Enhancing quality of life by empowering individuals and strengthening communities.

Application Packet

MI Choice HCBS Provider Individual Documents Application Packet

New providers are required to complete an application packet and provide the required documents showing that the program requirements will be met.  If you are interested in becoming a provider, please contact the Business / Financial Resources Manager at 989.358.4613 or SmigelskiY@nemcsa.org

Provider Toolbox

A-19 False Claims Act PolicyMDHHS Minimum Operating Standards Attachment HACLS Operating Standard Medication Management B-7ACLS Operating Standard Assistive Devices and Technologies B-9ACLS Operating Standard Respite Care B-10Business Associate Agreement FY 2023-2025Contract Requirement ListingContract Supplement - Minimum Standards and DefinitionsCritical Incidents PowerPointFY 2022 HCPCS/CPT ListFY 2023-2025 Purchase of Service SubcontractGrievance FormIn Home Journal for Residential ServicesIn Home Journal - ParticipantOffice Staff ListingProvider Incident ReportProvider Feedback ReportMDHHS LARA Joint Guidance (Adult Foster Care Homes and Homes for the Aged)Vendor View and Vendor Billing EnrollmentVendor ACH/Direct Deposit Authorization FormWaiver Billing Paper-ExcelEmployee Attestation for False Claims ActAppeals Policy for ProvidersPolicy Public Act 28 of 2021Purchase of Service Provider Compliance and Disenrollment Policy