The short answer Michigan does not license home health agencies or non-medical home care agencies at all — the only oversight is federal Medicare certification (surveyed by LARA on CMS's behalf) for agencies that seek it. There is no state-mandated training for personal care aides at private agencies.
What Michigan requires
Michigan
No state licensure. Michigan has no state licensing statute for home health agencies; LARA's Bureau of Community and Health Systems surveys home health agencies only for federal Medicare certification purposes.
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HHA training federal only. Home health aides at Medicare-certified Michigan agencies must meet the federal 75-hour training (including 16 supervised practical hours) or competency-evaluation standard of 42 CFR 484.80; there is no state add-on.
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No PCA requirement. Because non-medical/private-duty home care agencies are unlicensed in Michigan, there is no state-mandated initial training, competency test, or registry for personal care aides; training is entirely agency-determined.
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In-service. The only recurring training mandate is the federal 12 hours per year of in-service for aides at Medicare-certified home health agencies.
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The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
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Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
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12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
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RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
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Primary sources for this page
- https://www.michigan.gov/lara/bureau-list/bchs
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
- https://www.phinational.org/advocacy/state-training-requirements/
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
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