LARA BCHS NLTC LICENSE - Payment Method

Payment Method

LARA BCHS NLTC State Licensing Payment Request

NEW APPLICANTS ONLY

Welcome to the payment processing module for LARA BCHS Non-Long-Term Care State Licensing Section. This process is being used as a secure means of processing credit card authorizations and is for new applicants only. If you are an existing licensee, please go back to Health Care Providers (michigan.gov). Payments may be made with a valid Visa, MasterCard, Discover, or American Express.

Note: If you choose to make your payment electronically, you will be charged a 2.25% processing fee. If you do not agree to pay the processing fee, please go back to licensing website above for instructions to send a check payment via U.S. mail. Please note that this may add significant delay to processing of your applications.

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By clicking this box, I accept the 2.25% processing fee for the use of this online payment function. I am aware that I will be charged the payment plus the 2.25% processing fee and that the processing fee is non-refundable.

I Agree*

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Your Information

* Facility Name:

* Facility Address:

* Facility Type:

Freestanding Surgical Outpatient Facility

Hospital

Hospice Agency

Hospice Residence

Psychiatric Hospital/Unit

Substance Use Disorder