CMS Issues Guidance on Updated Federal Dietary Guidelines

The Centers for Medicare & Medicaid Services (CMS) recently released a Quality & Safety Special Alert Memo reminding hospitals and critical access hospital providers of their responsibilities for patient food and nutrition services under existing Medicare Conditions of Participation.

The memo follows the release of the 2025 -2030 Dietary Guidelines for Americans and directs hospitals to review and update their menus and nutrition practices to better align with current federal recommendations.

Medicare already requires hospitals to provide meals that meet patient nutritional needs under the oversight of a qualified dietitian.

The updated guidelines emphasize diet quality, including limiting highly processed food, sugary drinks and refined carbohydrates, while encouraging whole and minimally processed foods.

This update does not create new requirements but reinforces existing expectations. Hospitals that do not meet current standards may still face enforcement actions under existing rules. The Cornerstone Group, the MHA’s Washington, D.C.-based government affairs representation, provided an additional analysis on the requirements.

Hospitals are encouraged to evaluate their current nutrition practices and make updates as appropriate while continuing to meet the needs of individual patients.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Finalizes Medicaid Policy Updates to Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid policy updates to the Michigan Mental Health Framework, making several changes from the proposed version related to assessment use, timing and provider eligibility.

Reassessments may now be conducted based on clinical judgment without a defined “change in condition.”

Additional clarifications include:

  • Services may be delivered and reimbursed before an assessment is completed.
  • Individuals should be assessed when first presenting for services.
  • A new assessment is not required if one is already on file in the Community Health Automated Medicaid Processing System.
  • Preadmission screening and Prepaid Inpatient Health Plan processes remain unchanged.

The policy also introduces new guardrails around the use of standardized assessments. Assessments should not be conducted during a crisis and cannot be used to determine, limit or restrict the amount, scope or duration of services. These provisions were not included in the proposed policy and signal a shift toward clinical decision-making and patient access.

The update expands provider eligibility, allowing nonlicensed bachelor’s-level providers to conduct assessments.

In addition, the age criteria for the tools were updated. The Level of Care Utilization System now applies to individuals age 18 and older, while MichiCANS applies from birth through age 18.

Members with questions may contact Lenise Freeman at the MHA.

MC3 Launches Free Webinar Series on Supporting Youth in Crisis

Michigan Clinical Consultation & Care (MC3) is launching a free virtual education series beginning March 10 to help healthcare professionals better support children and adolescents experiencing behavioral health crises.

The Practical Strategies to Support Youth Risk for Behavioral Escalation series will be held biweekly on Tuesday mornings at 9 a.m. ET and will feature 30-minute presentations followed by an optional 15-minute Q&A with clinical experts.

The program was developed following meetings between MC3 leaders and emergency services and health systems teams across Michigan. Leaders reported that providers and staff often face challenges managing behavioral escalation among youth in crisis settings.

The webinars are designed for professionals working in emergency, acute and crisis environments. Sessions will cover topics such as trauma-informed care, behavioral dysregulation and strategies for supporting youth with autism and other neurodevelopmental disabilities.

The series is open to healthcare professionals statewide at no cost. Participants can learn more and register through MC3.

Members with questions may contact Lenise Freeman at the MHA.

MHA Opposes Federal Student Loan Proposal Affecting Healthcare Workforce

The MHA recently submitted a comment letter opposing the U.S. Department of Education’s proposed rule that would change how certain graduate health programs qualify for federal student loan programs under H.R. 1.

The proposal would revise the definition of “professional student” and “professional degree” under 34 CFR 685.102, limiting enhanced federal borrowing eligibility to certain doctoral-level programs. The MHA raised concerns that the proposal does not reflect the structure of today’s healthcare workforce and could worsen existing provider shortages.

Hospitals across Michigan rely on a range of licensed health professionals, including licensed clinical social workers, professional counselors, advanced practice nurses, registered nurses and physician assistants. Many of these providers complete accredited programs, meet clinical training requirements and obtain state licenses. However, several of these programs would not qualify as “professional” under the proposed rule.

The MHA cautioned that restricting loan eligibility for these programs could discourage students from entering fields already facing workforce shortages. Nearly all rural Michigan counties are designated as Health Professional Shortage Areas for primary care and behavioral health, and many hospitals rely on master’s-level clinicians to maintain access to care.

The MHA urged the Department of Education to adopt a broader definition that reflects accreditation and licensure standards. The MHA will continue monitoring the rulemaking process and share updates with members as they become available.

Members with questions may contact Lenise Freeman at the MHA.

MDHHS Shares 2026 MICH Requirements Updates

The Michigan Department of Health and Human Services (MDHHS) recently released updated information for calendar year 2026 regarding coverage regions and participating plans for Mi Coordinated Health (MICH).

MICH is the state’s Highly Integrated Dual Eligible Special Needs Plan, which integrates Medicare and Medicaid benefits under a single managed care plan for eligible beneficiaries.

For 2026, MICH will continue operating in select Medicaid regions with county-level availability changes:

  • The Upper Peninsula Health Plan will not be available in Chippewa, Gogebic or Menominee counties in 2026.
  • In southwest Michigan, Molina will not be available in St. Joseph County. Participating plans in the region will include Aetna, Priority Health, UnitedHealthcare and Wellcare-Meridian.
  • In Wayne County, participating plans will include Aetna, AmeriHealth, HAP CareSource, Priority, Humana, Molina, UnitedHealthcare and Wellcare-Meridian.
  • In Macomb County, participating plans will include Aetna, AmeriHealth, HAP CareSource, Humana, Molina, Priority, UnitedHealthcare and Wellcare-Meridian.

Providers are encouraged to consult the MICH provider contact list for plan-specific contracting information. Beneficiaries seeking to enroll or disenroll must work directly with their assigned health plan or contact 1-800-MEDICARE.

Additional Resources

MDHHS has made several resources available for providers and beneficiaries, including:

Members with any questions may contact Lenise Freeman at the MHA

MHA Monday Report Feb. 9, 2026

IMLC Legislation Clears House, Continuing Education and Credentialing Bills Advance

The Michigan House of Representatives voted in support of House Bill 5455, sponsored by Rep. Rylee Linting (R-Grosse Ile Township), which would restore Michigan to the IMLC. The compact supports access to care, particularly in rural …


Former U.S. Senator Debbie Stabenow Addresses MHA Board

The MHA Board of Trustees’ Feb. 4 meeting featured a discussion with former U.S. Senator Debbie Stabenow, who is now a senior policy advisor with DC-based Liberty Partners Group, a bipartisan strategic consulting firm. Stabenow …


MHA Releases FAQ on Rural Health Transformation Program Funding

The MHA recently released a new frequently asked questions (FAQ) document to help members better understand allowable uses, limitations and compliance requirements related to Michigan’s Rural Health Transformation Program (RHTP). The FAQ clarifies that RHTP …


CMS Releases 2025 Occupational Mix Survey for Hospitals

The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 occupational mix survey to collect data from hospitals paid under the Medicare inpatient prospective payment system. Survey results will be used to adjust …

 


MHA Reinforces Evidence-Based Vaccination Guidelines

The MHA is strengthening its commitment to evidence-based immunization practices under the guidance of the MHA Healthcare and Public Health Integration Council and chief medical and nursing leaders. Efforts include distributing educational resources, reaffirming alignment …


Initiative Seeks to Expand Perinatal and Infant Mental Health Services in Michigan

Providers who serve pregnant people, infants and families are encouraged to complete a brief survey to help build Michigan’s first statewide Perinatal and Infant Early Childhood Mental Health (PIECMH) Provider Directory. The initiative is led …


HHS Announces $100M Investment in Substance Use and Mental Health Treatment

U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. announced a $100 million investment to expand substance use disorder treatment, mental health services and housing-related supports under the administration’s Great American Recovery initiative. …

 


MDHHS Withdraws PIHP Procurement

The Michigan Department of Health and Human Services (MDHHS) has withdrawn its request for proposals (RFP) to competitively procure Prepaid Inpatient Health Plans (PIHPs), ending the planned rebid process. The decision follows a Jan. 8 …


Hospitals Help: Youth Safety Event Teaches UP Students Emergency Preparedness

Camp 911 is a hands-on, youth-focused safety event supported by Marshfield Medical Center-Dickinson hospital that is designed to teach school-aged children essential emergency response skills. The camp brings together professionals from various fields to demonstrate …


News to Know

  • MHA Endorsed Business Partner Wakely is hosting the webinar Summary and Impacts of the 2027 Medicare Advantage Advance Notice Feb. 12 from 1 – 2 p.m. ET.
  • The 2026 MHA Human Resources Conference, scheduled for March 24 at the Crowne Plaza Lansing, will convene human resources leaders and professionals who are shaping the future of the healthcare workforce.
  • MHA Endorsed Business Partner CyberForce |Q is hosting an in-person Coffee & Collab for Cybersecurity Leaders Feb. 10 from 8:30 – 10:00 a.m. ET at CyberForce|Q headquarters in Plymouth, MI.

MHA in the News

The Mining Journal published a statement from the MHA chief medical officer following the distribution of guidance to

Michigan families departing from established standards. Dr. Roth emphasizes the efficacy of vaccines and urges families to seek medical guidance from their providers. “Vaccines remain …

Initiative Seeks to Expand Perinatal and Infant Mental Health Services in Michigan

Providers who serve pregnant people, infants and families are encouraged to complete a brief survey to help build Michigan’s first statewide Perinatal and Infant Early Childhood Mental Health (PIECMH) Provider Directory. The initiative is led by the Michigan Council for Maternal and Child Health (MCMCH) in partnership with statewide maternal and early childhood organizations.

The directory will be designed for both families and providers and hosted on the Think Babies Michigan website. It will support stronger referral pathways, make it easier for families to find services and help identify gaps in care to inform advocacy and future funding opportunities.

Members are encouraged to share this survey with colleagues who provide maternal, perinatal and infant mental health services. Additional outreach materials, including newsletter language and a flyer, are available.

Members with questions may contact Lenise Freeman at the MHA.

Updates to Michigan’s Reporter Protocols for Infants Born Exposed to Substances

Michigan has updated its mandated reporter guidance for infants born exposed to substances, establishing distinct reporting requirements for exposure to non-medically prescribed substances and exposure related to prescribed treatment. The updates are intended to clarify reporting responsibilities, reduce unnecessary child welfare involvement and strengthen connections to family support services. An updated mandated reporter training reflecting these changes is now available and should be reviewed by providers.

The updated guidance includes the Plan of Safe Care (POSC), a tool developed with pregnant or parenting individuals whose infants are born exposed to substances. The POSC supports the infant’s health and safety while promoting family stability and service coordination. Plans may address basic needs, factors affecting health and well-being, substance use treatment and recovery, and connections to community-based resources. POSCs should be initiated as early as possible, ideally during the prenatal period, and may be developed by members of the healthcare team or through referrals to support providers.

The revised guidance clarifies how providers respond when infants are born exposed to non-medically prescribed substances, or when exposure to medically prescribed substances raises concerns related to abuse or neglect. In these cases, mandated reporters must submit a referral to Child Protective Services (CPS) Centralized Intake. Reports may be submitted through the Michigan Online Reporting System (MORS) or by calling (855)444-391. Providers should ask families whether a POSC has already been developed and can be shared.

When an infant is exposed only to medically prescribed substances, such as buprenorphine or methadone and no other safety concerns are present, providers should focus on connecting families to support services rather than child welfare intervention. In these cases, providers should refer families to Help Me Grow through the POSC website. If a plan has not yet been developed or if additional supports are needed, submit a notification instead of a referral to CPS Centralized Intake by phone.

Healthcare providers interested in virtual training related to these updates should contact Meagan Chuey at the State of Michigan.

Members with questions may contact Lenise Freeman at the MHA.

Michigan State Loan Repayment Program 2026 Application Period Opens March 2

The Michigan Department of Health and Human Services (MDHHS) recently announced an updated application period for the 2026 Michigan State Loan Repayment Program (MSLRP), which will be open from March 2 through April 30, 2026. The program offers hospitals and other eligible employers an opportunity to recruit and retain primary medical, dental and mental health providers. MSLRP provides tax-free student loan repayment to eligible providers who commit to serving in Health Professional Shortage Areas (HPSAs), with awards of up to $300,000 over a period of up to 10 years.

For the 2026 application cycle, MSLRP will use a new online application portal through the State of Michigan’s MiLogin system. Providers are responsible for submitting applications and must include required employed documentation. Employer contribution requirements remain at 20% for nonprofit employers and 50% for for-profit employers placing providers in nonprofit sites, with contributions waived for eligible State of Michigan employees working at state psychiatric hospitals and for Indian Tribal-Affiliated Primary Care Clinics.

MDHHS identified several priority application groups for 2026, including inpatient pediatric psychiatric providers, provider practices in Genesee Country and northern obstetric service providers. Early submissions are encouraged, as those who submit in March will receive priority consideration. Non-priority practices sites with HPSA scores of eight or higher will be treated as priority sites.

Members with questions may contact Lenise Freeman at the MHA.

MHA Monday Report Dec. 8, 2025

Stop the Bleed Legislation Advances, Preadmission Screening Bill Introduced

Legislation protecting good Samaritans who apply bleeding-control techniques passed the Senate Civil Rights, Judiciary and Public Safety Committee, while a bill modifying timeline requirements for preadmission screening assessments of Medicaid patients was introduced during the …


CMS Releases 2026 Home Health PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the home health prospective payment system (PPS) for calendar year 2026. Highlights of the rule include: An updated 30-day …


MDHHS Launches RHTP Listserv to Share Program Updates

The Michigan Department of Health and Human Services (MDHHS) recently launched a Rural Health Transformation Program (RHTP) listserv to provide timely updates, announcements and resources related to the state’s implementation of the program. Hospitals, health …


Health Access & Community Impact Office Hours Launch

The MHA Health Access & Community Impact Office Hours series kicked off Nov. 24 with a session highlighting 211 and its role in addressing food access amid ongoing challenges related to food insecurity. Sarah Kile, …


Nominations Open for 2026 Michigan Hometown Health Hero Awards

The Michigan Public Health Week Partnership, a coalition of 13 statewide organizations that include the MHA, is seeking nominations by Friday, Dec. 19, for individuals and organizations that have contributed to improving the health and …


MHA Rounds graphic of Brian PetersMHA CEO Report — Dedicated to Care Every Day of the Year

During the holiday season, we look forward to annual traditions and time spent with loved ones. While many of us gather around our tables this season, we are all aware of individuals who sacrifice this special time …


Centering Lived Experiences to Improve Maternal Care: Reflections from the Birth Experience Project

Over the past year, I supported the Birth Experience Project, a mixed-methods study examining how Black women across Michigan experience pregnancy, labor and delivery, and postpartum care. As part of this effort, I assisted in analyzing …


Keckley Report

The 10 Healthcare Headlines you Might See in 2026

“2026 is a mid-term election year. In 2016 (Trump 45 Year One), Republicans controlled 31 governorships and 68 legislative chambers. This January, the GOP will control 26 governorships and 57 legislative chambers– a 15% reduction on both. Politics is divided, affordability matters most to voters and healthcare is a high-profile target for campaigns so humility, thoughtful messaging backed by demonstrable actions will be an imperative for every healthcare organization.

2026 is a HUGE year for U.S. healthcare. The outcome is unknown.”

Paul Keckley, Nov. 23, 2025