Michigan buyers will review sustainable earnings, Medicare certification, payer mix, referral concentration, staffing, surveys, claims history, contracts, and ownership structure. Because an ordinary home health agency does not require a Michigan state license or Certificate of Need, the range should not include a generic scarcity premium. The confidential calculator can provide a starting point. An advisor should review the source financials, operating facts, and enrollment history before you rely on it.

Usually not for an ordinary home health or hospice agency. Michigan’s official covered-services list does not impose a general CON requirement on those agency types, and LARA states that home health agencies do not require state licensure. Hospices do require a state license. A narrow CON issue can arise for certain hospice-residence projects that involve long-term-care beds, so facility-specific facts still matter. Confirm the exact service line and physical-facility scope with MDHHS, LARA, and healthcare counsel rather than applying a blanket Michigan CON assumption.

The 36-month rule applies to Medicare-certified home health agencies nationwide. If a majority ownership change occurs within 36 months of initial enrollment or a prior majority change, the provider agreement generally does not transfer and the buyer must enroll as a new provider, subject to specified exceptions. CMS’s May 2026 nationwide moratorium separately restricts initial HHA and hospice applications and non-exempt changes in majority ownership. Those rules can make a proposed structure unavailable, so confirm the complete ownership history and transaction form with an advisor and healthcare counsel before marketing.

The schedule for a Michigan sale depends on preparation, buyer diligence, financing, any required LARA filings, Medicare enrollment, transaction structure, and third-party approvals. During the federal enrollment moratorium, some majority ownership changes may not be available. Organizing ownership history, certifications, licenses where applicable, surveys, claims data, payer contracts, staffing records, and normalized financials before outreach helps prevent avoidable delays.

We start with a blind profile and require an NDA before a qualified buyer receives identifying information. Michigan’s home-based care community, especially in metro Detroit, is close-knit. Staff, patients, and referral partners are not included until a transition communication plan is needed, and you approve that plan. Keeping the circle small helps protect census and referral relationships.

It depends on the asset. Michigan does not require a state license or Certificate of Need for an ordinary home health agency, so there is no generic HHA license or CON premium to apply. A hospice state license, Medicare certification, Medicaid participation, contracts, and other approvals may matter, but their value depends on good standing, transferability, active operations, claims history, census, staffing, and the proposed transaction structure. An advisor and healthcare counsel should identify exactly what the buyer can legally acquire before any standalone value is assigned.