Access to Services: 877-470-7130 Customer Service: 877-470-3195Crisis Help Line: 877-470-4668 TTY/TDD: dial 711
Access to Services: 877-470-7130Customer Service: 877-470-3195Crisis Help Line: 877-470-4668 – TTY/TDD: dial 711
Consumer Direct Care Network Michigan Fraud Prevention VideoDay Program ServicesLicensed Residential Home (AFC, CFC)Personal Residential Home (PRH)Professional or Support Services
Provider Instructions for Time StudiesTime Study PDF TemplateTime Study Example 1Time Study Example 2Time Study Calculating Template
01 – Provider Application 02A – Provider Entity Disclosure of Ownership02B – Provider’s Subcontractor Disclosure of Ownership03 – False Claims Attestation04 – Federal Form W905 – Contracted Entity Management/Control Background Check Release Form06 – Contracted Provider Insurance Requirements07 – Workman’s Compensation Exclusion Statement08 – Provider training Material & Manual Attestation09 – Provider EFT Vendor Authorization for Direct Deposit10 – Provider NorthStar User Verification Form