily living assistance

Health and medication management

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Facility Setup and Licensing
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

​

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN RESIDENTIAL CARE PROVIDER

We support new providers through every step of launching Residential Care services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Residential facility setup and safety protocol training

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

SUPPORTED EMPLOYMENT SERVICES PROVIDER IN MICHIGAN

EMPOWERING INDIVIDUALS WITH DISABILITIES THROUGH VOCATIONAL SUPPORT

Supported Employment Services in Michigan are designed to help individuals with disabilities gain and maintain meaningful employment by providing tailored vocational support and training. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Supported Employment Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Supported Employment Services provide individuals with disabilities the skills, training, and ongoing support needed to succeed in the workplace. Services are person-centered and designed to enhance independence through gainful employment.

Approved providers may deliver:

Job readiness training and skill assessment

Assistance with job search and application processes

Job coaching and on-the-job support

Worksite assessments and modifications

Career planning and vocational counseling

Documentation of progress and job retention

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or service location in Michigan.

Demonstrate expertise in vocational rehabilitation or supported employment practices.

Hire staff trained in job coaching, career counseling, and vocational support.

Develop protocols for client skill assessment, job coaching, and employer engagement.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Supported Employment Provider Application Packet from MDHHS.

Submit a comprehensive business and service plan detailing vocational support strategies and employer engagement.

Include policies for job coaching, skill building, and client progress tracking.

Background & Credentialing:

Background checks for staff involved in direct client support.

Verification of qualifications in vocational rehabilitation or job coaching.

Proof of ongoing training in supported employment practices.

Program Readiness Review:

Demonstrate readiness to support individuals with varying levels of vocational needs.

Establish protocols for employer partnerships and job retention support.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Job readiness and career planning procedures.

Documentation of job coaching and client progress.

Employer engagement and job modification standards.

Financial tracking and client employment logs.

6. STAFFING REQUIREMENTS

Role: Employment Program Manager
Requirements: Experience in vocational rehabilitation, career counseling, or job coaching.

Role: Job Coach
Requirements: Training in job readiness, employment support, and client interaction.

Role: Career Counselor
Requirements: Certification in vocational counseling or workforce development.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on employment best practices and client interaction.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Supported Employment Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Job readiness training and vocational support

On-the-job coaching and monitoring

Job placement and employer collaboration

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Staff Recruitment and Training
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Vocational Rehabilitation Services
Email: vocprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN SUPPORTED EMPLOYMENT PROVIDER

We support new providers through every step of launching Supported Employment services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Job readiness and vocational training protocols

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

PERSONAL CARE SERVICES PROVIDER IN MICHIGAN

SUPPORTING INDEPENDENCE THROUGH ASSISTANCE WITH DAILY LIVING ACTIVITIES FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC HEALTH CONDITIONS

Personal Care Services (PCS) in Michigan are essential supports that help individuals with disabilities, chronic illnesses, or age-related limitations maintain their independence and quality of life. These services are primarily funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Administers Medicaid and HCBS waivers, including personal care services

Agency: Michigan Medicaid Health Plans (MHPs)
Role: Authorize and manage personal care services through managed care plans

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and funding for 1915(c) waiver programs covering personal care

Agency: Local Area Agencies on Aging (AAA)
Role: Coordinate personal care services for seniors under the MI Choice Waiver

2. PERSONAL CARE SERVICE OVERVIEW

Personal care services involve non-medical assistance with daily living tasks and mobility to ensure safety and independence. These services may be provided in the individual’s home, a community setting, or a residential care facility.

Core services include:

Assistance with Activities of Daily Living (ADLs):

Bathing, grooming, and personal hygiene

Dressing and undressing

Mobility assistance (transfers, ambulation)

Toileting and incontinence care

Assistance with Instrumental Activities of Daily Living (IADLs):

Meal preparation and feeding assistance

Light housekeeping and laundry

Medication reminders (non-clinical)

Accompaniment to appointments and errands

Personal care plans must be individualized and documented in the participant’s Plan of Care (POC) or Person-Centered Service Plan (PCSP).

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Obtain a Home Help Agency License from MDHHS

Secure general liability and worker’s compensation insurance

Develop HIPAA-compliant documentation practices

Conduct background checks and training for all personal care aides

If providing care under the MI Choice Waiver:
You must meet additional requirements related to elder care and support coordination.

4. PROVIDER ENROLLMENT PROCESS

Step 1: Apply for Home Help Agency License
Submit your application to MDHHS:
MDHHS Provider Enrollment Portal

Step 2: Register with Michigan Medicaid
Enroll through the CHAMPS system:
CHAMPS Login

Step 3: Complete Managed Care Organization (MCO) Credentialing
Partner with MHPs or waiver programs to ensure network inclusion

Step 4: Prepare for State Inspection
Ensure compliance with safety, staffing, and client rights standards

5. REQUIRED DOCUMENTATION

Articles of Incorporation or DBA registration

IRS EIN and NPI confirmations

Proof of insurance coverage (liability, workers' comp)

Personal Care Services Policy & Procedure Manual, including:

Client intake and assessment templates

Daily activity logs and shift documentation forms

Incident reporting and emergency protocols

Personal hygiene and ADL assistance guidelines

Client rights and consent forms

Staff credentialing logs and training records

Billing logs and audit-ready documentation

6. STAFFING REQUIREMENTS

Role: Personal Care Aide (PCA)
Requirements: High school diploma or equivalent; CPR/First Aid training; experience in caregiving preferred; background checks required

Role: Program Supervisor / Care Coordinator
Requirements: Experience in home care management or social services; oversees PCA scheduling, documentation, and care quality

Mandatory Training Topics:

Infection control and hygiene practices

Safe transfer and mobility techniques

Person-centered care and dignity maintenance

HIPAA and client confidentiality

Abuse, neglect, and exploitation prevention

Cultural competency and communication

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING PERSONAL CARE

Personal care services are reimbursable under:

MI Choice Waiver Program (supports seniors and adults with disabilities)

MI Health Link (integrated care for dual-eligibles)

Home Help Program (provides ADL/IADL assistance)

Habilitation Supports Waiver (HSW) (for individuals with intellectual or developmental disabilities)

Community Mental Health (CMH) Programs (for behavioral health support)

Services must be:

Authorized through the POC or PCSP

Non-duplicative of other Medicaid or waiver benefits

Delivered by trained and supervised PCAs

Billed according to Medicaid rules and authorized units

8. TIMELINE TO LAUNCH

Phase: Business Registration and Licensing
Timeline: 2–4 weeks

Phase: Medicaid Enrollment and MI Choice Waiver Credentialing
Timeline: 1–2 months

Phase: Staff Hiring and Training
Timeline: 4–6 weeks

Phase: Client Intake and Service Rollout
Timeline: Ongoing, based on referrals and caseload availability

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

Area Agency on Aging (AAA) Locator
https://www.michigan.gov/osa

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN PERSONAL CARE SERVICES PROVIDER

WCG supports home care agencies, healthcare entrepreneurs, and independent caregivers in launching licensed, Medicaid-approved personal care services across Michigan.

​

Scope of Work:

Business registration and Medicaid enrollment

Home Help Agency license application assistance

Personal Care Policy & Procedure Manual development

Staff training resources and credentialing tools

Documentation templates for ADL/IADL tracking

Billing setup for Medicaid, MI Choice, and Home Help services

Coordination with Area Agencies on Aging (AAA) and waiver coordinators

SPECIALIZED MEDICAL EQUIPMENT SERVICES PROVIDER IN MICHIGAN

SUPPORTING INDIVIDUALS WITH DISABILITIES THROUGH MEDICAL EQUIPMENT

Specialized Medical Equipment Services in Michigan are designed to support individuals with disabilities by providing essential medical devices that enhance their health, safety, and independence. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Specialized Medical Equipment Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Specialized Medical Equipment Services provide individuals with essential medical devices and modifications to help them manage their health and maintain independence. These services are person-centered and based on individual needs as outlined in the care plan.

Approved providers may deliver:

Assessment and consultation to determine appropriate medical equipment.

Purchase and installation of medical devices (e.g., oxygen equipment, mobility aids).

Training for individuals and caregivers on using and maintaining the equipment.

Routine maintenance, repairs, and device calibration.

Documentation of usage, maintenance, and compliance with safety standards.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or service location in Michigan.

Demonstrate expertise in durable medical equipment and assistive device management.

Hire staff trained in the installation, maintenance, and safety checks of medical equipment.

Maintain clear financial and service tracking systems.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Specialized Medical Equipment Provider Application Packet from MDHHS.

Submit a detailed service plan outlining how services will be delivered and monitored.

Include policies for equipment selection, maintenance, and safety training.

Background & Credentialing:

Background checks for staff involved in equipment setup or direct client contact.

Verification of technical skills related to medical device maintenance and safety.

Program Readiness Review:

Demonstrate the ability to assess client needs and manage medical devices.

Establish protocols for routine maintenance and emergency response.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Equipment procurement and maintenance protocols.

Training and support documentation.

Safety and emergency response standards.

Financial tracking and maintenance logs.

6. STAFFING REQUIREMENTS

Role: Equipment Coordinator
Requirements: Experience with durable medical equipment and healthcare safety.

Role: Medical Equipment Technician
Requirements: Certification in medical device installation and maintenance.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual safety, maintenance, and compliance training.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Specialized Medical Equipment Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Assessment and procurement of medical devices

Training for device usage

Routine maintenance and safety checks

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Financial Readiness and Program Review
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

​

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN SPECIALIZED MEDICAL EQUIPMENT PROVIDER

We support new providers through every step of launching Specialized Medical Equipment services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Equipment procurement and maintenance training

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

SKILLED NURSING SERVICES PROVIDER IN MICHIGAN

DELIVERING PROFESSIONAL MEDICAL CARE IN THE HOME FOR INDIVIDUALS WITH COMPLEX HEALTH NEEDS

Skilled Nursing Services in Michigan provide essential medical care to individuals with chronic conditions, disabilities, or those recovering from illness or surgery. These services are delivered in the client’s home or community settings and are funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees Medicaid-funded skilled nursing services and HCBS waiver compliance

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and funding through 1915(c) waivers and Medicaid state plans

Agency: Michigan Board of Nursing
Role: Licenses Registered Nurses (RNs) and Licensed Practical Nurses (LPNs), ensuring adherence to professional standards

Agency: Michigan Department of Licensing and Regulatory Affairs (LARA)
Role: Issues licenses to home health agencies providing skilled nursing care

Agency: Local Area Agencies on Aging (AAA)
Role: Coordinate skilled nursing under the MI Choice Waiver for seniors and adults with disabilities

2. SKILLED NURSING SERVICE OVERVIEW

Skilled nursing services involve clinical care provided by licensed nurses (RNs and LPNs) to manage and treat medical conditions at home. These services are typically prescribed by a physician and documented in the client’s Plan of Care (POC).

Services may include:

Medication administration and intravenous therapy

Wound care and dressing changes

Catheter care, ostomy maintenance, and enteral feeding

Pain management and palliative care

Chronic disease monitoring (e.g., diabetes, hypertension)

Health assessments and vital sign monitoring

Care coordination with physicians and specialists

Client and caregiver education on medical management

Skilled nursing services are time-limited, based on medical necessity, and must be delivered according to a physician’s order.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Secure general liability and professional malpractice insurance

Obtain a Home Health Agency License from LARA

Ensure all nurses are licensed by the Michigan Board of Nursing

Develop HIPAA-compliant policies and clinical protocols

Conduct background checks and verify nursing credentials

Clinical Licensing:
All RNs and LPNs must have active Michigan nursing licenses and be in good standing with the Board of Nursing.

4. PROVIDER ENROLLMENT PROCESS

Step 1: Apply for a Home Health Agency License
Submit your application via LARA's Licensing Portal

Step 2: Enroll with Michigan Medicaid
Apply through the CHAMPS system:
CHAMPS Login

Step 3: Credentialing for MI Choice Waiver and HCBS Programs
Register as a waiver provider through local Area Agencies on Aging (AAAs) and MDHHS

Step 4: Prepare for State and Federal Inspections
Ensure compliance with safety, staffing, and clinical documentation standards

5. REQUIRED DOCUMENTATION

Articles of Incorporation or DBA registration

IRS EIN and NPI confirmations

Proof of LARA home health agency license

Proof of liability and malpractice insurance

Skilled Nursing Services Policy & Procedure Manual, including:

Care planning and physician order templates

Clinical progress notes and patient assessment forms

Medication administration records (MARs)

Infection control protocols and emergency plans

HIPAA compliance and data security measures

Training logs and staff credential verification

Billing documentation and compliance records

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)
Requirements: Active Michigan RN license; CPR certification; clinical experience; CORI background check

Role: Licensed Practical Nurse (LPN)
Requirements: Valid LPN license in Michigan; supervised by RN; experience in home care preferred

Role: Director of Nursing (DON)
Requirements: RN license with supervisory experience; oversees clinical policies and quality assurance

Required Trainings:

Infection control and universal precautions

Medication administration and management

Wound care and chronic disease management

Pain management and palliative care

HIPAA and patient confidentiality

Abuse, neglect, and mandatory reporting

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING SKILLED NURSING

Skilled nursing is covered under:

MI Choice Waiver Program (for elderly and adults with disabilities)

Medicaid State Plan Home Health Services

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Community Mental Health (CMH) Programs (for behavioral health support)

Medicare (if client qualifies)

Providers may bill for:

Hourly nursing care

Complex medical interventions (e.g., infusions, wound care)

RN supervision and care planning

Post-hospitalization transitional care

Chronic disease monitoring and management

8. TIMELINE TO LAUNCH

Phase: Business Registration and Insurance Setup
Timeline: 2–3 weeks

Phase: LARA Licensing and Medicaid Enrollment
Timeline: 2–4 months

Phase: Staff Hiring and Credential Verification
Timeline: 1–2 months

Phase: Clinical Policy Manual and Compliance Setup
Timeline: 1 month

Phase: Client Intake and Service Initiation
Timeline: Ongoing based on physician referrals and care plan authorizations

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

​

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

​

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

​

Michigan Board of Nursing
https://www.michigan.gov/lara

​

Area Agency on Aging (AAA) Locator
https://www.michigan.gov/osa

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN SKILLED NURSING PROVIDER

WCG assists healthcare professionals, home health agencies, and community organizations in launching licensed, Medicaid-approved skilled nursing services across Michigan.

​

Scope of Work:

Business setup and LARA licensing guidance

Medicaid and MI Choice waiver enrollment support

Skilled Nursing Policy & Procedure Manual development

Clinical staffing models and compliance monitoring

Nurse training and credentialing templates

Referral network development with hospitals and case managers

Billing and documentation systems for Medicaid and Medicare

COUNSELING AND MENTAL HEALTH SERVICES PROVIDER IN MICHIGAN

PROMOTING WELL-BEING THROUGH MENTAL HEALTH SUPPORT AND COUNSELING

Counseling and Mental Health Services in Michigan are designed to support individuals with mental health needs by providing professional counseling, therapy, and mental health support. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Counseling and Mental Health Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Counseling and Mental Health Services provide individuals with access to professional mental health support aimed at improving emotional well-being, coping strategies, and overall mental health. Services are individualized and integrated into the person-centered plan.

Approved providers may deliver:

Individual and group counseling sessions

Family therapy and support

Crisis intervention and management

Psychoeducation and skill-building workshops

Mental health assessments and progress evaluations

Documentation of therapeutic interventions and outcomes

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical counseling office or telehealth setup in Michigan.

Hire licensed mental health professionals (e.g., counselors, psychologists, social workers).

Develop protocols for client intake, mental health assessment, and crisis management.

Establish client safety and confidentiality measures.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Counseling and Mental Health Provider Application Packet from MDHHS.

Submit a business plan outlining therapeutic approaches and client engagement strategies.

Include policies for crisis intervention, mental health assessments, and service documentation.

Background & Credentialing:

Background checks for all staff providing direct mental health services.

Verification of state licenses and professional certifications.

Proof of training in trauma-informed care and crisis response.

Program Readiness Review:

Demonstrate readiness to provide counseling services tailored to the needs of individuals with mental health conditions.

Establish protocols for therapeutic record-keeping and client feedback.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Client intake and assessment protocols.

Confidentiality and record-keeping standards.

Crisis management and intervention procedures.

Financial tracking and client progress logs.

6. STAFFING REQUIREMENTS

Role: Clinical Director
Requirements: Licensed mental health professional with experience in program management.

Role: Licensed Mental Health Counselor
Requirements: State licensure and experience in providing individual and group therapy.

Role: Crisis Intervention Specialist
Requirements: Certification in crisis management and trauma-informed care.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on mental health best practices and client interaction.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Counseling and Mental Health Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Individual and group counseling

Crisis intervention services

Psychoeducation and therapeutic skill-building

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Hiring and Credentialing of Mental Health Professionals
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Behavioral Health Services
Email: bhprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN COUNSELING & MENTAL HEALTH PROVIDER

We support new providers through every step of launching Counseling and Mental Health services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Recruitment of licensed mental health professionals

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

ASSISTIVE TECHNOLOGY & ADAPTIVE AIDS SERVICES PROVIDER IN MICHIGAN

ENHANCING INDEPENDENCE THROUGH TECHNOLOGY AND ADAPTIVE DEVICES FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC CONDITIONS

Assistive Technology (AT) and Adaptive Aids Services in Michigan are designed to provide individuals with disabilities the tools they need to live independently and safely. These services are primarily funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Approves and reimburses AT and adaptive aids under Medicaid and HCBS waivers

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for waiver-funded assistive technology

Agency: Michigan Rehabilitation Services (MRS)
Role: Supports adaptive aids and assistive devices for vocational rehabilitation

Agency: Local Area Agencies on Aging (AAA)
Role: Facilitate adaptive equipment services for seniors under the MI Choice Waiver

Agency: Michigan Department of Licensing and Regulatory Affairs (LARA)
Role: Issues licenses to durable medical equipment (DME) providers

2. ASSISTIVE TECHNOLOGY & ADAPTIVE AIDS SERVICE OVERVIEW

Assistive Technology and Adaptive Aids enhance the functional abilities of individuals with physical, sensory, or cognitive disabilities, allowing them to perform tasks they might otherwise be unable to do.

Common Technologies and Aids Include:

Mobility Devices:

Manual or power wheelchairs, scooters

Walkers, canes, and crutches

Communication Aids:

Augmentative and Alternative Communication (AAC) devices

Speech-generating devices (SGDs)

Voice amplification systems

Home Accessibility Aids:

Stair lifts, ramps, and vertical lifts

Adaptive bathroom and kitchen equipment

Environmental control units (ECUs)

Personal Assistance Devices:

Adaptive eating utensils and grooming aids

Medication management devices

Hearing aids and visual enhancement systems

Health Monitoring and Safety Devices:

Fall detectors and emergency alert systems

Smart home integration for individuals with disabilities

Services include assessment, procurement, installation, training, and maintenance. All devices must align with the individual’s Plan of Care (POC) or Individual Service Plan (ISP).

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Secure general liability and product liability insurance

Obtain a Durable Medical Equipment (DME) License from LARA if providing medical devices

Hire or contract certified Assistive Technology Professionals (ATP), rehabilitation engineers, or occupational therapists

Develop a Policy & Procedure Manual specific to assistive technology and adaptive aids

Implement HIPAA-compliant data handling and storage practices

4. PROVIDER ENROLLMENT PROCESS

Step 1: Apply for a DME or AT Service License

Submit your application via the LARA Licensing Portal:
LARA Licensing

Step 2: Enroll with Michigan Medicaid

Complete the process via CHAMPS:
CHAMPS Login

Step 3: Contract with Michigan Rehabilitation Services (MRS)

Register as a vendor for adaptive technology and vocational aids

Step 4: Finalize Credentialing with Waiver Programs

Work with local AAAs for MI Choice Waiver service authorization

Partner with CMHs for technology services under developmental disability waivers

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration

IRS EIN and NPI confirmation

Proof of liability and product insurance

LARA DME license (if providing medical devices)

AT and Adaptive Aids Policy & Procedure Manual, including:

Client intake and needs assessment templates

Device procurement and installation logs

Training documentation for clients and caregivers

Maintenance and repair records

Warranty and support agreements

Billing logs and audit-ready documentation

Safety protocols for device usage and maintenance

6. STAFFING REQUIREMENTS

Role: Assistive Technology Professional (ATP)
Requirements: Certification from RESNA or similar; experience with assistive device evaluations

Role: Occupational Therapist (OT) / Physical Therapist (PT)
Requirements: State licensure; experience in functional assessment and adaptive device integration

Role: Device Installer / Technician
Requirements: Training in device setup and safety testing

Role: Program Supervisor
Requirements: Experience in healthcare technology coordination; ensures quality control and staff supervision

Required Trainings:

HIPAA and data security

Infection control for reusable devices

Device fitting and customization

Safety and emergency protocols

Client training and usage instruction

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING AT & ADAPTIVE AIDS

Assistive Technology and Adaptive Aids are reimbursed under:

MI Choice Waiver Program (for elderly and adults with disabilities)

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Children’s Waiver Program (CWP) (for minors with severe disabilities)

Community Mental Health (CMH) Programs (for behavioral and developmental support)

Vocational Rehabilitation (MRS) Programs (for employment-related aids)

Covered services include:

Assessment and evaluation of device needs

Purchase or lease of adaptive devices

Installation and setup of equipment

User training and ongoing technical support

Maintenance and repair services

8. TIMELINE TO LAUNCH

Phase: Business Registration and Insurance Setup
Timeline: 2–4 weeks

Phase: DME or AT License Application and Medicaid Enrollment
Timeline: 1–3 months

Phase: Staff Hiring and Credential Verification
Timeline: 1–2 months

Phase: Equipment Procurement and Training Program Setup
Timeline: 1 month

Phase: Service Rollout and Client Onboarding
Timeline: Ongoing, based on client needs and referral volume

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

​

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

​

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

​

Michigan Rehabilitation Services (MRS)
https://www.michigan.gov/leo/

​

Area Agency on Aging (AAA) Locator
https://www.michigan.gov/osa

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN ASSISTIVE TECHNOLOGY PROVIDER

WCG supports healthcare technology startups, rehabilitation specialists, and assistive device suppliers in launching licensed, Medicaid-approved AT and adaptive aid services across Michigan.

​

Scope of Work:

Business registration and Medicaid enrollment

DME licensing and credentialing support

Policy & Procedure Manual creation for assistive technology

Staff training on device usage and maintenance

Equipment procurement and setup guidelines

Billing setup for Medicaid, MI Choice, and MRS programs

Referral networking with rehabilitation centers and CMHs

BEHAVIORAL SUPPORT SERVICES PROVIDER IN MICHIGAN

PROVIDING STRUCTURED INTERVENTIONS AND STRATEGIES TO IMPROVE INDIVIDUAL BEHAVIORAL HEALTH AND FUNCTIONAL OUTCOMES

Behavioral Support Services in Michigan aim to help individuals with developmental disabilities, mental health conditions, or behavioral challenges develop positive coping strategies, reduce maladaptive behaviors, and enhance social skills. These services are funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and Community Mental Health (CMH) Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Regulates Medicaid-funded behavioral support services through HCBS waivers and CMH programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for waiver-funded behavioral interventions

Agency: Community Mental Health (CMH) Authorities
Role: Coordinate and oversee behavioral support services for individuals with mental health needs

Agency: Michigan Department of Licensing and Regulatory Affairs (LARA)
Role: Licenses behavioral health providers and enforces compliance with state regulations

2. BEHAVIORAL SUPPORT SERVICE OVERVIEW

Behavioral Support Services involve structured interventions provided by trained professionals to address problematic behaviors, teach new skills, and support emotional well-being.

Core Services Include:

Behavioral Assessment and Functional Analysis: Identify triggers, functions, and patterns of challenging behaviors

Behavioral Support Planning: Develop individualized strategies to reduce negative behaviors and promote positive alternatives

Therapeutic Interventions: Implement strategies based on Applied Behavior Analysis (ABA), Cognitive Behavioral Therapy (CBT), or other evidence-based practices

Crisis Intervention and De-escalation: Train caregivers and staff on how to manage behavioral crises safely

Skill-Building Activities: Teach coping strategies, communication skills, and self-regulation techniques

Caregiver Training: Equip families and direct support staff with practical techniques and behavior management tools

Services must be outlined in an Individual Support Plan (ISP) or Behavioral Intervention Plan (BIP) and tailored to each person’s unique needs.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Obtain a Behavioral Health Services License (if applicable)

Secure general liability and professional malpractice insurance

Hire or contract licensed mental health professionals (e.g., BCBA, LPC, LCSW)

Develop a Behavioral Support Policy & Procedure Manual

Ensure HIPAA-compliant data management and client confidentiality

4. PROVIDER ENROLLMENT PROCESS

Step 1: Apply for Behavioral Health Licensure
Submit your application through the LARA Licensing Portal:
https://www.michigan.gov/lara

Step 2: Enroll with Michigan Medicaid
Complete the process via the CHAMPS system:
https://milogintp.michigan.gov/

Step 3: Credentialing with CMH Authorities
Work with local CMHs to become an approved behavioral support provider

Step 4: Contract and Collaborate with Waiver Programs
Coordinate with MDHHS and CMH programs for referrals and service authorization

5. REQUIRED DOCUMENTATION

Articles of Incorporation or DBA registration

IRS EIN and NPI confirmations

Proof of liability and professional insurance

Behavioral Support Services Policy & Procedure Manual, including:

Assessment and intervention planning templates

Behavior tracking logs and progress monitoring forms

Incident reporting and crisis management protocols

Client consent and confidentiality agreements

Staff training logs and credential verification

Billing logs and audit-ready documentation

6. STAFFING REQUIREMENTS

Role: Board-Certified Behavior Analyst (BCBA)
Requirements: Master’s degree in ABA or related field; BCBA certification; experience in behavior modification

Role: Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)
Requirements: State licensure and experience in mental health interventions

Role: Behavioral Technician / Direct Support Professional (DSP)
Requirements: High school diploma or equivalent; experience with ABA or behavioral support; background checks required

Role: Program Supervisor / Behavioral Specialist
Requirements: Experience managing behavioral interventions and staff supervision

Mandatory Training Topics:

Crisis intervention and de-escalation techniques

Applied Behavior Analysis (ABA) and positive behavior supports

Trauma-informed care and mental health awareness

Abuse, neglect, and mandatory reporting

HIPAA and client confidentiality

Person-centered planning and documentation practices

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING BEHAVIORAL SUPPORT

Behavioral support services are reimbursable under:

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

MI Choice Waiver Program (for elderly and adults with physical disabilities)

Children’s Waiver Program (CWP) (for children with severe disabilities)

Serious Emotional Disturbance (SED) Waiver (for youth with significant mental health needs)

Community Mental Health (CMH) Services Program (for behavioral health support)

Services must be:

Medically necessary and included in the ISP/BIP

Delivered by credentialed professionals

Billed according to Medicaid and waiver-specific guidelines

8. TIMELINE TO LAUNCH

Phase: Business Registration and Insurance Setup
Timeline: 2–4 weeks

Phase: LARA Licensing and Medicaid Enrollment
Timeline: 2–3 months

Phase: Staff Hiring and Credential Verification
Timeline: 1–2 months

Phase: Program Launch and Client Onboarding
Timeline: Ongoing based on referrals and service authorizations

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

Community Mental Health (CMH) Services Locator
https://www.michigan.gov/mdhhs

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN BEHAVIORAL SUPPORT PROVIDER

WCG supports behavioral health agencies, mental health professionals, and community organizations in launching licensed, Medicaid-approved behavioral support services across Michigan.

​

Scope of Work:

Business registration and Medicaid enrollment

LARA licensure application support

Behavioral Support Policy & Procedure Manual creation

Staff training resources and certification tracking

Referral network development with CMHs and healthcare providers

Billing setup for Medicaid, MI Choice, and HSW services

Compliance documentation and audit readiness

SPECIALIZED THERAPIES SERVICES PROVIDER IN MICHIGAN

ENHANCING WELL-BEING THROUGH INDIVIDUALIZED THERAPEUTIC SERVICES

Specialized Therapies Services in Michigan are designed to support individuals with disabilities and chronic conditions by providing targeted therapeutic interventions to improve their physical, cognitive, and emotional well-being. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Specialized Therapies Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Specialized Therapies Services offer a range of therapeutic interventions aimed at promoting the physical, mental, and emotional health of individuals. Services are tailored to individual care plans and may include physical, occupational, speech, and behavioral therapies.

Approved providers may deliver:

Physical therapy for mobility and strength enhancement

Occupational therapy to improve daily living skills

Speech therapy for communication and swallowing issues

Behavioral therapy to support emotional and behavioral health

Therapeutic assessments and progress tracking

Documentation of therapy sessions and outcomes

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical therapy office or service location in Michigan.

Demonstrate expertise in providing therapy services relevant to waiver recipients.

Hire licensed therapists in physical, occupational, speech, or behavioral therapy.

Establish protocols for therapy documentation and progress tracking.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Specialized Therapies Provider Application Packet from MDHHS.

Submit a service plan detailing types of therapies offered and client support procedures.

Include policies for therapist credentialing, service delivery, and client safety.

Background & Credentialing:

Background checks for therapists and staff involved in direct client care.

Verification of professional licenses and certifications.

Proof of continuing education and skills maintenance.

Program Readiness Review:

Demonstrate readiness to provide therapy services tailored to individual care plans.

Establish protocols for client assessments and progress documentation.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of therapy office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Therapy assessment and care planning procedures.

Documentation of therapy sessions and client progress.

Safety and client interaction protocols.

Financial tracking and billing practices.

6. STAFFING REQUIREMENTS

Role: Therapy Program Manager
Requirements: Licensed therapist with experience in HCBS services and program management.

Role: Licensed Therapist (Physical, Occupational, Speech, Behavioral)
Requirements: State licensure and experience in providing person-centered therapeutic care.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on therapy best practices and client interaction.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Specialized Therapies Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Therapeutic assessments

Individual and group therapy sessions

Progress monitoring and documentation

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Hiring and Credentialing of Therapists
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

​

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN SPECIALIZED THERAPIES PROVIDER

We support new providers through every step of launching Specialized Therapies services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Therapist recruitment and credentialing

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

COMMUNITY INTEGRATION SERVICES PROVIDER IN MICHIGAN

PROMOTING INDEPENDENCE THROUGH COMMUNITY ENGAGEMENT AND SUPPORT

Community Integration Services in Michigan are designed to support individuals with disabilities by promoting independence, social engagement, and community participation. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Community Integration Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Community Integration Services focus on helping individuals become active and engaged members of their communities. These services facilitate participation in social, recreational, educational, and vocational activities as outlined in each person-centered plan.

Approved providers may deliver:

Skill-building for community participation (e.g., using public transportation, social interactions)

Supported access to community resources (e.g., libraries, recreational centers)

Facilitated peer interactions and social skills training

Assistance with volunteer and employment opportunities

Monitoring of community involvement and progress

Documentation of individual achievements and community engagement

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or service location in Michigan.

Demonstrate experience in community support, social services, or rehabilitation.

Hire staff trained in social engagement, community outreach, and individualized support.

Develop protocols for community engagement and safety during activities.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Community Integration Services Provider Application Packet from MDHHS.

Submit a business plan detailing how community activities will be facilitated and monitored.

Include policies for safety during community engagement and skill-building activities.

Background & Credentialing:

Background checks for staff involved in community support.

Verification of skills in social services, community engagement, or rehabilitation.

Proof of training in person-centered care and community safety.

Program Readiness Review:

Demonstrate readiness to support individuals in various community settings.

Establish protocols for documentation of community involvement and progress.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Community engagement and safety protocols.

Skill-building and social integration plans.

Documentation of client participation and outcomes.

Financial tracking and client service logs.

6. STAFFING REQUIREMENTS

Role: Community Program Coordinator
Requirements: Experience in community outreach, social work, or rehabilitation.

Role: Community Support Specialist
Requirements: Training in social skills development and community integration.

Role: Activity Facilitator
Requirements: Experience leading group activities and social engagement initiatives.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on community safety, social skills, and client interaction.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Community Integration Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Skill-building and social integration

Community navigation and resource connection

Volunteer and vocational support

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Staff Training and Community Partnership Development
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Community Services
Email: communityprovider@michigan.gov
Phone: (517) 335-1980
Website: https://www.michigan.gov/mdhhs

Michigan Medicaid Agency – Waiver Services
Website: https://www.michigan.gov/mdhhs (shared portal with MDHHS)

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN COMMUNITY INTEGRATION PROVIDER

We support new providers through every step of launching Community Integration services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Staff training on community engagement and safety

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

PERSONAL EMERGENCY RESPONSE SERVICES (PERS) PROVIDER IN MICHIGAN

ENHANCING SAFETY AND INDEPENDENCE THROUGH EMERGENCY RESPONSE TECHNOLOGY

Personal Emergency Response Services (PERS) in Michigan are designed to support individuals with disabilities, older adults, and those with chronic conditions by providing immediate access to assistance during emergencies. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for PERS.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Personal Emergency Response Services (PERS) provide individuals with devices that can be activated to call for help in emergencies, promoting safety and independence in community living settings.

Approved providers may deliver:

Installation and maintenance of PERS devices (e.g., wearable devices, in-home units)

User training on device operation and emergency protocols

Monitoring and response services available 24/7

Regular testing and maintenance of equipment

Documentation of emergency activations and responses

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or service center in Michigan.

Demonstrate technical expertise in the installation and maintenance of PERS equipment.

Hire staff trained in device installation, client safety, and emergency response protocols.

Develop protocols for device monitoring and client support.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the PERS Provider Application Packet from MDHHS.

Submit a business plan detailing installation, monitoring, and response protocols.

Include policies for device maintenance, client training, and emergency response documentation.

Background & Credentialing:

Background checks for staff involved in equipment installation or client interaction.

Verification of technical skills related to PERS device setup and emergency monitoring.

Proof of ongoing training in safety and emergency response.

Program Readiness Review:

Demonstrate readiness to install, maintain, and monitor PERS devices.

Establish protocols for rapid response and customer support during emergencies.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Installation and maintenance protocols for PERS devices.

Emergency monitoring and response procedures.

Training protocols for device users and caregivers.

Financial tracking and client service logs.

6. STAFFING REQUIREMENTS

Role: PERS Program Manager
Requirements: Experience in medical alert systems, customer service, and program management.

Role: PERS Technician
Requirements: Technical skills in device installation, maintenance, and troubleshooting.

Role: Monitoring Specialist
Requirements: Experience in emergency response and customer communication.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on device maintenance, safety, and customer support.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize PERS include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Installation of PERS devices

User training and ongoing support

24/7 emergency monitoring and response

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Device Procurement and Technician Training
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: https://www.michigan.gov/mdhhs

Michigan Medicaid Agency – Waiver Services
Website: https://www.michigan.gov/mdhhs (shared portal with MDHHS)

​

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN PERS PROVIDER

We support new providers through every step of launching Personal Emergency Response Services (PERS) under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Device installation and safety protocol training

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

CASE MANAGEMENT SERVICES PROVIDER IN MICHIGAN

COORDINATING AND FACILITATING ACCESS TO HEALTH, SOCIAL, AND SUPPORT SERVICES FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC HEALTH CONDITIONS

Case Management Services in Michigan help individuals and families navigate the healthcare and social service systems, ensuring they receive the necessary care and support. These services are primarily funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Administers Medicaid-funded case management through HCBS waivers and MI Choice programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for waiver-funded case management services

Agency: Community Mental Health (CMH) Authorities
Role: Coordinate case management services for individuals with mental health needs or developmental disabilities

Agency: Area Agencies on Aging (AAA)
Role: Facilitate case management for seniors and adults with physical disabilities under the MI Choice Waiver

2. CASE MANAGEMENT SERVICE OVERVIEW

Case Management Services involve coordinating comprehensive care and support, including medical, social, and community resources, to enhance the quality of life for individuals with complex needs.

Core Services Include:

Assessment and Care Planning:

Conduct initial and ongoing assessments to identify needs and strengths

Develop and update individualized care plans (ISPs or PCPs)

Service Coordination:

Arrange healthcare appointments, therapies, and community support

Coordinate with healthcare providers, therapists, and social services

Referral and Advocacy:

Connect clients to community resources and Medicaid benefits

Advocate for client needs within healthcare and social service systems

Monitoring and Follow-Up:

Regularly review care plans and service effectiveness

Address changes in client health or service needs

Documentation and Reporting:

Maintain accurate, HIPAA-compliant case records

Prepare progress reports and outcome evaluations

Services are person-centered and require a detailed Person-Centered Plan (PCP) or Individual Service Plan (ISP).

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Apply for Case Management Provider Enrollment via the CHAMPS system

Maintain general liability and professional insurance

Hire or contract qualified case managers (e.g., social workers, nurses)

Develop a Case Management Policy & Procedure Manual

Implement HIPAA-compliant data management practices

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register and Obtain Necessary Licenses

Apply through LARA Licensing Portal:
LARA Licensing

Step 2: Enroll with Michigan Medicaid

Complete the process via CHAMPS:
CHAMPS Login

Step 3: Contract with Community Mental Health (CMH) and AAA

Work with local CMH and AAA offices to become an approved case management provider

Step 4: Finalize Credentialing and Start Service Delivery

Complete staff onboarding and compliance checks

Begin receiving referrals from waiver coordinators and CMH programs

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration

IRS EIN and NPI confirmations

Proof of liability and professional insurance

Case Management Policy & Procedure Manual, including:

Intake and assessment forms

Service coordination and referral templates

Client progress tracking logs

Risk assessment and safety planning forms

Incident reporting and resolution procedures

Consent and confidentiality agreements

Staff training logs and credential verification

Billing documentation and audit-ready files

6. STAFFING REQUIREMENTS

Role: Case Manager (Social Worker / Nurse)
Requirements: Bachelor’s or Master’s in Social Work, Nursing, or related field; state licensure (if applicable); experience with care coordination; background checks

Role: Program Supervisor / Care Coordinator
Requirements: Experience in healthcare or social services management; oversees case management quality and compliance

Training Requirements for All Staff:

Person-centered planning and care coordination

HIPAA and confidentiality practices

Abuse and neglect prevention (mandatory reporter training)

Cultural competence and client advocacy

Safety protocols for in-home visits

Documentation standards and Medicaid billing practices

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING CASE MANAGEMENT

Case Management Services are reimbursable under:

MI Choice Waiver Program (for elderly and adults with physical disabilities)

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Children’s Waiver Program (CWP) (for minors with severe disabilities)

Serious Emotional Disturbance (SED) Waiver (for youth with significant mental health needs)

Community Mental Health (CMH) Programs (for behavioral health support)

Approved providers may deliver:

Comprehensive case coordination

Ongoing monitoring and advocacy

Crisis intervention and safety planning

Linkage to community and healthcare resources

Follow-up and progress evaluations

8. TIMELINE TO LAUNCH

Phase: Business Registration and Insurance Setup
Timeline: 2–4 weeks

Phase: Medicaid Enrollment and Policy Manual Development
Timeline: 60–90 days

Phase: Staff Hiring and Credential Verification
Timeline: 1 month

Phase: Referral Coordination and Service Delivery
Timeline: Ongoing, based on CMH and AAA caseloads

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

Community Mental Health (CMH) Services Locator
https://www.michigan.gov/mdhhs

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN CASE MANAGEMENT PROVIDER

WCG supports healthcare organizations, social service agencies, and community care providers in launching licensed, Medicaid-approved case management services across Michigan.

​

Scope of Work:

Business registration and Medicaid enrollment

CMH and AAA credentialing support

Case Management Policy & Procedure Manual creation

Staff training resources and compliance tools

Care coordination and referral networking strategies

Documentation templates for service tracking and reporting

Billing setup for Medicaid and waiver-funded case management

TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN MICHIGAN

SUPPORTING INDIVIDUALS WITH ACCESS TO COMMUNITY AND HEALTHCARE SERVICES

Transportation Assistance Services in Michigan are designed to support individuals with disabilities, older adults, and those with chronic conditions by providing reliable and safe transportation to medical appointments, community activities, and essential services. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Transportation Assistance Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Transportation Assistance Services provide individuals with safe, reliable transportation to and from medical appointments, social services, community activities, and other essential destinations as outlined in their care plan.

Approved providers may deliver:

Non-emergency medical transportation (NEMT)

Transportation to community activities and essential services

Vehicle modification or adaptation for accessibility

Escort or companion services when needed

Documentation of trips and client satisfaction reports

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or dispatch center in Michigan.

Obtain necessary vehicle registration, insurance, and licensing for passenger transport.

Hire qualified drivers with clean driving records and proper training.

Establish vehicle maintenance and safety protocols.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Transportation Assistance Provider Application Packet from MDHHS.

Submit a business and service plan detailing transportation logistics, safety protocols, and staff qualifications.

Include policies for vehicle maintenance, driver training, and client safety.

Background & Credentialing:

Background checks for drivers and staff involved in direct client interaction.

Verification of valid driver's licenses and clean driving records.

Proof of driver training in passenger assistance and emergency protocols.

Program Readiness Review:

Demonstrate vehicle safety inspection and maintenance logs.

Establish protocols for client pick-up, drop-off, and ride documentation.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of dispatch location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Driver safety and training protocols.

Trip scheduling, tracking, and reporting procedures.

Emergency response and client safety standards.

Financial tracking and mileage logs.

6. STAFFING REQUIREMENTS

Role: Transportation Coordinator
Requirements: Experience in logistics, client coordination, and scheduling.

Role: Driver
Requirements: Valid driver’s license, clean driving record, and training in passenger assistance.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual safety, defensive driving, and client care training.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Transportation Assistance Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Non-emergency medical transportation (NEMT)

Community transportation

Wheelchair-accessible and assisted rides

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Driver Hiring and Training
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

​

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN TRANSPORTATION ASSISTANCE PROVIDER

We support new providers through every step of launching Transportation Assistance services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Driver training and vehicle safety protocols

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

HOME HEALTH CARE SERVICES PROVIDER IN MICHIGAN

DELIVERING MEDICAL AND NON-MEDICAL IN-HOME SUPPORT FOR INDIVIDUALS WITH DISABILITIES, CHRONIC CONDITIONS, OR RECOVERY NEEDS

Home Health Care Services in Michigan provide medical and non-medical care to individuals who prefer to receive support at home rather than in a hospital or long-term care facility. These services are primarily funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees Medicaid-funded home health services and HCBS waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and funding through 1915(c) waivers and Medicaid state plans

Agency: Michigan Department of Licensing and Regulatory Affairs (LARA)
Role: Issues licenses to home health care agencies and ensures compliance with state regulations

Agency: Michigan Board of Nursing
Role: Licenses RNs, LPNs, and certified nursing assistants (CNAs) working in home care

Agency: Local Area Agencies on Aging (AAA)
Role: Coordinate home health services for seniors under the MI Choice Waiver

2. HOME HEALTH CARE SERVICE OVERVIEW

Home health care services are designed to help individuals maintain or regain health and independence while remaining at home. Services are delivered by licensed healthcare professionals or trained caregivers, based on a physician’s order and documented in a Plan of Care (POC).

Medical Home Health Services:

Skilled nursing (wound care, IV therapy, medication management)

Physical, occupational, and speech therapy

Medical social services (counseling and community linkage)

Chronic disease management (e.g., diabetes, hypertension)

Post-surgical and rehabilitation care

Health monitoring and care coordination

Non-Medical Home Care Services:

Assistance with Activities of Daily Living (ADLs)

Bathing, grooming, and dressing

Mobility assistance and transfers

Toileting and personal hygiene

Help with Instrumental Activities of Daily Living (IADLs)

Meal preparation and feeding assistance

Light housekeeping and laundry

Medication reminders (non-clinical)

Escort to medical appointments

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Secure professional liability and general liability insurance

Obtain a Home Health Agency License from LARA

Hire licensed professionals (RNs, LPNs, CNAs) and non-medical caregivers

Implement HIPAA-compliant documentation practices

Develop a Home Health Care Policy & Procedure Manual

4. PROVIDER ENROLLMENT PROCESS

Step 1: Apply for a Home Health Agency License
Submit your application through the LARA Licensing Portal:
https://www.michigan.gov/lara

Step 2: Enroll with Michigan Medicaid
Complete the process via the CHAMPS system:
https://milogintp.michigan.gov/

Step 3: Complete Waiver Program Enrollment
Work with local AAAs or Medicaid Health Plans (MHPs) to become an authorized home care provider under HCBS waivers

Step 4: Finalize Credentialing and Contracting
Submit staff credentials and service descriptions to meet waiver and Medicaid standards

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration

IRS EIN and NPI confirmations

Proof of LARA home health agency license

Proof of insurance (general and professional liability)

Home Health Care Policy & Procedure Manual, including:

Admission and intake assessment forms

Individual care plan templates and nursing notes

Incident reporting and emergency response protocols

Staff training logs and licensure verification

Medication administration records (MARs)

Client rights and confidentiality agreements

Billing logs and audit-ready documentation

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)
Requirements: Valid Michigan RN license; CPR certification; clinical experience; background checks

Role: Licensed Practical Nurse (LPN)
Requirements: Michigan LPN license; supervised by an RN; experience in home care

Role: Certified Nursing Assistant (CNA)
Requirements: Michigan CNA certification; experience with ADLs and patient safety

Role: Home Health Aide (HHA)
Requirements: Completion of a state-approved training program; basic caregiving skills

Role: Physical/Occupational Therapist (PT/OT)
Requirements: State licensure and certification; experience in home rehabilitation

Required Trainings:

Infection control and hygiene

HIPAA compliance and client confidentiality

Safe transfer and mobility techniques

Person-centered care and ADL support

Abuse, neglect, and mandatory reporting

Medication safety and administration (for nurses)

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING HOME HEALTH CARE

Home health care services are reimbursable under:

MI Choice Waiver Program (for elderly and disabled adults)

Medicaid State Plan Home Health Services

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Community Mental Health (CMH) Programs (for behavioral health support)

Medicare (if eligible)

Services must be:

Prescribed by a physician

Medically necessary and documented in a POC

Delivered by qualified, licensed professionals

Billed according to Medicaid and waiver-specific codes

8. TIMELINE TO LAUNCH

Phase: Business Registration and Insurance Setup
Timeline: 2–4 weeks

Phase: Home Health License Application and Inspection
Timeline: 2–4 months

Phase: Medicaid and Waiver Program Enrollment
Timeline: 1–2 months

Phase: Staff Hiring and Credential Verification
Timeline: 1–2 months

Phase: Service Rollout and Client Onboarding
Timeline: Ongoing based on referrals and physician orders

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

Michigan Board of Nursing
https://www.michigan.gov/lara

Area Agency on Aging (AAA) Locator
https://www.michigan.gov/osa

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN HOME HEALTH CARE PROVIDER

WCG supports healthcare agencies, nurse entrepreneurs, and caregiving businesses in launching licensed, Medicaid-approved home health care services across Michigan.

​

Scope of Work:

Business registration and LARA licensing guidance

Medicaid and MI Choice waiver enrollment support

Home Health Care Policy & Procedure Manual development

Clinical staffing and training resources

Referral coordination with hospitals and discharge planners

Billing setup for Medicaid, Medicare, and private pay clients

Compliance with CMS Conditions of Participation (CoPs)

HOME DELIVERY MEALS SERVICES PROVIDER IN MICHIGAN

SUPPORTING INDIVIDUALS WITH NUTRITIONAL NEEDS THROUGH HOME-DELIVERED MEALS

Home Delivery Meals Services in Michigan are designed to support individuals with disabilities, older adults, and those with chronic conditions by providing nutritious meals directly to their homes. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Home Delivery Meals Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Home Delivery Meals Services provide individuals with nutritious, prepared meals delivered directly to their homes. These services ensure that individuals who are unable to cook or shop for groceries receive balanced, diet-appropriate meals according to their care plan.

Approved providers may deliver:

Meal planning and dietary consultation to meet individual needs.

Preparation and packaging of meals based on nutritional guidelines.

Delivery of meals to the client’s residence.

Monitoring of meal acceptance and dietary satisfaction.

Documentation of meal deliveries and client feedback.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or food preparation site in Michigan.

Comply with food safety and hygiene regulations (e.g., ServSafe certification).

Hire staff trained in food preparation, dietary guidelines, and safe delivery practices.

Implement a system for tracking meal preparation and delivery.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Home Delivery Meals Provider Application Packet from MDHHS.

Submit a business and service plan outlining meal preparation, delivery logistics, and safety measures.

Include procedures for dietary assessment and client satisfaction tracking.

Background & Credentialing:

Background checks for staff involved in food preparation or delivery.

Verification of food handling certifications and compliance with safety protocols.

Program Readiness Review:

Demonstrate the ability to manage dietary planning and meal preparation.

Establish protocols for safe and hygienic meal packaging and delivery.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of food preparation site in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Food safety and sanitation standards.

Dietary planning and meal customization protocols.

Delivery tracking and client feedback systems.

Financial tracking and client meal logs.

6. STAFFING REQUIREMENTS

Role: Program Director
Requirements: Experience in food service management and community nutrition.

Role: Meal Delivery Coordinator
Requirements: Certification in food handling and experience in meal delivery logistics.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual food safety, sanitation, and dietary guidelines training.

Confidentiality, ethics, and client interaction training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Home Delivery Meals Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Customized meal plans

Daily or weekly meal deliveries

Dietary consultation and monitoring

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Food Safety and Compliance Preparation
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: MDHHS Website

Michigan Medicaid Agency – Waiver Services
Website: Michigan Medicaid

​

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN HOME DELIVERY MEALS PROVIDER

We support new providers through every step of launching Home Delivery Meals services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Food safety training and meal preparation protocols

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

HOME CARE TECHNOLOGY SERVICES PROVIDER IN MICHIGAN

ENHANCING INDEPENDENCE THROUGH TECHNOLOGICAL INNOVATION IN HOME CARE

Home Care Technology Services in Michigan are designed to support individuals with disabilities, older adults, and those with chronic conditions by integrating technology into daily care. These services are authorized under the Michigan Home and Community-Based Services (HCBS) Medicaid Waivers and must follow protocols set by the Michigan Department of Health and Human Services (MDHHS).

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees provider enrollment, service authorization, and Medicaid compliance.

Agency: Michigan Medicaid Agency
Role: Handles Medicaid provider enrollment and reimbursement for Home Care Technology Services.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with HCBS waiver rules.

2. SERVICE OVERVIEW

Home Care Technology Services provide individuals with access to technology that supports their independence and safety within their homes. These services include the installation, maintenance, and support of devices and systems tailored to the individual’s needs.

Approved providers may deliver:

Installation of smart home systems for safety and accessibility

Personal monitoring devices and alert systems

Remote health monitoring and telehealth integration

User training on device operation and troubleshooting

Routine maintenance and technical support

Documentation of service effectiveness and client satisfaction

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Michigan Department of Licensing and Regulatory Affairs (LARA).

Obtain EIN from the IRS and NPI (Type 2).

Maintain a physical office or service location in Michigan.

Demonstrate technical expertise in smart home technology and assistive devices.

Hire staff trained in technology installation, maintenance, and client education.

Develop protocols for device monitoring and client support.

4. PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request the Home Care Technology Provider Application Packet from MDHHS.

Submit a business plan detailing technology integration, maintenance, and client training protocols.

Include policies for safety management, device calibration, and data privacy.

Background & Credentialing:

Background checks for staff involved in technology installation or client interaction.

Verification of technical skills related to home care technology setup and monitoring.

Proof of ongoing training in safety and technology updates.

Program Readiness Review:

Demonstrate readiness to install, maintain, and troubleshoot home care technology devices.

Establish protocols for rapid response and technical support during device malfunctions.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or LLC Certificate.

IRS EIN Letter.

NPI confirmation.

Lease or proof of office location in Michigan.

MDHHS-Compliant Policy & Procedure Manual including:

Installation and maintenance protocols for home care technology.

User training and support procedures.

Data security and privacy guidelines.

Financial tracking and client service logs.

6. STAFFING REQUIREMENTS

Role: Technology Program Manager
Requirements: Experience in home automation, healthcare technology, or IT management.

Role: Installation Technician
Requirements: Technical skills in device installation, maintenance, and user support.

Role: Customer Support Specialist
Requirements: Experience in client education and technical troubleshooting.

All staff must complete:

MDHHS orientation and HCBS Waiver training.

Annual training on device maintenance, safety, and customer support.

Confidentiality, ethics, and client rights training.

7. MEDICAID WAIVER SERVICES

Michigan Medicaid Waivers that authorize Home Care Technology Services include:

MI Choice Waiver

Habilitation Supports Waiver

Children’s Waiver Program

Approved providers may deliver:

Installation and maintenance of smart home systems

Remote health monitoring support

User training and ongoing technical assistance

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 0–1 week

Phase: MDHHS Application Review
Timeline: 60–90 days

Phase: Device Procurement and Technician Training
Timeline: 30–60 days

Phase: Medicaid Enrollment
Timeline: 60–90 days

9. CONTACT INFORMATION

Michigan Department of Health and Human Services (MDHHS) – Division of Long-Term Care Services
Email: ltcprovider@michigan.gov
Phone: (517) 335-1980
Website: https://www.michigan.gov/mdhhs

Michigan Medicaid Agency – Waiver Services
Website: https://www.michigan.gov/mdhhs (shared portal with MDHHS)

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MICHIGAN HOME CARE TECHNOLOGY PROVIDER

We support new providers through every step of launching Home Care Technology services under Michigan’s HCBS waiver programs.

​

SCOPE OF WORK:

Business formation (LLC, EIN, NPI)

MDHHS provider application and compliance guidance

Policy & Procedure Manual development

Technology setup and user training protocols

Medicaid enrollment and billing setup

Website, domain, and email setup

Client admission packet

Marketing and advertising materials

Operational training

Compliance and regulatory support

Quality assurance programs

Marketing and client acquisition strategies

COMMUNITY LIVING SUPPORT (CLS) SERVICES PROVIDER IN MICHIGAN

SUPPORTING INDEPENDENCE THROUGH PERSONALIZED ASSISTANCE IN DAILY LIVING ACTIVITIES AND COMMUNITY ENGAGEMENT FOR INDIVIDUALS WITH DISABILITIES

Community Living Support (CLS) Services in Michigan are designed to help individuals with disabilities and chronic conditions maintain independence and participate in community life. These services are primarily funded through Michigan Medicaid, Home and Community-Based Services (HCBS) waivers, and MI Choice Waiver Programs.

1. GOVERNING AGENCIES

Agency: Michigan Department of Health and Human Services (MDHHS)
Role: Oversees Medicaid-funded CLS services under HCBS waivers and ensures compliance

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and funding through 1915(c) waivers

Agency: Community Mental Health (CMH) Authorities
Role: Administer and coordinate CLS services for individuals with mental health or developmental disabilities

Agency: Michigan Department of Licensing and Regulatory Affairs (LARA)
Role: Issues licenses to community-based service providers and ensures compliance with safety standards

2. COMMUNITY LIVING SUPPORT SERVICE OVERVIEW

Community Living Supports (CLS) help individuals live independently within their homes and participate actively in their communities. These services are person-centered and based on the individual’s Individual Service Plan (ISP).

Core Services Include:

Personal Assistance with Activities of Daily Living (ADLs):

Bathing, grooming, dressing, and hygiene

Mobility and transfer support

Medication reminders and health monitoring

Instrumental Activities of Daily Living (IADLs):

Meal planning and preparation

Housekeeping and laundry

Budgeting and financial management

Transportation to community activities or medical appointments

Community Integration Activities:

Social skills training and peer interaction

Support for community participation (e.g., classes, events)

Assistance with navigating public transportation

Skill Development and Maintenance:

Personal safety and self-advocacy

Self-care routines and healthy living practices

Employment readiness and job coaching (if applicable)

Services must be documented in a Person-Centered Plan (PCP) or Individual Service Plan (ISP), and tailored to the individual’s unique needs and preferences.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Michigan Department of Licensing and Regulatory Affairs (LARA)

Obtain IRS EIN and Type 2 NPI

Apply for CLS Provider Enrollment via the CHAMPS system

Obtain relevant licensure if operating a facility-based CLS program

Maintain general liability and worker’s compensation insurance

Hire qualified direct support professionals (DSPs) and care coordinators

Develop a CLS Services Policy & Procedure Manual

Implement HIPAA-compliant data management practices

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register and Obtain Necessary Licenses

Apply through LARA Licensing Portal:
LARA Licensing

Step 2: Enroll with Michigan Medicaid

Complete the process via CHAMPS:
CHAMPS Login

Step 3: Contract with Community Mental Health (CMH)

Collaborate with local CMH authorities to receive referrals and authorizations

Step 4: Finalize Credentialing and Begin Service Delivery

Complete staff onboarding and compliance checks

Begin receiving referrals from waiver coordinators and CMH programs

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration

IRS EIN and NPI confirmation

Proof of insurance coverage

Licensure (if providing facility-based support)

CLS Services Policy & Procedure Manual, including:

Client intake and assessment templates

Daily activity logs and shift documentation forms

Medication administration and monitoring protocols

Emergency and incident response procedures

Participant rights and consent forms

Abuse prevention, training logs, and supervision checklists

Billing logs and audit-ready documentation

6. STAFFING REQUIREMENTS

Role: Direct Support Professional (DSP)
Requirements: High school diploma or equivalent; experience with caregiving or disability support; CPR/First Aid certification; background check clearance

Role: Program Supervisor / Care Coordinator
Requirements: Experience in community living programs, service coordination, and care quality monitoring

Training Requirements for All Staff:

Person-centered planning and positive behavior support

HIPAA and confidentiality practices

Abuse and neglect prevention (mandatory reporter training)

ADL/IADL assistance techniques

Safety protocols for in-home and community settings

Cultural competence and communication skills

7. MEDICAID & HCBS WAIVER PROGRAMS COVERING CLS SERVICES

CLS services are reimbursed under:

MI Choice Waiver Program (for elderly and adults with physical disabilities)

Habilitation Supports Waiver (HSW) (for individuals with developmental disabilities)

Children’s Waiver Program (CWP) (for minors with severe disabilities)

Serious Emotional Disturbance (SED) Waiver (for youth with mental health challenges)

Community Mental Health (CMH) Programs (for individuals with mental health needs)

Approved providers may deliver:

Flexible care hours based on individual needs

In-home and community-based support

Group or one-on-one services as specified in the ISP

Coordination with support coordinators and service teams

8. TIMELINE TO LAUNCH

Phase: Business Registration and Staff Hiring
Timeline: 1–2 months

Phase: Medicaid Enrollment and Policy Manual Development
Timeline: 60–90 days

Phase: Staff Credentialing and Licensing (if facility-based)
Timeline: 1 month

Phase: Referral Coordination and Service Delivery
Timeline: Ongoing, based on CMH caseloads and individual service plans

9. CONTACT INFORMATION

Michigan Medicaid Provider Enrollment (CHAMPS)
https://milogintp.michigan.gov/

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Michigan Department of Health and Human Services (MDHHS)
https://www.michigan.gov/mdhhs

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Michigan Department of Licensing and Regulatory Affairs (LARA)
https://www.michigan.gov/lara

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Community Mental Health (CMH) Services Locator
https://www.michigan.gov/mdhhs

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MICHIGAN COMMUNITY LIVING SUPPORT PROVIDER

WCG supports community care agencies, healthcare entrepreneurs, and service providers in launching licensed, Medicaid-approved CLS programs across Michigan.

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Scope of Work:

Business registration and Medicaid enrollment

CMH credentialing and licensing support

CLS Policy & Procedure Manual development

Staff training resources and documentation templates

Daily log templates and service delivery forms

Referral coordination with CMH programs and waiver administrators

Audit readiness checklists and Medicaid billing systems