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

ACLS Operating Standard Medication Management B-7ACLS Operating Standard Assistive Devices and Technologies B-9ACLS Operating Standard Respite Care B-10Appeals Policy for ProvidersBusiness Associate Agreement FY 2023-2025Contract Requirement ListingContract Supplement - Minimum Standards and DefinitionsCritical Incidents PowerPointEmployee Attestation for False Claims ActFY 2023-2025 Purchase of Service SubcontractGrievance FormIn Home Journal for Residential ServicesIn Home Journal - ParticipantMDHHS LARA Joint Guidance (Adult Foster Care Homes and Homes for the Aged)MDHHS Minimum Operating Standards Attachment HOffice Staff ListingPolicy Public Act 28 of 2021Provider Feedback ReportVendor ACH/Direct Deposit Authorization FormVendor View and Vendor Billing EnrollmentWaiver Billing Paper-Excel