ROOM & RECOURSE

Michigan

Grounds stated in the sources
The department's guidance reproduces the statute: "Sec. 21773.(1) A nursing home shall not involuntarily transfer or discharge a patient" "except for one or more of the following purposes:" — "Medical reasons."; "The patient's welfare."; "The welfare of other patients or nursing home employees."; and "Nonpayment for the patient's stay, except as prohibited by title XIX of" the Social Security Act. The department's own notice form carries the state list and the federal list side by side under the instruction "Reason(s) for transfer or discharge, both a state and federal must be selected.", with the state column keyed to "State Requirements, MCL 333.21773(1)" and the federal column to "CMS Requirements, 42 CFR 483.15(c)(1)".
Notice stated in the sources
The guidance's reproduction of the statute: "A licensed nursing home shall provide written notice at least 30 days before a" "patient is involuntarily transferred or discharged." Three instances are stated in which "The 30-day requirement of" "this subsection does not apply". The notice "shall be on a form prescribed by the" department and must contain the stated reason, the effective date, a statement "in not less than 12-point type" of the appeal right, "A hearing request form, together with a postage paid, preaddressed" envelope, the responsible official's contact, the destination, and "The name, address and telephone number of the State long term care" "ombudsman."
Hearing office in these sources
The Department of Licensing and Regulatory Affairs. Its notice form states: "If the resident thinks that they should not have to leave, a resident may file a request for a" "hearing with the Department of Licensing and Regulatory Affairs (LARA)."; "If the resident, guardian, or resident representative requests a hearing, it will be held at least" "7 days after the request, and the resident will not be transferred during that time."; and "The appeal request must be received by LARA within 10 days of the date of notice." The published route is mail to "Michigan Department of Licensing and Regulatory Affairs" "Bureau of Community and Health Systems" "P.O. Box 30664" "Lansing, MI 48909", email to "LARA-BCHS-InvoluntaryTransfer@michigan.gov", fax to "517-763-0213", with questions to "877-458-2757". The statute's pendency rule, as the guidance reproduces it: "A request for a hearing made under subsection (3) shall stay a transfer" "pending a hearing or appeal decision."
Ombudsman in these sources
The Michigan Long Term Care Ombudsman. The department prints the program's contact on the notice itself: "Michigan Long Term Care Ombudsman" at "15851 South US 27, Suite 73" "Lansing, MI 48912", "Email: MLTCOP@meji.org" and "Toll Free: 1-866-485-9393". The form also requires that a copy of every notice go to the program: "Michigan Long Term Care Ombudsman at MLTCOP@meji.org."
Sources last checked
2026-08-30

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

LedeWhat this page holds

Lede

This page assembles what Michigan's own publishers state about involuntary transfer and discharge from a nursing home. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, and the statute has not been captured from the Legislature's own site, as the change log records. Both captured sources come from the Department of Licensing and Regulatory Affairs: the prescribed notice form, LARA-BCHS-ITD-100 (07/26/2024), which is the document a resident actually receives, and the department's older guidance of September 12, 2013, which reproduces MCL 333.21773 in full. Michigan's vocabulary is involuntary transfer or discharge, and the statute calls the resident a patient; the appeal is a request for a hearing to LARA, not to the Medicaid agency.

The federal floor for Medicare/Medicaid-certified facilities is assembled separately on [the federal page](../federal.html); nothing here fills a gap from federal law or another state — though Michigan's own form is unusual in requiring a facility to select both a state and a federal reason for the same action. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.

03Source map

Source map

DocumentPublisher and locationSource's own dateRetrieved
Notice of Involuntary Transfer or Discharge and Facility-Initiated Discharge for Nursing Homes, LARA-BCHS-ITD-100 (PDF)LARA, Bureau of Community and Health SystemsLARA-BCHS-ITD-100 (07/26/2024)2026-08-30
Guidance in the Preparation of a Notice of an Involuntary Transfer or Discharge (PDF)LARASeptember 12, 20132026-08-30

Captured: both, in tools/packets/michigan-packet.txt. Pending: MCL 333.21773 from the Legislature's own site, the department's transfer and discharge overview page, a statewide contact from the ombudsman program's own site, and any statement of a Medicaid bed-hold period — per the packet's pending list.

04Change log

Change log

2026-08-30 — Baseline page built from the first Michigan packet: docket, lede, source map, change log. Not yet captured or written: section 01 (the grounds, as Michigan describes them) and section 02 (the published process, including the notice's required contents in full, bed-hold and return, and the notice-periods register). Findings: (1) The statute could not be captured from its own publisher: legislature.mi.gov serves an incomplete certificate chain to curl and returned an empty body to the session's fetch tool for both the section page and the Part 217 PDF, so this page quotes the department's reproduction of MCL 333.21773 inside its guidance and says so. (2) The department's two documents state the post-hearing timeline differently. The 2013 guidance's reproduction of the statute reads "If you lose the hearing, you will not be" "transferred until at least 30 days after you received the original notice of" "the discharge or transfer."; the 2024 form states "the resident shall not be" "required to transfer or discharge from the facility before the 34th day following receipt of the" "notice or the 10th day following appeal hearing decision, whichever is later." Both stand as published, reconciled nowhere. (3) The guidance's reproduction of subsection (6) refers to "the 21-day written notice period of subsection (2)" where subsection (2) states 30 days; the mismatch is the publisher's own and is reproduced as published. (4) The guidance substitutes the department's current name inside the quoted statute — including in subsection (6), where the negative action described is a Medicaid determination — while the notice form asks separately whether "a final determination been issued by the Michigan Department" "of Health and Human Services (MDHHS)". Both stand as published. (5) The form requires a facility to select both a state and a federal reason for the same transfer or discharge, from two lists that do not match item for item; the state list is quoted here, and the federal enumeration stays on the federal page. (6) The ombudsman program's own site publishes a county-by-county picker rather than a statewide contact on the page captured, so the ombudsman row carries the contact the department prints on the notice form; the program's own published contact is capture-pending. (7) Neither source states a Michigan Medicaid bed-hold period. Capture pending: per the source map. Internet Archive: not yet submitted. Reviewer: Carrie Schluter, reviewed 2026-08-30. Corrections: hello@fieldassembly.net.