Bureau of Community and Health Systems Non-Long-Term Care LICENSE

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 with a 2.25% processing fee.

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 in non-refundable.

I Agree*

* Indicates required field

Your Information

* Facility Name:

* Facility Address:

* Facility Type:

Freestanding Surgical Outpatient Facility

Hospital

Hospice Agency

Hospice Residence

Psychiatric Hospital/Unit

Substance Use Disorder