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Licensing requirements for Michigan healthcare and pharmaceutical companies and individuals.
This page provides an overview of healthcare and pharmaceutical industry licensing in for individuals and businesses. You will find state requirements, application fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and managed license services.
Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:
No
Notes:
The Center for Medicare and Medicaid Services (CMS) defines atypical providers as providers that do not provide health care. Providers who may be enrolled in CHAMPS or Bridges and do not perform medical services (e.g. Home Help, Non-Emergency Medical Transportation (NEMT), Adult Foster Care (AFC)). Atypical providers may submit HIPAA transactions, but they do not meet the HIPAA definition of a health care provider and would not receive an NPI number.
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:
No
Notes:
A Facility / Agency / Organization (FAO) provider is an entity that provides health care services. An FAO includes Hospitals, Nursing Facilities, Laboratories, etc., and have a Type 2 NPI number associated to them. Providers who need to associate to an FAO will need to wait until the FAO enrollment application has been approved in CHAMPS.
Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.
How to Apply:
Register with the State Budget Office through SIGMA VSS.
Register for a MILogin account in order to access the CHAMPS system.
Every 3 or 5 years depending on the type of services provided.
Michigan Medicaid Provider Enrollment - Group
Agency:
Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:
No
Notes:
A Group provider is an organization of individual providers that provide medical or dental services. A Group provider would receive a Type 2 NPI and rendering/servicing providers would associate to the Group provider. All new Group enrollments must be completed utilizing the CHAMPS system. All providers who are associated to a Group will not be able to complete a new enrollment until the Group has been approved in CHAMPS.
The individuals listed below for a pharmacy license are required to undergo a Criminal Background Check (CBC):
An individual, if the person applying is an individual
All partners and any individual who will manage the day-to-day operations, if the person applying is a partnership.
An individual who will manage the day-to-day operations, if the person applying is a privately held corporation. This subdivision only applies to a privately held corporation that in the aggregate owns fewer than 75 pharmacies, manufacturers, or wholesale distributors on the date the corporation submits its license application
If your pharmacy holds a current pharmacy license or ever held a pharmacy profession license, verification of licensure will be required to be submitted directly to this office by the licensing agency of any state of the United States in which you hold or ever held a license. Verification can be emailed to bpldata@michigan.gov or mailed to the Bureau of Professional Licensing, PO Box 30670, Lansing, MI 48909. In addition, you may upload online license verifications if those verifications show your pharmacy license is in good standing and provides disciplinary history information, including disciplinary documentation.
If your pharmacy is a partnership, corporation, or is operating under an assumed name, you must submit business documentation showing the business ownership structure, including partnership certificates, corporate articles, assumed name certificate, list of partners, stockholders, officers, and members of the board of director
A licensed pharmacy must have a pharmacist in charge (PIC) licensed in Michigan. You must provide the license number of the PIC or the pharmacist application number of the PIC if the PIC has not yet obtained Michigan licensure. If your pharmacy will be distributing or dispensing controlled substances in Michigan, the PIC and the pharmacy must have a controlled substance license
If your pharmacy has an NABP E-Profile Identification Number, you may enter it on the application
If your pharmacy is not located in Michigan and you will not be shipping sterile compounded products into Michigan, you must submit an inspection report from your resident state board of pharmacy or from the National Association of Boards of Pharmacy Verified Pharmacy Program (VPP) performed within the last 2 years
You may apply for a controlled substance license by completing the controlled substance license fields on the application. Be sure that the controlled substance license address matches the pharmacy address. If you do not apply for a controlled substance license on your initial application, you must wait for the pharmacy license to be issued before applying for a controlled substance license
Sterile compounding pharmacy applicants must:
Upload a copy of a current accreditation certificate (if applicable) AND an inspection report completed within the last 18 months showing compliance with USP standards in a manner approved by the Michigan Board of Pharmacy. Approved entities include:
Gates Healthcare Associates, Inc.
Joint Commission Home Care Accreditation Program
Joint Commission Medication Compounding Certification Program
National Association of Boards of Pharmacy Verified Pharmacy Program (VPP)
National Association of Boards of Pharmacy – Multistate Pharmacy Inspection Blueprint Program
Pharmacy Compounding Accreditation Board (PCAB)
The Compliance Team, Inc.
If the application is for an outsourcing facility you must upload verification that the facility is in compliance with requirements of the FDA applicable to compounding services for sterile pharmaceuticals.
Documentation may include the FDA-483 form and the plan of corrections. In addition, an outsourcing facility must submit the biannual report it provided to the FDA that identifies the drugs compounded in the previous 6-month period, including a drug’s active ingredients, strength, and dosage form
Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:
No
Notes:
An Individual/Sole Proprietor is a provider that owns his/her own practice. This provider will receive payments directly from MDHHS for services rendered at their practice. An Individual/Sole Proprietor may associate to other entities and Rendering/Servicing providers may associate to an Individual/Sole Proprietor.
Controlled Substance Registration - In addition to a pharmacy license, controlled substance registration registration is required in many states for pharmacies that distribute controlled substances.
NABP (National Association of Boards of Pharmacy) - Host a variety of programs and resources relating to pharmacist and pharmacy licensure and examination.
Pharmacist in Charge - A licensed pharmacist designated by a pharmacy to act as the party responsible for compliance with regulations.
VPP (Verified Pharmacy Program) - A program run by NABP that allows state boards to share information and more easily register out-of-state pharmacies.
Filing fees depend on your individual situation. We do our best to calculate your filing fees
upfront and collect those fees today so we can get started. Your specialist will determine your
exact filing fees and invoice additional fees if required.
When processing government applications or disbursing filing fees, we may add an order processing fee to cover our administrative expenses.