How to Start a Non-Medical Home Care Agency in Michigan

Here's good news for Michigan founders: the state does not issue a separate home care license.

In Michigan, non-medical home care is delivered as personal care and homemaker services under the Michigan Home Health program and the Michigan Choice waiver. Instead of a standalone license, you qualify through MDHHS and credential through the state and regional waiver agents.

Qualify through MDHHS, not a license

Michigan requires you to meet MDHHS qualifications and complete the Michigan Choice waiver agreement. This is the foundation for both private-pay and Medicaid operations.

Clear background checks and submit your Medicaid application

Every provider clears criminal background checks through iChat. If you want Medicaid reimbursement, you submit a Medicaid provider application, and a physician recommendation is typically required for Medicaid payment of non-medical care.

Add clinical oversight and EVV readiness

A nurse must assess whether services are appropriate for each client, and that nurse can be a W-2 employee or a 1099 contractor. You'll also need a policy and procedure manual and EVV readiness for credentialing.

Register first, then plan your timeline

Registration is always the first phase. Private pay can begin sooner, while the Medicaid route adds credentialing steps. The full path typically takes about 12 to 20 weeks.

Key takeaway: Michigan has no separate home care license. Qualify through MDHHS, clear iChat checks, get EVV-ready, and register first.

Start Any Program. In Any State.®

We've helped launch more than 1,450 providers across all 50 states over 20-plus years, and we position you to move from registration to Medicaid contracting with fewer delays. Book a video consultation at waivergroup.com/videoappointment, call 302.888.9172, or email inquiries@waivergroup.com.