What this is
End-to-end support to establish a home health agency in Michigan, where — crucially — there is no standalone state home health agency licence. The real path is a Certificate of Need (CON) from MDHHS first, then Medicare certification via CMS, with LARA acting as the state survey agency. We make sure you spend time and money in the right order.
What’s included
- Certificate of Need (CON) guidance — Michigan’s headline gate: you must demonstrate community need to MDHHS before becoming Medicare-certified.
- Medicare certification support — CMS-855A enrolment and the choice between accreditation deeming (CHAP, ACHC or Joint Commission) and a state initial survey.
- Policies & procedures built to the federal Conditions of Participation, with qualified Administrator and Director of Nursing structures and QAPI.
- Myth-busting clarity — we distinguish home health from the separate LARA tracks (hospice licence; Adult Foster Care / Homes for the Aged) and the Medicaid Home Help programme, so you don’t chase a licence that doesn’t exist.
How it works
- Kick-off call to confirm your CON position and service area.
- We prepare your CON case, policies and certification package.
- You review; we refine until it is right.
- We guide submission and stay with you through survey and approval.
Indicative timeline: longer than most states — typically 12–18 months — because CON precedes accreditation and the CMS survey. New Medicare enrolment is paused nationwide until at least November 2026, so this is the ideal window to clear CON and be ready to enrol the moment it reopens. Fees and timelines change, so we confirm current figures with MDHHS, LARA and CMS as part of your project.
Ideal for
Home health providers in Michigan who need the correct CON-then-certify sequence rather than a state licence that does not exist.
Why choose Cura
Published pricing, set before any work begins. Delivered entirely online. Trained under one of the world’s most exacting healthcare regulators.
Our promise
If we are not the right fit for your situation, we will tell you — and point you to who is.








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