Michigan’s Rural Health Transformation Program is in its initial implementation phase for FY 2026–2030 after receiving federal CMS approval and award, led by the Michigan Department of Health and Human Services. The program is advancing planning, competitive grant solicitations, implementing regional partnerships, transparent reporting of subrecipients, and interagency coordination with LEO, guided by an advisory council of rural health stakeholders. Current priorities include workforce capacity, health information technology and telehealth, care coordination, behavioral and chronic disease health, transportation access, broad investment in digital infrastructure, and sustainability for rural providers. Current structured plan tracks 10 key initiatives and 15 strategic goals.
Michigan's Rural Health Transformation Program remains in the implementing phase. As of September 2026, MDHHS continues to fund subrecipients and has initiated targeted awards for technology and workforce initiatives, highlighted by active provider grant opportunities. Core pilots for behavioral health and interoperability are underway, and the MI HEARTSafe Schools rural application cycle will reopen in January. Statewide activities address workforce, data integration, and expanded care delivery priorities. State opportunities: 5 active (1 open, 4 closing soon, 50 past/closed), $54.6M listed funding. Key opportunities: Michigan Rural Health Integration ~ Sustainability FRCs - 2027; Michigan Rural Health Partnership Chronic Disease Care - 2027; Michigan Rural Health Partnership Collaborative Care - 2027. Strategy alignment: supports prevention, care access priorities.
RHTP Strategy
Michigan’s RHTP, led by MDHHS, continues its community-driven, coordinated transformation approach, anchored by interagency partnerships, to strengthen sustainable rural health systems. Emphasis remains on collaborative regional and tribal networks, advanced health IT and telehealth, targeted workforce investments, and bringing services closer to rural residents. Federal funds are focused on modernizing infrastructure, expanding broadband and digital health, and enhancing workforce recruitment and retention—guided by ongoing oversight from the Advisory Council. Medicaid policy updates further align service integration and billing with national standards, with transparent progress monitoring and stakeholder engagement throughout implementation.
Model
A targeted, grant-driven, hub-and-spoke model anchored by regional and tribal partnerships, workforce development, strategic health IT and digital referral investments, advancement of care and transportation models, and ongoing Advisory Council guidance from MDHHS.
Key Initiatives (10)
1Transforming Rural Health Through Partnerships Initiative: Fund and advance collaborative regional, community, and tribal networks to integrate care coordination, align service delivery, and promote financially sustainable rural health models.
2Workforce for Wellness Initiative: Competitive grants for rural and tribal provider training, recruitment, and retention—including behavioral health, chronic disease management training, integrated care access, supervision stipends, and social work pipeline programs. Expand physician residency programs in underserved rural areas, including the MIDocs program.
3Interoperability in Action Initiative: Invest in rural health IT, data exchange, broadband, telehealth, remote monitoring, and digital referral networks to support interoperability and technology adoption.
Timeline: Funding and phased implementation from FY2026 through FY2030; state planning and application in 2025; CMS approval in 2026; grant competitions, launch of referral network and advisory council convening in 2026; Medicaid maternity care billing updates effective January 1, 2027; PRC and expanded justice-involved benefits effective late 2026/early 2027; ongoing evaluation and project implementation through 2030.
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12Support rural provider sustainability and long-term growth
13Align Medicaid maternity care coverage with revised AMA CPT guidelines for improved access and billing accuracy
14Expand access to evidence-based peer recovery and behavioral health services in rural hospitals and communities
15Increase Medicaid service coverage and care transitions for justice-involved rural populations, with emphasis on screening, diagnostics, and targeted case management
Health Priority
Transportation Access
The program prioritizes improving transportation options to enhance access to rural health care services. Initiatives seek to reduce barriers for rural residents needing care.
Sep 5, 2026
Health Priority
Chronic Disease Collaborative Care
Programs targeting chronic disease management are designed to facilitate collaborative care and improve outcomes for rural populations affected by chronic health conditions.
Sep 5, 2026
Health Priority
Workforce Wellness
MDHHS aims to strengthen the rural health workforce, supporting wellness and retention among health providers serving rural areas.
Sep 5, 2026
SupportingPDFBudget: $1.0B
MI - 2026 - Michigan’s RHT Application
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ReferencePDF2026-2030Award: $172.9M
MI - 2026 - State Of Michigan RHTP Budget Narrative
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MI - 2026 - You have made the following changes to your Michigan Dept of Health & Human Services subscriptions
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SupportingHTML2026Award: $173.1M
MI - 2026 - Michigan awarded more than $173 million in federal funding to strengthen rural health
CMS conducted a field visit in Michigan assessing RHTP implementation including workforce, interoperability, and partnership initiatives. Michigan is executing a $173M award fostering rural health via workforce development, digital infrastructure, and health technology enhancements.
Michigan's Rural Health Transformation Program (RHTP) has awarded millions in funding across more than 70 local organizations, health systems, tribal governments, local public health agencies, and rural provider networks. These subrecipient awards address priorities such as interoperability, collaborative care, workforce recruitment and retention, and population health innovation. Award amounts are contingent upon final CMS review and may be adjusted.
Event schedule:
- Award notices as of - 07/10/2026
The MIDocs program extension provides $22.8 million in state fiscal year 2026 to expand residency training in high-need specialties focused on Medicaid populations. The initiative supports workforce development and addresses physician shortages in underserved areas through coordinated patient-centered education. Key contacts: Provider Inquiry Department ProviderSupport@michigan.gov
Award: $22.8MWORKFORCE
Contacts
Provider Inquiry Department - <ProviderSupport@michigan.gov> - Provider Support - Michigan
Core Initiatives
Increase physician training and retention in underserved rural and high-need areas
Advance coordinated, patient-centered care for Medicaid populations
This is the official summary of Michigan's FY 2026-27 Health and Human Services budget, detailing appropriations, major changes from the previous year, and policy priorities. Adjustments address Medicaid caseloads, provider taxes, behavioral health, and various social service programs. No Rural Health Transformation Program awards or solicitations are explicitly referenced.
Event schedule:
- Budget Publication Date - 07/09/2026
- House Fiscal Agency Document Date - 2026-07-09
- Funds to be expended (State Fiscal Recovery Fund) - 2026-12-31
- Legislatively directed spending report due (first) - 2026-03-15
- Legislatively directed spending report due (second) - 2026-06-15
- Legislatively directed spending report due (third) - 2026-09-15
- Maternal and Child Health Programs Report Due - 2026-04-01 - America/Detroit - DHHS
- Opening of Southeast Michigan State Psychiatric Hospital - 2026-10-01 - America/Detroit - Southeast Michigan
Funds to be expended (State Fiscal Recovery Fund) - 2026-12-31
Show all schedule items (9)
Budget Publication Date - 07/09/2026
House Fiscal Agency Document Date - 2026-07-09
Funds to be expended (State Fiscal Recovery Fund) - 2026-12-31
Legislatively directed spending report due (first) - 2026-03-15
Legislatively directed spending report due (second) - 2026-06-15
Legislatively directed spending report due (third) - 2026-09-15
Maternal and Child Health Programs Report Due - 2026-04-01 - America/Detroit - DHHS
Opening of Southeast Michigan State Psychiatric Hospital - 2026-10-01 - America/Detroit - Southeast Michigan
End of Fiscal Year for Appropriations - 2026-09-30 - America/Detroit - Michigan
Core Initiatives
Provide health and human services for Michigan's most vulnerable families
Administer Medicaid and Healthy Michigan Plan
Fund behavioral health, public health, aging, crime victim, and medical services
Show all initiatives (30)
Provide health and human services for Michigan's most vulnerable families
Administer Medicaid and Healthy Michigan Plan
Fund behavioral health, public health, aging, crime victim, and medical services
Achieve Medicaid managed care efficiencies and cost savings.
Support and improve access to perinatal and gynecological services.
Increase asset value for skilled nursing facilities to defray capital improvement costs.
Comply with CMS service requirements for private duty nursing for Medicaid recipients under 21.
Enhance federal match for ground emergency medical transportation.
Support family caregiving for Home and Community-Based Services beneficiaries.
Promote outreach and prevention for chronic kidney disease.
Support workforce training and retention in nursing facilities.
Establish a Home Help Caregiver Council to support in-home caregivers.
Increase reimbursement for mobile radiograph (x-ray) services in long-term care.
Provide appropriations for FQHC training, drug repository, health access improvement, cancer research, and ambulance support.
Maintain or improve support for meal and diaper assistance programs for vulnerable populations.
Enhance requirements and reporting for direct care worker wage increases and network adequacy.
Facilitate data-driven and prompt eligibility determination for Medicaid and food assistance programs.
Reference Documents (3)
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ReferenceJul 28, 2026HTML
Michigan has established an RHTP Advisory Council to support program implementation by engaging rural health partners and communities. The council provides insight and actionable recommendations to MDHHS and serves as a communication bridge between state leadership and rural stakeholders. Key contacts: Alan Bolter; Andrea Wendling, M.D.; Andrew Chosa; Angela Madden
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Contacts
Alan Bolter - Community Mental Health Association
Andrea Wendling, M.D. - Michigan State University College of Human Medicine, Boyne Area Medical Center
Andrew Chosa - Upper Peninsula Health Care Solutions
Show all contacts (21)
Alan Bolter - Community Mental Health Association
Andrea Wendling, M.D. - Michigan State University College of Human Medicine, Boyne Area Medical Center
Andrew Chosa - Upper Peninsula Health Care Solutions
Angela Madden - Michigan Association of Ambulance Services
April Kay Osburn - Central & Western Area Health Education Center / Central Michigan University
Catherine A. Macomber - Saginaw Valley State University
Crystal Barter - Michigan Center for Rural Health
Elise Marie Bur - Northern Michigan University
Heidi Britton - Northwest Michigan Health Services, Inc.
Jeremy Cannon - Kalkaska Memorial Health Center
Julie Kay Yaroch, D.O. - ProMedica
Kim Bachelder - Michigan Health Information Network (MiHIN)
Lauren LaPine - Michigan Hospital Association
Lucy P. DeWildt, PharmD - Health & Human Services Director, Bay Mills Health Center
Megan Murphy - Superior Health Foundation
Nicholas Cushman - Indian Health Service / University of Michigan College of Pharmacy
Phillip Bergquist - Michigan Primary Care Association
Robert Walter Mach - Schoolcraft Memorial Hospital
Sarah Oleniczak - Northern Michigan Community Health Innovation Region / District Health Department #10
Core Initiatives
Strengthen collaboration with rural health partners, community leaders, and residents
Improve partner participation during implementation and evaluation
Provide actionable recommendations to MDHHS for strategic direction and policy decisions
Show all initiatives (4)
Strengthen collaboration with rural health partners, community leaders, and residents
Improve partner participation during implementation and evaluation
Provide actionable recommendations to MDHHS for strategic direction and policy decisions
Ensure transparent communication and shared understanding of program priorities and outcomes
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ReferenceJul 2, 2026HTML2026
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ReferenceApr 15, 2026HTML
Other Documents (1)
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OtherMay 29, 2026HTML
The program emphasizes building capacity in rural healthcare settings and improving patient safety via collaboration across rural providers. It is administered by the Michigan Health & Hospital Association (MHA) Center of Rural Excellence and MHA Keystone Center Patient Safety Organization.
Event Schedule
A refreshed MHA.org is coming . Designed with Michigan hospitals and communities in mind, the updated website will make it easier to access advocacy updates, news, events and resources. Learn more ➡️ bit.ly/4f6Mc2q -...
‼️Reminder: is the deadline to register by mail or online for the Primary Election. After this date, registration must be done in-person with a local clerk (with proof of residency) before and on Election Day. Learn m...
MHA CEO Brian Peters issued a media statement in response to a proposal announced by the Michigan House of Representatives. - June 18 - View on Facebook · Share
Show all schedule items (5)
A refreshed MHA.org is coming . Designed with Michigan hospitals and communities in mind, the updated website will make it easier to access advocacy updates, news, events and resources. Learn more ➡️ bit.ly/4f6Mc2q -...
‼️Reminder: is the deadline to register by mail or online for the Primary Election. After this date, registration must be done in-person with a local clerk (with proof of residency) before and on Election Day. Learn m...
MHA CEO Brian Peters issued a media statement in response to a proposal announced by the Michigan House of Representatives. - June 18 - View on Facebook · Share
A refreshed MHA.org is coming . Designed wi - July 14 - Michigan hospitals are always caring and always ad
‼️Reminder: is the deadline to register by - July 20 - Michigan hospitals are always caring and always ad
Media (14)
Michigan hospitals made clear in testimony this morning that House Bills 6116–6119 would act as an accelerant toward the affordability crisis and harm healthcare access throughout the state. If enacted, these bills will increase costs and threaten access to care by forcing service cuts, workforce reductions and hospital closures, especially in rural communities. We urge lawmakers to reject this legislation and prioritize working with providers on solutions that lower costs without putting patient care and local economies at risk. Visit MHA.org to learn more.
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#mileg #mihospitals #healthcare #michigan #advocacy
The @umhealthsparrow Mobile Health Clinic delivers critical, no-cost medical services directly to communities in need across Mid-Michigan. The clinic has been instrumental in uncovering serious, dormant conditions and enabling early, lifesaving interventions for conditions like diabetes and hypertension. Learn more about how Michigan #HospitalsHelp at MIHospitals.org.
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#HospitalsHelp #AlwaysCaring #AlwaysAdvancing #Michigan #MobileClinic #Healthcare #Hospitals #Health #MidMichigan #UMHealth
📰 Newsroom: MHA CEO Brian Peters issues a statement following the announcement of a hospital-focused bill package by the State House. Read more at MHA.org.
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#MiLeg #statement #thoughtleaders #MIHospitals #healthcare #newsroom #affordability #hospitals
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RHT Summary
RHTP Rural Counties Map
RHT Pre-Implementation Timeline
RHT Program Proposed Structure
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RHTP Milestones
08/04/2026
Application deadline
↳ MI - 2026 - MDHHS seeks applications for RHTP Workforce for Wellness Initiative
07/30/2026
Project director request deadline
↳ MI - 2026 - MDHHS seeks applications for RHTP Workforce for Wellness Initiative
07/15/2026
Pre-application conference
↳ MI - 2026 - MDHHS seeks applications for RHTP Workforce for Wellness Initiative
Site Activity (14)
MI RHTP site updated — 1 new, 1 existing source(s) refreshed
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MI - 2026 - 07.10.26 Coordinator Directory for posting.xls
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Michigan Dept of Health & Human Services Daily Digest Bulletin — tfacts61.pdf
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Michigan received more than $173 million from CMS for rural health transformation, with targeted investments in workforce, digital infrastructure, broadband, and telehealth. An interagency partnership between MDHHS and LEO is coordinating priorities, funding, and support for subrecipients across the state. CMS completed a site visit to observe implementation, convening with rural hospitals, public health hubs, and community partners. Key contacts: Casey Klein kleinc7@michigan.gov; Sarah Jennings jenningss2@michigan.gov; Kaylen Brooks brooksk22@michigan.gov; Elizabeth Baty batye@michigan.gov
Event schedule:
- CMS Site Visit to Michigan - 09/01/2026 - Lansing and northwest Michigan
Award: $173.0MHEALTH_INFORMATION_TECHNOLOGY · NETWORK_DEVELOPMENT · WORKFORCE · FINANCE · OTHER
Event Schedule
CMS Site Visit to Michigan - 09/01/2026 - Lansing and northwest Michigan
Contacts
Casey Klein - <kleinc7@michigan.gov> - Section Manager, Office of Nursing Programs - Michigan (Statewide)
Sarah Jennings - <jenningss2@michigan.gov> - Senior Nurse Advisor, Office of Nursing Programs - Michigan (Statewide)
Elizabeth Baty - <batye@michigan.gov> - Departmental Analyst, Office of Nursing Programs - Michigan (Statewide)
Core Initiatives
Promote transparency in rural health transformation funding and activities.
Strengthen coordination and collaboration across rural communities and health partners.
Support workforce development, expanded access, and use of modern health technologies.
Show all initiatives (5)
Promote transparency in rural health transformation funding and activities.
Strengthen coordination and collaboration across rural communities and health partners.
Support workforce development, expanded access, and use of modern health technologies.
Enhance collaboration and data-sharing for rural system sustainability.
Invest in community-driven solutions that bring care closer to residents.
This bulletin establishes Medicaid coverage for Peer Recovery Coach services in hospital ED settings beginning October 1, 2026, contingent on federal CMS approval. Certified PRCs will be able to bill Medicaid for up to ten hours per month per beneficiary for recovery support delivered in the hospital or via telemedicine follow-up. The new policy is intended to support care transitions, treatment engagement, and connections to community recovery resources for adults with SUD. Key contacts: Provider Inquiry ProviderSupport@michigan.gov
Event schedule:
- Policy Effective Date - 10/01/2026
Provider Inquiry - <ProviderSupport@michigan.gov> - Medicaid provider support - Statewide
Core Initiatives
Expand access to evidence-based peer recovery support in hospital emergency departments.
Improve care transitions and treatment engagement for patients with substance use disorders.
Strengthen workforce capacity by certifying and enrolling Peer Recovery Coaches as Medicaid providers.
Michigan received a $173 million Rural Health Transformation Program award for FY 2026 to 2030 to support rural health care access, sustainability, workforce development, and technology advancement. This investment addresses funding shortfalls caused by Medicaid cuts and aims to strengthen rural provider networks and services. Key contacts: Lynn Sutfin
Event schedule:
- Award Announcement Date - 12/30/2025 - Lansing, MI
Award: $173.1MOTHER
Event Schedule
Award Announcement Date - 12/30/2025 - Lansing, MI
Contacts
Lynn Sutfin - Media Contact - Michigan
Core Initiatives
Improve care delivery and coordination in rural communities
Support rural health providers and workforce growth
Advance technology adoption including telehealth and interoperability
Show all initiatives (4)
Improve care delivery and coordination in rural communities
Support rural health providers and workforce growth
Advance technology adoption including telehealth and interoperability
Promote financially sustainable rural care models
Support opioid healing and recovery initiatives with dedicated funding.
Improve accountability and outcomes for autism services.
Maintain and report on behavioral and opioid health home programs.
Support victims of domestic violence, sexual assault, and human trafficking.
Ensure funding and data transparency for maternal and child health, prenatal, and pregnancy prevention programs, prioritizing rural populations.
Provide group-based maternity programs through hospitals (Centering Pregnancy).
Maintain appropriate Medicaid reimbursement and provider wage levels.
Prioritize cost containment and proper Medicaid eligibility through reviews and audits.
Enhance maternal health and hospital data sharing initiatives.
Expand rural health transformation efforts and reporting.
Promote utilization of generic and biosimilar medicines and compliance with federal standards.
Increase access to pediatric dentistry and dental clinics in underserved areas.
Provide navigation support for Medicaid and food assistance program changes.
Stephanie Winslow - PACE Association of Michigan
Wilbert Morris - Sanilac County Community Mental Health Authority
Michigan's Department of Health and Human Services has issued multiple solicitations for the Rural Health Transformation Program to enhance care delivery, chronic disease collaborative care, and workforce wellness. The state was awarded over $173 million in federal funding in December 2025 to support rural health initiatives. Key contacts: MDHHS-RHTP@michigan.gov
Event schedule:
- Application Announcement Date - 07/17/2026
- Workforce Initiative Announcement - 07/08/2026
- Advisory Council Recruitment - 01/13/2026
- Federal Award Announcement - 12/30/2025
WORKFORCE · POPULATION_HEALTH · OTHER
Event Schedule
Application Announcement Date - 07/17/2026
Workforce Initiative Announcement - 07/08/2026
Advisory Council Recruitment - 01/13/2026
Show all schedule items (4)
Application Announcement Date - 07/17/2026
Workforce Initiative Announcement - 07/08/2026
Advisory Council Recruitment - 01/13/2026
Federal Award Announcement - 12/30/2025
Contacts
<MDHHS-RHTP@michigan.gov> - Contact Email for RHTP inquiries - Michigan
Core Initiatives
Improve care delivery and access in rural communities
Enhance workforce capacity for rural health
Strengthen chronic disease care and prevention
The Michigan Department of Health and Human Services (MDHHS) engaged rural health providers, community partners, and Medicaid beneficiaries to develop a strategy guiding the use of RHT Program funds to support rural providers' sustainability and growth amid anticipated federal funding cuts. The program includes transparent reporting of subrecipients and is governed by an advisory council. Key contacts: MDHHS-RHTP@michigan.gov
Event schedule:
- The Rural Health Transformation (RHT) Program is part of H.R. 1, known as the One Big Beautiful Bill Act passed by Congress and signed into law , 2025. The $50 billion grant program runs from Fiscal Year (FY) 2026 thr...
- The Michigan Department of Health and Human Services (MDHHS) was awarded $173,128,201 for Budget Period 1 (BP1; , 2025-October 30, 2026) by the Centers for Medicare & Medicaid Services (CMS) under the RHT Program. Rea...
Event Schedule
The Rural Health Transformation (RHT) Program is part of H.R. 1, known as the One Big Beautiful Bill Act passed by Congress and signed into law , 2025. The $50 billion grant program runs from Fiscal Year (FY) 2026 thr...
The Michigan Department of Health and Human Services (MDHHS) was awarded $173,128,201 for Budget Period 1 (BP1; , 2025-October 30, 2026) by the Centers for Medicare & Medicaid Services (CMS) under the RHT Program. Rea...
Contacts
<MDHHS-RHTP@michigan.gov> - Michigan statewide
Michigan Dept of Health & Human Services Daily Digest Bulletin — 07.24.26 Coordinator Directory for posting.xls
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MI - 2026 - Michigan WIC program announces infant formula changes
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MI - 2026 - MDHHS updates guidance on cyclosporiasis outbreak regarding lettuce and salad greens
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Medicaid Changes for Immigrants
MI - 2026 - Under the updated WIC income eligibility guidelines
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MI - 2026 - court approved the MISEP
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MI - 2026 - Request to Attend a Hearing (for Media Professionals)
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Michigan Dept of Health & Human Services Daily Digest Bulletin — Michigan Monthly Overdose Report, July 2026.pdf
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MI - 2026 - MDHHS seeks to partner with local governments on projects designed to address substance use disorder
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MI - 2026 - MDHHS confirms detection of influenza A H1N2 variant (swine flu) in Michigan resident
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MI - 2026 - WIC participants now able to use benefits online at Meijer stores
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MI - 2026 - MDHHS updates recommendations for cyclosporiasis prevention
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MI - 2026 - MDHHS makes recommendations on preventing foodborne illness amid growing cyclosporiasis outbreak
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MI - 2026 - MDHHS, GetSetUp celebrate six-year partnership
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Michigan Healthy Kids Dental RHTP 2026 Award Announcement
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Michigan SPF Application For Prevention Success Training (SAPST) RHTP 2026 Announcement
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Michigan Dept of Health & Human Services Daily Digest Bulletin — Michigan Monthly Overdose Report, May 2026.pdf
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Michigan Nursing Home Innovations Grant Board | Colorado Department Of Public Health And Environment Skip To Main Content Search Search Menu Home About CDPHE Toggle About CDPHE Sub
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Michigan Dept of Health & Human Services Daily Digest Bulletin — 2619-SSP-P.pdf
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Michigan Dept of Health & Human Services Daily Digest Bulletin — 2608-Maternal-P.pdf
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Michigan Dept of Health & Human Services Daily Digest Bulletin — 26MIHS-Exhibitor-Prospectus-031926.pdf
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Michigan Dept of Health & Human Services Daily Digest Bulletin — Michigan Monthly Overdose Report, June 2026_CORRECTED.pdf
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Michigan U.S. Department Of Health And Human Services R&R Application Guide A Guide To Help You Prepare And Submit A R&R Workspace Application Package To Grants.gov Use This Along
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MI - 2026 - Research conducted by MDHHS
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MI - 2026 - evidence-based interventions outlined in the American Cancer Society reference guide
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Michigan Examples Of Air Cleaners April 2025 RHTP Document
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Michigan Skip To Main Content Contact US RHTP Document
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MI - 2026 - Nursing Facility CCN Template
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Michigan Dept of Health & Human Services Daily Digest Bulletin — 04.16.26 Coordinator Directory for posting.xls