More links and information regarding the EVV process will be added shortly. Please keep checking this page for updates. We appreciate your patience in this matter.
Live-In Caregiver Attestation Form
Please click HERE to find the Live-In Caregiver Attestation form.
- Per the instructions on page one (1), two (2) of the following documents are required with submission of this form.
- Valid Michigan driver’s license
- Valid Michigan state identifcation
- Utility bill or credit card statement issued within the last 90 days
- Account statement from a bank or other financial institution issued within the last 90 days
- Mortgage, lease or rental agreement
- Lease and rental agreements must include the landlord’s telephone number
- Pay stub or earnings statement issued with in the past 90 days
- Life, health or auto insurance policy
- Current Michigan title and registration
- Federal, state or local government documents (i.e. receipts, licenses or assessments)
- Please make sure that all instructions on the form are followed.
- Lifelong does NOT have the authority to grant exemptions.
- Please send completed form to Lifelong via email, fax or drop it off at the office/secure drop box.
- Once the form is received by MCCMH, they have 10 calendar days to provide a decision to the FMS, caregiver and person served.
- The form needs to be resubmitted every year to continue the exemption.
Training Resources
Michigan FI FMS EVV Informational Session
- CLOCKING IN AND OUT VIA LANDLINE
- HHAEXCHANGE+CAREGIVER USER GUIDE
- Caregiver resources
- Please click HERE for the video on how to download, sign up and register for the HHA Exchange app.
- HHAeXchange+ Mobile App Login (Preferred for Caregivers)
- Download: Install the HHAeXchange+ app from the Apple App Store or Google Play.
- Sign Up/Log In: Open the app and tap “Sign Up Here” (if first time) or enter your credentials.
- Activation Code: Enter the unique activation code provided by your agency via email or text.
- Complete Registration: Enter the last 4 digits of your SSN and DOB to verify your profile.
- Please click HERE for the video on how to clock in/out of an unscheduled visit.
- Please click HERE for the video on how to download, sign up and register for the HHA Exchange app.
- Caregiver resources