Michigan Department of Community Health, Maternal and Infant Health Program

Main Focus:

MIHP is a benefit for ALL Michigan women with Medicaid health insurance who are pregnant or who have an infant. Intended to promote healthy pregnancies, good birth outcomes, and healthy infants, MIHP is essentially a case management program that supports regular prenatal and infant care provided by the medical community.
MIHP services are delivered through home and clinic visits by a multidisciplinary team that includes a nurse, social worker, nutritionist and infant mental health specialist. For each MIHP participant, the MIHP team: a) Conducts a comprehensive risk assessment across multiple domains, including Health Risks, Smoking, Alcohol Use, Drug Use, Stress, Depression and Mental Health (Edinburgh Postnatal Depression Scale), Social Support, Abuse/Violence, Basic Needs, Breastfeeding, Infant Development, and Infant Health and Safety; b) Develops a care plan; c) Facilitates and monitors implementation of the care plan, including referrals to community services. All MIHP participants are educated about perinatal depression. Participants who screen positive for depression are referred for clinical assessment and provided with ongoing support; d) Provides educational interventions; e) Coordinates services with medical care providers and Medicaid Health Plans; f) Provides access to transportation to medical appointments, WIC, substance abuse treatment, childbirth and parenting education classes.

Lead:

Michigan Department of Community Health (MDCH)
MDCH - Medical Services Administration
MDCH - Public Health Administration - Bureau of Family, Maternal and Child Health

Other Collaborators:

A panel of perinatal depression experts from around the state met for over a year to develop the MIHP Perinatal Depression Workgroup Report.

Funding Sources:

Medicaid (Fee for services)

Timeframe:

MIHP: 1987-present
Implemented perinatal depression screening for Medicaid beneficiaries participating in MIHP (estimated to be about 26% of women giving birth in Michigan in 2007): December, 2005.
MIHP Perinatal Depression Workgroup Report: April 25, 2007

Contact:

Deb Marciniak, 517-381-8247, Ext. 13, dmarcini@mphi.org

Project Website:

http://www.michigan.gov/mdch/0,1607,7-132-2942_4911_34593-106183--,00.html

Provider Resources:

Women’s Health Brief: Life Span Approach, Michigan Department of Community Health

MIHP Perinatal Depression Workgroup Report, April 25, 2007

Perinatal Depression Resources for Consumers and Health Care Providers

MIHP Beneficiary Brochure

MIHP Medical Care Provider Brochure

Medical Reimbursement:

All pregnant Medicaid beneficiaries (except for migrants, MOMS Program participants {prior to gaining full Medicaid coverage}, Native Americans, Medicare/Medicaid recipients, and medically needy individuals) are required to enroll in Medicaid Health Plans (MHPs). MHPs provide up to 20 out-patient mental health visits per year for women with mild to moderate mental health problems; women with severe and persistent mental health problems are referred to Community Mental Health Services Program (CMHSPs). If an MIHP participant screens positive for depression, the MIHP provider encourages her to seek treatment and if she agrees, the provider facilitates a referral to the woman’s MHP, medical care provider, CMHSP, or other community-based treatment program (if available), as appropriate.

Michigan

State Stats

Abbreviation: MI

Capital: Lansing

Largest City: Detroit

Area (sq mi): 96,810

Population: 10,003,422

Name of Residents: Michiganders, Michiganians, Michiganites

Major Industries: car manufacturing, farming (corn, soybeans, wheat), timber, fishing

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Michigan Department of Community Health, Maternal and Infant Health Program

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