Comprehensive Health Care Program – DHHS (Region 1)

The Comprehensive Health Care Program IDV provides managed Medicaid healthcare services throughout Region 1 of Michigan. This indefinite delivery vehicle encompasses comprehensive health care coverage including medical, behavioral health, and pharmacy services delivered through a managed care arrangement. The contract incorporates value-based payment models with a minimum threshold of 50% reimbursement under value-based arrangements, enhanced mental health integration utilizing designated assessment tools (MichiCANS and LOCUS), mandatory prior authorization data disclosure requirements, and community reinvestment obligations. Additionally, the IDV includes provisions for Certified Community Behavioral Health Clinics coordination, cell and gene therapy access, strengthened fraud and abuse detection protocols, and expanded pharmacy disclosure requirements to ensure comprehensive health care delivery and quality outcomes.

The prime contractor is Upper Peninsula Health Plan LLC (UPHP), with the contracting organization being the Michigan Department of Technology, Management and Budget (DTMB) on behalf of the Michigan Department of Health and Human Services. The contract period extends from October 1, 2024 through September 30, 2029, covering Michigan statewide with an estimated aggregate contract value of $1,759,329,500.00. This is a Medicaid managed care contract type with payment terms of Net 45 and alternate payment options including P-Card and Direct Voucher. Recent change notices effective October 1, 2025, February 15, 2026, and November 10, 2025 established a 2% quality withhold for fiscal year 2026 and expanded service delivery and community reinvestment requirements.