MI BCHS Form 361 2019-2025 free printable template

HEALTH FACILITY COMPLAINT FORM Michigan Department of Licensing and Regulatory Affairs LARA Bureau of Community and Health Systems 611 W. Ottawa Street P. O. Box 30664 Lansing MI 48909 Please print clearly or type information on all sections of this form* If you need help or have questions about this form please call 800-882-6006. Section 1 INFORMATION ABOUT PERSON FILING THE COMPLAINT If you wish to remain anonymous skip to Section 2 - RESIDENT/PATIENT INFORMATION* If anonymous our office...

How to fill out michigan health complaint form

How to fill out MI BCHS Form 361

1. Start by gathering all necessary personal and demographic information, including your full name, address, and contact details.
2. Provide your Social Security Number if applicable.
3. Indicate your date of birth and any other relevant identification information.
4. Complete the sections regarding your medical history as requested; this may include current medications and past treatments.
5. Fill in any specific questions about your health insurance coverage.
6. Review the form thoroughly for any missed fields or mistakes before submission.
7. Submit the form as directed, either electronically, by mail or in-person, depending on requirements.

Who needs MI BCHS Form 361?

1. Individuals applying for medical assistance or services provided by the Michigan Bureau of Community Health Services.
2. Patients seeking benefits related to health care or insurance programs.
3. Administrators or caseworkers managing health care applications.

People Also Ask about michigan lara search

What does Lara stand for?

LARA stands for Listen, Affirm, Respond, and Ask Questions. The LARA method builds respect and common ground between people in conversation, allowing you to explore your differences more openly and honestly. LARA is especially useful when people are feeling that their hot buttons have been triggered.

What does the Michigan Department of Licensing and Regulatory Affairs do?

The mission of the Bureau of Professional Licensing is to protect, preserve and improve the health, safety and welfare of Michigan's citizens through the licensing and regulation of occupational and health professionals. The Bureau is designed to make the regulatory system simple, fair and efficient.

How do I know if my LLC is active in Michigan?

You can use the business entity search managed by the Michigan Department of Licensing and Regulatory Affairs. Search by business name, ID number or an individual's name to find out if a business is registered in Michigan.

Do you have to renew your LLC every year in michigan?

The State of Michigan requires you to file an annual statement for your LLC. You must file the statement each year by February 15.

How do I find out who owns a company in Michigan?

You can find information on any corporation or business entity in Michigan or another state by performing a search on the Secretary of State website of the state or territory where that corporation is registered.

What is Lara in the state of michigan?

The Department of Licensing and Regulatory Affairs (LARA) is composed of the following agencies, bureaus and commissions that promote business growth and job creation through streamlined, simple, fair, and efficient regulation, and at the same time protect the health and safety of Michigan's citizens.

What does Lara mean in michigan?

The Department of Licensing and Regulatory Affairs (LARA) is composed of the following agencies, bureaus and commissions that promote business growth and job creation through streamlined, simple, fair, and efficient regulation, and at the same time protect the health and safety of Michigan's citizens.

What does Lara in Michigan stand for?

In the state of Michigan, LARA stands for Licensing and Regulatory Affairs. The Department of Licensing and Regulatory Affairs (LARA) is your go-to place for business licensing across Michigan.

What does Lara do in michigan?

We protect people and promote business in Michigan through transparent and accessible regulatory solutions.

Do I need to register my business in Michigan?

Michigan requires business enterprises to register, allowing you to make your collected tax payments. Obtain all necessary permits. Some businesses need special permits or licenses. You can search what permits are required, and obtain the applications from Michigan Business One Stop.

What does Lara stand for in real estate?

If you're a real estate agent in Michigan, or are looking to start your pre-licensing course, then you probably know LARA well. LARA is the acronym for the Michigan Department of Licensing and Regulatory Affairs. If a profession requires a license in Michigan, LARA is the entity that oversees the process.

How much is it to renew an LLC in Michigan?

The fee for the Certificate of Restoration of Good Standing is $50.00. The fee for each prior year annual report and statement is $125.00.

What regulatory agency is a state of michigan agency?

Michigan Department of Licensing and Regulatory Affairs Department overviewTypePrincipal DepartmentJurisdictionMichiganHeadquartersLansing, MichiganDepartment executiveOrlene Hawks, Director4 more rows

Is there an annual fee for an LLC in Michigan?

Fee: Limited Liability Company Annual Statement - $25.00. Professional Limited Liability Company Annual Statement and Annual Report - $75.00. Late filing penalty fee of $50.00 if the report is not filed or the fee is not paid by February 15.

How do I look up an EIN number in Michigan?

Ask the IRS to search for your EIN by calling the Business & Specialty Tax Line at 800-829-4933. The hours of operation are 7:00 a.m. - 7:00 p.m. local time, Monday through Friday.

How do you check if a business is registered in michigan?

How do I find out if a business is registered in Michigan? You can use the business entity search managed by the Michigan Department of Licensing and Regulatory Affairs. Search by business name, ID number or an individual's name to find out if a business is registered in Michigan.

Who is the head of Lara?

Director. Orlene Hawks is the director for the Michigan Dept. of Licensing and Regulatory Affairs. Prior to joining LARA, she led the state's Operation Excellence project dealing with Dept.

Who oversees Lara in Michigan?

Legal Affairs Office Leads the coordination and oversight of legal, compliance, and tribal matters for LARA. The office also oversees the FOIA Section, which is responsible for coordinating responses to FOIA requests submitted to LARA.

How long is an LLC good for in Michigan?

You register by mail by filing a Certificate of Assumed Name. The filing fee is $25. The registration is good for five years.

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What is MI BCHS Form 361?

MI BCHS Form 361 is a form used to report certain health data required by the Michigan Department of Health and Human Services.

Who is required to file MI BCHS Form 361?

Entities such as healthcare providers, facilities, and organizations that deliver certain health services in Michigan are required to file MI BCHS Form 361.

How to fill out MI BCHS Form 361?

To fill out MI BCHS Form 361, individuals should follow the guidelines provided by the Michigan Department of Health and Human Services, ensuring all required fields are accurately completed.

What is the purpose of MI BCHS Form 361?

The purpose of MI BCHS Form 361 is to collect health information that can be used for public health monitoring, research, and policymaking in Michigan.

What information must be reported on MI BCHS Form 361?

Information that must be reported on MI BCHS Form 361 typically includes patient demographics, health service details, and outcomes relevant to the programs governed by this reporting requirement.