Michigan provider application 2026

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4.8 out of 5

125 votes

The document is a Provider Application Form and Declaration of Intent for the Michigan Opioid Treatment Access Loan Repayment Program (MIOTA LRP) by the Michigan Department of Health and Human Services. It collects personal, educational, and professional information from healthcare providers seeking to offer opioid treatment in Michigan. The form outlines eligibility requirements, certification statements, and obligations for participants, including compliance with specific training and licensing requirements related to opioid treatment.

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Click ‘Get Form’ to open the Michigan Provider Application in the editor.
Begin by filling out the Personal Information section. Enter your last name, first name, middle name, and select your gender. Provide your home address, city, state, zip code, and contact numbers including home and cell phone.
Proceed to Educational and Professional Information. Indicate your professional designation (e.g., MD, DO) and specialty. Fill in your license number and state of licensure along with your NPI number.
In the Opioid Treatment Practice Information section, provide details about your opioid treatment certification and capacity. Specify the type of treatment provided and whether methadone treatment is offered.
Complete the Eligibility section by entering practice site information including facility name, address, hours per week, and whether it is your primary site.
Fill out Loan Information by listing current loans along with their details such as account numbers and balances.
Finally, review the Certification Statement and Declaration of Intent. Ensure all information is accurate before signing and dating the form.

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2019	4.8 Satisfied (125 Votes)

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How much does Medicare pay for home health care per hour?

Medicare will cover 100% of the costs for medically necessary home health care, provided that care is part time or intermittent. The care needed must be less than 28 hours per week. The average cost of home health care in 2024 is $29.50 per hour, but it can vary greatly by state.

How long does it take to get credentialed with Medicaid?

You must hold an unrestricted, valid license from this list for consideration to join the Optum Network. Optum recognizes that Michigan is an Any Willing Provider state and therefore accepts applications in compliance with this legislation.

How much do home care providers get paid in Michigan?

How much does a Home Health Care Provider make in Michigan? As of Aug 30, 2025, the average hourly pay for a Home Health Care Provider in Michigan is $14.38 an hour.

How to become a home health care provider in Michigan?

On average, credentialing can take anywhere from 60 to 180 days, depending on factors like the complexity of the providers qualifications, the organization type, and specific payer requirements.

How do home health care providers get paid?

Out-of-Pocket Payments or Private Pay Private pay is one of the most straightforward ways for agencies to generate income, as they are billing their clients directly no insurance claims, reimbursement delays, or complex billing requirements involved.

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How long does it take to get a home health care license?

The time it takes for your home health care license to be approved depends on your state and how many applications are currently being processed. It can take anywhere from under three months to as long as 18 months.