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State Licensing Survey Waiver Process

Non-Long Term Care State Licensing Survey Waiver Overview and Instructions


OVERVIEW

MCL 333.20155 requires that the department, through the State Licensing Section, make at least one (1) visit to each licensed provider every three (3) years for survey and evaluation purposes of licensure. 

Additionally, under MCL 333.20155, the department may waive this required visit if the licensed provider requests a waiver and submits evidence that the facility is fully accredited from an acceptable accrediting body.  In lieu of performing an unannounced on-site state licensing survey, the department will perform a desk review of documentation submitted through the waiver request.  

 

Eligible Licensed Providers


Below are the various links, by healthcare facility type, for licensees that are currently eligible to apply for a survey waiver.  These are the licensees that are currently scheduled to be surveyed in the cycle year 2025.  Current waiver requests may only be submitted October 1, 2024 through October 31, 2024.  You cannot request or submit a request for a waiver at any other time. 

State Licensing Section 2025 Hospice Survey Schedule
State Licensing Section 2025 FSOF Survey Schedule
State Licensing Section 2025 Hospital Survey Schedule

If your facility is not on this list, please check back on October 1, 2025, when the new survey schedule and corresponding eligible waiver list will be posted for those facilities that may be scheduled to be surveyed in 2026.

If a licensee is not on the above list, the survey waiver request is automatically denied due to ineligibility to apply for waiver and a response will not be provided to the request.  

 

Instructions & Process to Request Waiver


Be sure to read the instructions and information in its entirety:
 
Acceptance of a survey waiver request and review remains at the discretion of the department and may be denied for reasons including, but not limited to:
  • Submission of an accreditation report that does not meet the timeframe specified in code (less than three years old). 
  • Submission of an accreditation report does not clearly demonstrate the licensed provider is in substantial compliance with the accrediting organization.
  • There is indication of substantial non-compliance with licensure standards or deficiencies that represent a threat to public safety or patient care.  The department may review and consider recent history of complaints, status of current license (e.g., temporary vs. permanent), as well as other inspection reports available to the department.  
  • Failure to submit all of the required information and documentation.
  • Accreditation report or executive summary does not match the licensed facility address and/or licensee name.
  • Submission of an accreditation report or executive summary from an organization that is not part of the department approved accrediting organizations.  Accreditation certificates are not acceptable.
 
You will be required to provide the following information on the form below (see next section) to submit a waiver request:  
  • Healthcare facility/agency type 
  • State license number - this number is 10 digits long.  If you don't know your state license number, you may locate it on the Health Facility License Search.
  • Healthcare facility/agency DBA name
  • Address of the facility/agency
  • Accrediting organization
  • Signature of attestation
  • Contact information (name, telephone number and email) of the individual completing the waiver request.
  • Copy of the most recent accreditation report (by a department approved accrediting organization) to be emailed to NLTCSLS after the form below has been submitted.  This email must contain the state license number (10 digits), facility/agency DBA name, and the accrediting executive summary or full accreditation report.  Emails that do not contain all of these requirements will not be reviewed and will be an automatic denial for waiver request.
 
*  Please note, you may only submit one waiver request per form.  If you are submitting a waiver request for more than one facility or agency, you must complete a new form and submission for each separate licensed facility or agency.
 
A decision letter for your waiver request will be sent directly on or before December 31, 2024, to the email provided on the waiver form.  A hardcopy of the decision letter will not be provided, but a copy of the decision letter will also be posted to view and print at Health Facility State Licensing.
 
Pursuant to MCL 333.20155(10), the denial of a waiver request is not subject to appeal.  If a waiver is denied or not granted, a traditional onsite survey may be performed by the Department of Licensing and Regulatory Affairs (LARA), Bureau of Community and Health Systems (BCHS), Non-Long-Term Care State Licensing Section (NLTCSLS).

Waiver Request Form


Waiver request may only be submitted October 1, 2024 through October 31, 2024.

After you have read all of the above information and instructions, please click on the link below or scan the QR code to start the waiver request form:

NON-LONG-TERM CARE STATE LICENSING WAIVER REQUEST

 

Acceptable Accrediting Organizations


Pursuant to MCL 333.20155(8)(a), the following is a list of approved accrediting organizations whose documentation may be submitted for waiver purposes.
 
  • Freestanding Surgical Outpatient Facilities (FSOF/ASC)
    • The Joint Commission
    • Accreditation Association for Ambulatory Health Care (AAAHC)
    • American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
  • Hospice Agencies & Residences
    • The Joint Commission
    • Community Health Accreditation Partner (CHAP)
    • Accreditation Commission for Health Care (ACHC)
  • Hospitals
    • The Joint Commission
    • American Osteopathic Organization
    • Det Norske Veritas

 

Contact Information


Michigan Department of Licensing & Regulatory Affairs
Bureau of Community and Health Systems

Non-Long-Term Care State Licensing Section
Email: LARA-BCHS-NLTCSLS@michigan.gov