Michigan has 383 Medicare-certified home health agencies. The market is centered on Metro Detroit (Wayne, Oakland, Macomb counties) with secondary concentrations in Grand Rapids, Lansing, and Flint. Michigan has a mature home health market with a mix of national chains and regionally significant independent operators.
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Wayne County has the highest density of Michigan home health agencies, reflecting Detroit's large urban population and high elderly demographic. Oakland and Macomb counties round out the Metro Detroit concentration. West Michigan (Kent County–Grand Rapids) has a growing market with several hospital-affiliated agencies tied to Spectrum Health and Trinity Health systems. The Upper Peninsula has very sparse coverage — some counties have no active Medicare-certified agency.
Michigan's star rating distribution is close to the national average. The Metro Detroit market has high variance, with some long-established agencies achieving 4–5 stars and newer or smaller agencies showing unrated or lower-rated status. Hospital-affiliated agencies in Grand Rapids and Lansing tend to perform well on quality metrics.
Michigan home health agencies are licensed by the Michigan Department of Health and Human Services (MDHHS). Michigan does not have a Certificate of Need requirement for home health, allowing market entry without prior approval. MDHHS conducts its own licensing surveys in addition to CMS inspections.
How many Medicare home health agencies are in Michigan?
As of April 2026, Michigan has 383 active Medicare-certified home health agencies.
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Get Full Access →Data sourced from CMS CASPER (dataset 6jpm-sxkc). Updated monthly. Not affiliated with Medicare or CMS. Official source