COVID-19 Response Guidance for Michigan-licensed AFCs and HFAs

This page contains resources to help licensed adult foster care homes (AFCs) and homes for the aged (HFAs) implement state-mandated COVID-19 response activities. Resources are provided by the Michigan Department of Health and Human Services' Behavioral Health and Developmental Disabilities Administration (BHDDA) and by the Department of Licensing and Regulatory Affairs (LARA), which licenses AFCs and HFAs.


Emergency Planning Resources

Consult the AFC and HFA Emergency Planning page for helpful resources, including tools to help your facility create and maintain an emergency preparedness plan.


COVID-19 Emergency Response Decision Tool

Click the image below to open and download the COVID-19 Emergency Response Decision Tool. This flow chart provides guidance on:

  • What to do when a resident or staff member tests positive for COVID-19
  • What to do when you run short of Personal Protective Equipment (PPE)
  • What to do when you experience a staffing shortage due to the pandemic


AFC-HFA COVID-19 Decision Tool_Color Graphic (click image to open)


Frequently Asked Questions

This document, prepared by LARA, addresses concerns about COVID-19-positive residents and staff. It is updated frequently to reflect changing circumstances.

COVID-19 FAQs for AFCs and HFAs


COVID-19 Antigen Testing Information

Consult the Michigan Antigen Tests FAQ for basic information about administering COVID tests to your residents and staff.

This brief training video shows how to give someone a CareStartTM COVID-19 test.

You can also refer to the CareStart COVID-19 Antigen Instructions for Use or watch this CareStart training event recorded on 1/21/2021.

The CareStart Antigen Test Competency Quiz is to be completed by trainees and submitted to the MDHHS Bureau of Laboratories.

This training video shows how to administer a Binax NOW COVID-19 Antigen Test.

Use the online Antigen Supply request Form to request test supplies two weeks in advance of testing.

Use the online Antigen Reporting Form to report completion of individual tests.

Consult the Annotated CLIA Waiver Form to assistance in completing a CLIA Waiver application.

AFC-HFA Presentations

  • Senior staff at BHDDA are conducting regular online presentations for AFC and HFA managers. These "Q&A sessions" explain the latest guidelines for COVID-19 testing, monitoring, and vaccination. If you wish to be invited to future online presentations, please email your contact information to

    To view the slides from previous presentations, click the links below. PLEASE NOTE: Because guidance is continually changing, older presentations may contain outdated information.