EVV Resources

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.