Weekly Updates – CMHAM – Community Mental Health Association of Michigan
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Weekly Update June 26, 2026

Association and Member Activities

Work of Sanilac CMH and Lifeways highlighted in latest stories in partnership with Issue Media Group

The latest news stories highlighting the innovation and successes of Michigan’s public mental health system, are made possible by the partnership of CMHA, a number of its members, and the Issue Media Group (IMG). These stories, Relationships between law enforcement and community organizations central to rural mental health and Collaboration with justice system reshaping mental health response – Common Ground highlight the innovative work being done at Sanilac CMH and Lifeways.

This story, along with the growing list of solutions journalism stories centered around the work of Michigan’s public mental health system, can be found at: https://cmham.org/newsroom/

This partnership, with the Issue Media Group (IMG), is built around the concept of “solutions journalism” – providing news about innovative and concrete ways that communities, across Michigan, are addressing the needs of their residents along a number of dimensions – healthcare, economic development, education, the arts, to name a few. Solutions journalism investigates and explains, in a critical and clear-eyed way, how people try to solve widely shared problems. While news sources and many of us typically define news as “what’s gone wrong,” solutions journalism runs counter to that definition by covering the innovative responses to identified needs and problems.

This partnership ensures that the work of Michigan’s public mental health system is highlighted in IMG’s large suite of solutions journalism-focused publications.

You can subscribe, at no cost, to these publications, on the websites of each of these publications. The list of partner publications and their websites are provided below:

Second Wave – Michigan
Concentrate – Ann Arbor/Ypsi
Epicenter – Mount Pleasant
Flintside
Metromode – Metro Detroit
Model D
Confluence Great Lakes Bay Region
Rural Innovation Exchange
Common Ground
The Keel – Port Huron
The Lakeshore
Upword – UP

Community Mental Health is expanding crisis services with a “one-stop shop” crisis care model

A new Community Mental Health crisis care center in Greater Lansing is expanding access to immediate, community-based behavioral health services by providing comprehensive, 24/7 crisis intervention designed to reduce reliance on hospitalization and better meet rising demand. The CEI Crisis Center is moving to a new facility at 2900 Stabler Street in Lansing, Michigan.

Explanation on Behavioral Health Transport Impact on Community

Michigan lawmakers from both parties are pushing new legislation to improve how patients in mental health crises are transported to care. Currently, many of these patients are taken by ambulance, which can be uncomfortable, costly, and not well‑suited for behavioral health needs. Providers say ambulances can even escalate a patient’s distress and tie up emergency resources that are needed for 911 calls.

New SAMHSA CCBHC Funding Opportunities Now Available

SAMHSA has released three new CCBHC funding opportunities, with applications due Monday, August 17, 2026:

CCBHC Improvement and Advancement Grants to sustain and enhance services at existing CCBHCs.

Pre-Applicant Webinar: Certified Community Behavioral Health Clinic Improvement and Advancement | June 30, 2026, 3-4:30 p.m. ET

CCBHC Planning, Development, and Implementation Grants to support the development and establishment of new CCBHCs.

Pre-Applicant Webinar: Certified Community Behavioral Health Clinic (CCBHC): Planning, Development, and Implementation Grant | July 1, 3:00-4:30 p.m. ET

CCBHC State Planning Grants to support states in developing certification systems, PPS methodologies, and readiness for potential participation in the Section 223 CCBHC Demonstration.

More information is available in SAMHSA’s announcement of the new CCBHC NOFOs.

Technical Assistance will be available through the National Council for Mental Wellbeing’s CCBHC Success Center to support clinic’s SAMHSA CCBHC Improvement and Advancement Grant submission strategy.  A webinar will be held on July 9, 3:00-4:00pm ET. A registration link. is forthcoming.

Protect MI Care Recommendations

The Protect MI Care coalition provides recommendations to Michigan health officials on how to implement new federal Medicaid requirements in a way that minimizes coverage loss and administrative burden.

The Launch of CMHA Magazine: A New Voice for Michigan’s Behavioral Health Community

The Community Mental Health Association of Michigan is proud to launch the inaugural issue of CMHA Magazine — a new digital publication dedicated to elevating the voices, stories, and advocacy efforts shaping Michigan’s public behavioral health system. In addition to the digital publication, printed copies of each issue will be included in conference packets at CMHA’s three statewide conferences each year, helping expand the magazine’s reach to behavioral health leaders, providers, and policymakers across Michigan.

More than just a magazine, this publication is designed to serve as a platform for highlighting the incredible work of CMHA members across the state, sharing innovative programs, and keeping providers, policymakers, and stakeholders informed on the most pressing issues facing behavioral health care today.

The inaugural issue features powerful member stories, including LifeWays Community Mental Health’s partnership with the Jackson Police Department, where embedded clinicians are helping transform crisis response and reduce repeat emergency calls. It also spotlights Genesee Health System’s 24/7 Behavioral Health Urgent Care expansion, which is helping fill critical gaps in crisis stabilization and access to care in Flint and surrounding communities.

In addition to member highlights, CMHA Magazine provides timely state and federal legislative updates impacting behavioral health providers and the individuals they serve. Articles in the inaugural edition examine Michigan’s psychiatric bed shortage and policy recommendations emerging from the House Oversight Subcommittee on Public Health and Food Security. The publication also explores upcoming federal Medicaid work requirements and the potential impact these changes could have on access to behavioral health services nationwide.

The magazine will also tackle important issues of the day — from workforce shortages and crisis response innovation to system reform proposals and advocacy efforts that affect Michigan’s public mental health system. Through thoughtful commentary, member engagement, and community storytelling, the publication aims to strengthen collaboration and ensure behavioral health remains a priority in Lansing and Washington.

Published three times each year, CMHA Magazine will reach more than 1,500 behavioral health professionals, clinicians, board members, policymakers, and provider organizations across Michigan through its digital distribution and conference circulation. The launch marks an exciting step forward in connecting Michigan’s behavioral health community and sharing the stories that make this work so important every day.

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

Michigan Care Career DCW and Employer Portal

IMPART Alliance, a longtime partner of CMHA and a leader in efforts to ensure that Michigan has a strong and vibrant Direct Care Worker workforce, is reminding the field of the MI Care Career portal!  The MI Care Career DCW and Employer job matching portal is open to the state for entering profiles into the system. Here is the link to the program https://micarecareer.michigan.gov/

IMPART and MDHHS look forward to hearing from you about the portal. For assistance, please email MDHHS-MICare-Career-Support@michigan.gov.

Michigan’s Medicaid decline puzzles experts, though they expect more to lose coverage

Below is and excerpt from a recent Bridge Magazine article regarding the dramatic reduction in Medicaid enrollment among Michiganders.

Michigan has seen one of the largest decreases in the nation in Medicaid enrollment in recent years.

As of February, there were nearly 2.03 million Michiganders enrolled in the comprehensive safety-net insurance program for low-income people and families. That was about 235,744 fewer people, or a 10% decline, from the same month in 2020, according to the Centers for Medicare and Medicaid Services (CMS).

The full article can be found here: Michigan’s Medicaid decline puzzles experts, though they expect more to lose coverage – mlive.com

These Michigan counties have seen the largest drop in Medicaid coverage

Below is and excerpt from a recent Bridge Magazine article regarding the dramatic reduction in Medicaid enrollment among Michiganders.

More than 1,000 fewer Oceana County residents were enrolled in a Medicaid health plan in February compared to 12 months prior.

The West Michigan county had an 11.8% decrease in residents enrolled in the safety-net insurance program for low-income people and their families, according to data from the U.S. Centers for Medicare and Medicaid. That was the largest year-over-year decline in the state during that period.

Michigan’s enrollment in Medicaid has been on the decline in recent years — a trend that is being monitored closely by the state and industry leaders.

The full article can be found here: These Michigan counties have seen the largest drop in Medicaid coverage – mlive.com

Policy Brief: Lessons from 10 Years of Medicaid Expansion in Michigan

The Institute for Healthcare Policy and Innovation recently issued a policy brief. Below is an excerpt from the brief:

The expansion of Medicaid in Michigan through the Healthy Michigan Plan has provided a reliable source of insurance coverage and access to care for many adults ages 19 to 64 with low incomes and has become a key component of the state’s healthcare system and safety net over the past decade.

The full brief can be found here: Policy Brief: Lessons from 10 Years of Medicaid Expansion in Michigan

DOJ opinion on Olmstead threatens the right of people with disabilities to live in the community

Below is an excerpt from a recent article from the Arc’s national office on threats to the protections and freedoms made possible by the Olmstead decision.

Yesterday, the U.S. Department of Justice issued a legal opinion that threatens one of the most important civil rights protections for people with disabilities: the right to live and receive services in the community, not be unnecessarily confined to institutions.

The opinion targets Olmstead v. L.C., the 1999 U.S. Supreme Court decision that recognized institutional isolation of people with disabilities as discrimination under the Americans with Disabilities Act (ADA). For more than 25 years, Olmstead has helped people with disabilities fight for the supports they need to live at home and in their communities.

This opinion isn’t a court decision. It doesn’t erase Olmstead or change Supreme Court precedent. It also doesn’t take away the ADA, Section 504, or the regulations that protect community living.

But it’s dangerous because rights mean less when the federal government refuses to enforce them. This opinion seeks to undermine one of the strongest protections people with disabilities have from being pushed into institutions when they can and want to live in the community. The DOJ itself acknowledges that this opinion is “out of step” with how federal courts have understood Olmstead.

The full article can be found here: DOJ Olmstead Opinion Threatens Community Living Rights

Policy Update: NADSP Condemns Justice Department’s Attempt to Weaken the Right to Community Living

Below is an excerpt from the National Alliance for Direct Support Professionals (NADSP) in response to the recent DOJ opinion regarding Olmstead:

Statement by Joseph M. Macbeth, President and Chief Executive Officer, National Alliance for Direct Support Professionals: The National Alliance for Direct Support Professionals is profoundly disappointed by the June 18 legal opinion issued by the U.S. Department of Justice’s Office of Legal Counsel. This is not a ruling by the Supreme Court or another federal court, and it does not overturn Olmstead or eliminate protections under the Americans with Disabilities Act. It represents the legal interpretation of the Justice Department official who authored it and remains subject to review by the courts.

Nevertheless, it is a hostile action by the Trump Administration that seeks to weaken one of the most important civil rights protections secured by people with disabilities.

The full statement can be found here.

Michigan Blue Cross to limit mental health benefit. Will thousands lose care?

Below are excerpts from a recent Bridge Magazine article on the limits on mental health coverage proposed by Michigan Blue Cross and Blue Shield.

Thousands of Michiganders could lose access to their mental health providers under a new Blue Cross Blue Shield of Michigan policy. 

Effective March 1, the state’s largest insurer will no longer cover limited-license therapists who practice in private offices. Michigan has about 13,000 social workers, counselors, psychologists, and family and marriage therapists, according to one estimate, with an unknown number affected by the end of the longstanding Blue Cross benefit.

The full article can be found here: Michigan Blue Cross to limit mental health benefit. Will thousands lose care? – Bridge Michigan

SAMHSA Notice of Funding Opportunity: Behavioral Health and Community Safety Partnerships

The purpose of Behavioral Health and Community Safety Partnerships is to support communities in reducing the behavioral health impacts of crime, violence, and disorder; strengthening community safety; and improving outcomes for youth, families, and other individuals affected by crime, violence, and disorder.

Learn more at: Behavioral Health and Community Safety Partnerships | SAMHSA

HRSA Funding Opportunity: Rural Communities Opioid Response Program (RCORP)

Rural Communities Opioid Response Program (RCORP)-Planning helps organizations in rural areas build a partnership network and create a strong base for substance use disorder (SUD) and related services. It also helps build capacity to develop, implement and sustain these services.

Funding will serve as a critical first step to creating SUD service systems that make care easy to access, strengthen the behavioral health workforce, gain strong community buy-in, and prepare communities to deliver prevention, treatment, recovery, and other supportive services over the long term.

RCORP-Planning grants support planning and preparation activities only and do not support direct service delivery.

Information on this funding opportunity can be found here.

Upcoming Panel: Behind the Scenes in Medicaid — How States Are Navigating a Changing Environment

Today’s Medicaid programs are operating in a rapidly changing environment — shaped by significant budget pressures, high turnover among state program leadership, the operational demands of implementing new eligibility and work requirement policies, and a heightened focus on curbing fraud, waste, and abuse, all while positioning programs for long-term success. At the same time, states continue to advance major priorities such as behavioral health system improvements, maternal health initiatives, payment and delivery system modernization, and rural health transformation efforts.

On July 7, join a Center for Health Care Strategies (CHCS) panel for an inside look at how Medicaid leaders are navigating today’s dynamic environment: setting priorities, managing teams, and making decisions in a complex and evolving budget and policy landscape. The 60-minute conversation with current and former Medicaid directors will highlight how state leaders are adapting in real time and what it will take to sustain strong, resilient programs into the future.

Learn more about this panel and register here: Behind the Scenes in Medicaid: How States are Navigating a Changing Environment – Center for Health Care Strategies

Secretary Kennedy Announces Over $700 Million in New Funding to Address Mental Illness, Addiction, Homelessness

The U.S. Health Secretary announced over $700 million in new funding to expand mental health and addiction treatment programs and help people experiencing homelessness access care and recovery services. The funding aims to expand mental health and addiction treatment, reduce homelessness, and connect people to coordinated care and long-term recovery services.

CMHA Testifies in House Rules Committee in Opposition to HB 6022

This week, Community Mental Health Association of Michigan (CMHA) staff testified before the House Rules Committee in opposition to House Bill 6022, legislation that would make significant changes to preadmission screening requirements under the Mental Health Code as part of the broader Mental Health Framework proposal.

CMHA reiterated its strong opposition to the bill, emphasizing that HB 6022 would increase bureaucracy, create new administrative burdens for providers and patients, and make it more difficult—not easier—for individuals to access behavioral health services. During testimony, CMHA noted that the proposal would add “more regulation, more hoops, more red tape” without increasing system capacity or improving outcomes.

CMHA also stressed that the bill attempts to advance a broader Mental Health Framework initiative that remains opposed by a wide coalition of stakeholders, including the Michigan Sheriffs’ Association, Michigan Association of Counties, mental health advocacy organizations, providers, and thousands of consumers and families.

While HB 6022 includes a provision requiring preadmission screenings to be completed within three hours, CMHA argued that this issue can and should be addressed separately through HB 5334. Association leaders pointed out that community mental health agencies already complete more than 98 percent of screenings within the required timeframe, and that the real cause of prolonged emergency department stays is the lack of available psychiatric beds and treatment placements—not delays in conducting assessments.

The House Rules Committee did not take a vote on HB 6022. At this time, the bill’s next steps remain uncertain. CMHA encourages members to continue reaching out to their state representatives to voice their opposition to HB 6022 and urge lawmakers to pursue collaborative, stakeholder-driven reforms that strengthen Michigan’s public behavioral health system rather than adding unnecessary administrative burdens.

Budget Framework Reached as Leaders Continue FY27 Negotiations

Legislative leaders and Gov. Gretchen Whitmer have reached a framework agreement for the Fiscal Year 2027 state budget, marking a significant step toward completing budget negotiations before the July 1 deadline.

House Speaker Matt Hall (R-Richland Township) announced during his weekly press conference that the framework was finalized late Wednesday following negotiations among legislative leaders and the governor. The agreement, signed by Hall, Senate Majority Leader Winnie Brinks (D-Grand Rapids), and Whitmer, establishes broad fiscal parameters while negotiations continue on specific spending priorities.

According to Hall, the framework includes no tax increases, no use of the state’s Rainy Day Fund to balance the budget, and overall spending below last year’s levels. While K-12 schools are expected to receive additional funding, the overall budget will require spending reductions.

“This is going to be challenging for some people because this is a budget where you’re going to have to make cuts,” Hall said. “We made some cuts last year and we’re going to have to do it again.”

Hall declined to discuss additional details, saying confidentiality is necessary to preserve the agreement while negotiators finalize budget targets. He expressed optimism that lawmakers could still complete the budget before the statutory July 1 deadline.

The speaker said potential areas for savings include addressing waste, fraud, and abuse in state government, including the elimination of “ghost employees.”

Hall said negotiations gained momentum after legislative leaders began working directly with Senate Democrats on a spending plan, with State Budget Director Jen Flood later joining negotiations on behalf of the governor. Leaders continued discussions through the Juneteenth holiday and the weekend to reach the current framework.

While the framework does not include a property tax reduction, he said those conversations could continue concurrently with budget negotiations.

Psychiatric Bed Flexibility Bill Advances from House Health Policy Committee

As Michigan continues to face a shortage of more than 1,000 inpatient psychiatric beds, the House Health Policy Committee this week advanced legislation that would give psychiatric hospitals greater flexibility to use existing capacity by temporarily converting licensed adult beds for minors, or vice versa, based on patient demand.

HB 5903, sponsored by Rep. Matthew Bierlein (R-Vassar), is intended to help address the state’s critical shortage of inpatient psychiatric beds. During committee testimony on May 13, Bierlein said Michigan lacks more than 1,000 psychiatric beds to meet minimum capacity needs and more than 3,000 beds to achieve optimal availability.

Under current law, psychiatric beds are licensed exclusively for either adults or minors. Hospitals cannot temporarily reassign beds to accommodate shifting patient demand without first obtaining additional licensing approval. Bierlein said the legislation would provide hospitals with the flexibility to respond more effectively to fluctuations in demand while maintaining existing patient safety standards.

One hospital CEO testified in support of the bill alongside Bierlein and said the hospital frequently experiences shortages of adult psychiatric beds while adolescent beds often remain underutilized during the summer months and school breaks. He noted that the legislation would allow hospitals to make better use of existing capacity without compromising patient safety, as adults and minors would continue to be housed in separate units.

“At a time when Michigan families are struggling to access mental health care, we should be removing barriers that prevent providers from delivering timely treatment,” Bierlein said.

Save the Date: 2026 NACBHDD Fall Virtual Legislative & Policy Conference 

The behavioral health and I/DD policy landscape is shifting rapidly. To help you navigate these changes and connect with peers, NACBHDD is proud to host the 2026 Fall Virtual Legislative & Policy Conference. This interactive, two-day event is designed to equip you with critical policy updates, actionable strategies, and invaluable peer-to-peer networking opportunities. Stay tuned for registration details next month; you won’t want to miss this! 

October 21st – 22nd, 2026    |    Zoom    |    Registration officially opens on July 8th, 2026

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Summer Conference 2026 Recap

Thank you to everyone who joined us at the 2026 CMHA Annual Summer Conference at Grand Traverse Resort! This year, we welcomed 423 attendees from across Michigan, including board members, CEOs, COOs, CFOs, medical directors, clinical directors, case managers, supports coordinators, children’s supervisors, provider agencies, and partners throughout the public mental health and substance use disorder systems.

Over two days, participants explored critical topics impacting behavioral health today, including advocacy efforts, healthcare integration, crisis intervention, substance use disorder services, evidence-based practices, data analytics, trauma-informed care, Medicaid policy changes, and the future of Michigan’s public behavioral health system.

Missed a Keynote? View the session recordings below.

Monday, June 8, 2026

Keynote: Baldly Bipartisan – A preview of what to expect in Michigan’s political and public policy worlds in 2026

Keynote: Can You Hear the Voices? What Psychosis Feels Like (Recording Coming Soon)

Wednesday, June 10, 2026

Keynote: The History of Michigan’s Managed Behavioral Health System

Keynote: We All Rise: Activating the H.E.R.O. Within A Closing Keynote on Hope, Mental Health, and the Power to Rise Together

Conference Photos

Relive the conference and browse photos from throughout the event on our Facebook page CMHA Summer Facebook Photo Album

Thank you to our attendees, presenters, exhibitors, sponsors, volunteers, and staff who made this year’s conference such a success. We look forward to seeing everyone again in the fall!

Fall Conference Workshop Submissions

Submit your workshop proposal for the CMHA Fall Conference. CMHA will use the information requested in this form to assure appropriateness of content, to assess whether the presentation meets criteria for social work “Continuing Education Clock Hours,” and/or substance abuse professional certification “Contact Hours” and to develop program descriptions.

Oct. 28-27, 2026   |   Grand Traverse Resort and Spa   |   Submit this electronic form by 5pm on MONDAY, JULY 6, 2026.

Save the Date! 33rd Recipient Rights Conference

Mark your calendars for the 33rd Annual Recipient Rights Conference, September 16-18, 2026, at Crystal Mountain Resort. This gathering brings together recipient rights experts, CMH administrative and clinical staff, and mental health professionals for professional development and networking. NOTE: New agenda this year. The conference will be held Sept. 16-18, 2026, with no pre-conference. More details are coming soon!

Sept. 16-18, 2026  |  Crystal Mountain Resort   |  For more information and details on how to reserve your room click here

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Implementation Learning Collaborative

Are you a manager, leader, or supervisor of a mental health system, organization, or program? Are you interested in learning how to implement or sustain Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?

The TF-CBT Implementation Learning Collaborative is a free, application-based program designed to equip mental health leaders and supervisors with the tools needed to drive meaningful, sustainable practice change. It is designed for SAMHSA grantees and behavioral health organizations in WI, MI, MN, OH, IN, IL, KS, NE, IA, and MO that currently provide TF-CBT and are seeking structured support to strengthen implementation, fidelity, and sustainability.

Why is this important? Implementation science demonstrates that successful adoption and sustainability of evidence-based practices require more than initial training — they depend on structured, ongoing support. This collaborative leverages proven implementation strategies — including coaching, data-driven feedback, and responsive adaptation — to ensure that TF-CBT is not only learned but consistently applied and sustained over time.

August 5, 2026 – September 17, 2026   |  Applications Due June 30, 2026   |   For more information and to apply click here

Program Highlights:

3 didactic sessions + 2 applied consultation sessions
Total commitment: 6.5 hours
Small cohort of up to 12 participants
6.5 CE credits available

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

New CCBHC TA Email and Interest Form Now Available

CMHA has launched a new CCBHC TA email address and TA interest form to help clinics access support more easily. General CCBHC TA questions can be sent to CCBHCTA@cmham.org. Clinics seeking direct 1:1 technical assistance should complete the CCBHC TA Interest Form so the TA team can better understand the request and connect clinics with the appropriate support.

CCBHC-T TA Informational Webinar Introducing Finance, Access, and Workforce Modules Scheduled for June 29

The CCBHC-Transformation (CCBHC-T) program is excited to launch the first three TA modules focused on Finance, Access, and Workforce for CCBHCs. Join us for an introductory webinar on June 29 at 1:00pm to hear directly from the Subject Matter Experts (SMEs) contracted to deliver the TA content. During this webinar you will hear about the content, structure, and available TA supports for each module, and learn the process to sign up for individualized 1:1 TA tailored to clinic needs. Register here to join! 

CCBHC June Newsletter

The June CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

New SAMHSA CCBHC Resources: Housing Stability and Rural Communities

SAMHSA has released two new publications highlighting opportunities for CCBHCs to strengthen care and partnerships in key areas.

Improving Housing Stability for People with Behavioral Health Needs Through the CCBHC Model explores how CCBHCs can support housing stability through collaboration with national, state, and local partners.

Impact and Opportunities for CCBHCs in Rural Communities describes how CCBHCs are improving access and quality in rural areas and highlights opportunities to further strengthen the CCBHC model in rural communities.

Upcoming Deadlines and Dates Section on the CMHA CCBHC Webpage

To support coordination, planning, and timely participation in CCBHC-related activities across Michigan, a new “Upcoming Deadlines and Dates” section has been added to the CMHA CCBHC webpage. This section highlights important upcoming meetings, technical assistance opportunities, reporting deadlines, evaluation activities, and other key dates relevant to CCBHC implementation and operations.

Information will be updated regularly and is intended to serve as a centralized reference point for CCBHC leadership teams and designated staff. Please review this section routinely to stay informed about upcoming requirements, engagement opportunities, and time-sensitive activities involving MDHHS, CMHA, CHRT, and other CCBHC partners.

Weekly Update June 12, 2026

Association and Member Activities

CMHA partner, With One Voice, requests your participation in baseline suicide prevention survey

Promotional graphic for the Michigan Suicide Prevention Training Baseline Survey with a QR code and a deadline of June 19.CMHA and a number of its members have long been partners of With One Voice. With One Voice aims to establish a statewide suicide prevention network. Our strategic plan focuses on supporting suicide-affected groups, assisting those impacted by suicide, and advocating for change at state and national levels.

With One Voice has recently launched a Michigan Suicide Prevention Training Baseline Survey to better understand the reach of suicide prevention and related trainings across the state. The survey will also help inform the development of a statewide training directory and upcoming training calendar on our website.

A few quick notes:

This is not an evaluation or audit.
Estimates are welcome and expected.
The survey takes approximately 5–7 minutes.
Requested by Friday, June 19.

Take the Michigan Suicide Prevention Training Baseline Survey here.

Please feel free to share the survey widely with organizations providing suicide prevention, mental health, crisis response, awareness, stigma reduction, postvention, or community education trainings. Those who complete the survey will also have the option to receive a With One Voice lapel pin and sticker!

Staying Connected with With One Voice: With One Voice (WOV) is also looking forward to creating more opportunities to connect in the months ahead. Additional quarterly webinar dates and monthly coalition connection opportunities will be shared soon, and we hope you will continue to stay engaged as this statewide network continues to grow!

wovmichigan.org     withonevoice@gryphon.org   |   Facebook       LinkedIn

Unified Partnership regarding BCBSM policy changes

The National Association of Social Workers–Michigan (NASW‑MI) and the Michigan Mental Health Counselors Association (MMHCA) have formed a unified partnership to advocate against recent Blue Cross Blue Shield of Michigan (BCBSM) policy changes, working jointly with lobbyists and stakeholders to protect both providers and clients.

This collaboration is significant because it brings together two major professional organizations to challenge policies that could restrict billing practices, disrupt supervision models, and ultimately reduce access to mental health care across the state. By aligning their efforts, NASW‑MI and MMHCA strengthen their collective voice, increasing the likelihood of influencing policy decisions and safeguarding the stability of Michigan’s mental health workforce.

CCBHC-T TA Informational Webinar Introducing Finance, Access, and Workforce Modules Scheduled for June 29

The CCBHC-Transformation (CCBHC-T) program is excited to launch the first three TA modules focused on Finance, Access, and Workforce for CCBHCs. Join us for an introductory webinar on June 29 at 1:00pm to hear directly from the Subject Matter Experts (SMEs) contracted to deliver the TA content. During this webinar you will hear about the content, structure, and available TA supports for each module, and learn the process to sign up for individualized 1:1 TA tailored to clinic needs. Register here to join! 

Listen to latest ‘Connections’ Podcasts 

Real voices. Real journeys. Discover the stories that connect us. Hear powerful conversations that bring our community together and inspire better lives for all.

In this powerful conversation, Chuck Edwards shares his journey from a successful career in the mortgage industry to helping individuals and families navigate mental health, behavioral challenges, and addiction recovery. Drawing from his own experiences of childhood struggles, family wounds, and personal healing, Chuck now leads Solutions to Live By (ATLB), where he passionately helps clients uncover the root causes of their challenges and find hope, healing, and lasting transformation. Listen Here.

Protect MI Care Recommendations

The Protect MI Care coalition provides recommendations to Michigan health officials on how to implement new federal Medicaid requirements in a way that minimizes coverage loss and administrative burden.

The Launch of CMHA Magazine: A New Voice for Michigan’s Behavioral Health Community

The Community Mental Health Association of Michigan is proud to launch the inaugural issue of CMHA Magazine — a new digital publication dedicated to elevating the voices, stories, and advocacy efforts shaping Michigan’s public behavioral health system. In addition to the digital publication, printed copies of each issue will be included in conference packets at CMHA’s three statewide conferences each year, helping expand the magazine’s reach to behavioral health leaders, providers, and policymakers across Michigan.

More than just a magazine, this publication is designed to serve as a platform for highlighting the incredible work of CMHA members across the state, sharing innovative programs, and keeping providers, policymakers, and stakeholders informed on the most pressing issues facing behavioral health care today.

The inaugural issue features powerful member stories, including LifeWays Community Mental Health’s partnership with the Jackson Police Department, where embedded clinicians are helping transform crisis response and reduce repeat emergency calls. It also spotlights Genesee Health System’s 24/7 Behavioral Health Urgent Care expansion, which is helping fill critical gaps in crisis stabilization and access to care in Flint and surrounding communities.

In addition to member highlights, CMHA Magazine provides timely state and federal legislative updates impacting behavioral health providers and the individuals they serve. Articles in the inaugural edition examine Michigan’s psychiatric bed shortage and policy recommendations emerging from the House Oversight Subcommittee on Public Health and Food Security. The publication also explores upcoming federal Medicaid work requirements and the potential impact these changes could have on access to behavioral health services nationwide.

The magazine will also tackle important issues of the day — from workforce shortages and crisis response innovation to system reform proposals and advocacy efforts that affect Michigan’s public mental health system. Through thoughtful commentary, member engagement, and community storytelling, the publication aims to strengthen collaboration and ensure behavioral health remains a priority in Lansing and Washington.

Published three times each year, CMHA Magazine will reach more than 1,500 behavioral health professionals, clinicians, board members, policymakers, and provider organizations across Michigan through its digital distribution and conference circulation. The launch marks an exciting step forward in connecting Michigan’s behavioral health community and sharing the stories that make this work so important every day.

Call to Action! Protect Michigan’s Direct Care Workforce

This call-to-action advocates protecting and strengthening Michigan’s direct care workforce by ensuring stable funding and resources for workers who provide essential care to vulnerable residents.

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

Michigan overdose death rate declines by 47 percent since 2021 

Below are excerpts from a recent MDHHS press release regarding the continued decline in opioid overdose deaths in Michigan.

Preliminary 2025 data projects decrease in overdose deaths for fourth year in a row  

The Michigan Department of Health and Human Services (MDHHS) announces that Michigan’s overdose death rate has declined by 47% since 2021.  

Preliminary data for 2025 is projecting a lower rate of 16.4 deaths per 100,000 residents compared to a rate of 30.8 in 2021. This suggests overdose deaths have continued to decline for the fourth year in a row. In 2021, there were 3,096 overdose deaths compared to fewer than 1,800 deaths projected for 2025. 

“MDHHS remains committed to continuing programs and partnerships that help reduce overdose deaths, expand treatment options and support long-term recovery,” said Elizabeth Hertel, MDHHS director. “This decrease represents real progress and reflects the impact of sustained, data-driven investments of opioid settlement dollars across Michigan.” 

This progress reflects Michigan’s continued statewide strategy and efforts to address substance use disorder through the pillars of prevention, harm reduction, treatment and recovery services. 

In 2019, Gov. Gretchen Whitmer established the Michigan Opioids Task Force to create a coordinated approach to reduce overdose deaths. The state’s response focuses on those four main pillars ensuring programs are aligned toward one goal – saving lives.  

While the overall overdose death rate has declined significantly, MDHHS continues to focus on addressing persistent racial and geographic disparities in both overdose deaths and access to care. Urban counties and regions continue to experience disproportionately higher overdose rates than the rest of the state – 24% higher than the total state rate in 2024 – and Black overdose death rates are more than twice that of all other residents. The Michigan Opioids Task Force will continue to use data, community partnerships and targeted investments to better understand where disparities remain and strengthen services in communities most affected. 

“While this decline is encouraging, our work is not done,” said Hertel. “Substance use disorder continues to affect families and communities across Michigan. MDHHS will work with providers, local partners, community organizations and people with lived experience to build on this progress and ensure residents can access the services and support they need.” 

Harm reduction expansion has been a key component of Michigan’s overdose response. Since 2019, Michigan has expanded from five agencies offering harm reduction services to 115 community-based sites. The Naloxone Direct Portal was also launched in 2020 to provide free naloxone for community distribution. Since then, more than 1.8 million naloxone kits have been distributed statewide, with nearly 34,000 reported uses to reverse overdoses and help save lives. 

An MDHHS modeling study released in 2025 found that harm reduction programs have saved lives, reduced hospitalizations and emergency department visits and prevented hepatitis C cases in Michigan. Investments in these programs have primarily been supported through opioid settlement dollars.  

Improvements have also been made in data collection and response. Today, the state can identify changes to overdoses due to the drug supply more quickly, alert communities and coordinate public health responses. 

MDHHS and the Michigan Opioids Task Force have worked to expand access to treatment and recovery services by: 

– Removing prior authorization barriers for medications used to treat opioid use disorder.
– Supporting telehealth options to improve access to care.
– Expanding the Substance Use Disorder Health Home model, a service and payment model through Medicaid for providing coordinated care for SUD-related services.
– Incentivizing more than 200 providers to expand access to substance use disorder care for more than 12,000 clients.
– Expanding access to medications to treat opioid use disorder in 25 county jails.
– Supporting service delivery expansion for 32 recovery community organizations.
– Adding more than 250 recovery housing beds in the last two years.  

Prevention efforts continue to be a core part of the state’s response. MDHHS has supported prevention and family preservation services for more than 400 families involved in the child welfare system, with at least 95% of families remaining together. The department has also launched public awareness campaigns using research and polling to tailor messaging and measure effectiveness. 

Funding for substance use disorder services in Michigan is coordinated through several sources, including Medicaid, federal grants and opioid settlement funding. The state is slated to receive more than $1.8 billion from national opioid settlements by 2040, with half distributed to the State of Michigan Opioid Healing and Recovery Fund and the other half distributed directly to county, city and township governments 

Continued investment remains critical as Michigan monitors an increasingly complex and changing drug supply, including contamination involving fentanyl, xylazine and medetomidine, as well as renewed concerns about carfentanil. MDHHS is also working to address emerging substances sold in convenience stores, smoke shops and online, including products containing 7-hydroxymitragynine, commonly known as 7-OH, and nitrous oxide. These evolving risks underscore the need to sustain prevention, harm reduction, treatment, recovery and surveillance efforts that can quickly respond to emerging threats and help protect residents.  

For more information about substance use disorder resources and the state’s opioid settlement investments, visit Michigan.gov/opioids.

Michigan Anti-Poverty Task Force releases report with policy recommendations 

Below are excerpts from a recent press release announcing the release of two documents containing concrete approaches to addressing poverty in Michigan.

To lift Michigan residents out of poverty, the state needs to improve pathways to quality employment, remove barriers to economic participation through public safety, provide better access to affordable housing and create an environment where kids can prosper, according to the 2026 Poverty Task Force Report.

The task force released its report Wednesday. It highlights the scope of poverty across the state and provides recommendations on policy to improve outcomes.

The report also put forward recommendations from the Anti-Poverty Strategies Report, which is based on a mixed-methods analysis of Temporary Assistance for Needy Families in Michigan conducted by University of Kansas’s Centr for Public Partnerships and Research.

Those recommendations included eliminating full-family sanctions and lifetime bans to create a stable safety net for children and reducing requirements that go beyond federal standards so that families have more time for compliance and can gain stability.

Other recommendations included more collaborations with local and statewide partners on housing, homelessness prevention and mental health services. Additionally, the state should consider a housing assistance supplemental grant on top of cash assistance. The report also recommended more on-the-job training to complete education and training goals that increase the likelihood of higher-paying jobs.

Michigan should also employ more Department of Health and Human Services staff to allow more time for processing cases, interviewing, trust building and assessing barriers, the anti-poverty strategies report said. Finally, families under the 200% poverty line should be prioritized for all TANF funded programs.

In 2024, a family of four in Michigan with two adults and two children in childcare needed $78,216 annually to cover basic expenses. According to United Way’s Asset-Limited, Income-Constrained, and Employed data, 40% of Michigan residents live at or below this threshold.

A press release sent out by the Department of Labor and Economic Opportunity highlighted statewide initiatives to combat poverty, including Rx Kids, which provides cash assistance to new and expectant mothers; expanded assistance for utility costs; and free breakfast and lunch for all public school students. The release also highlighted to work of the Center for Data and Analytics within the Department of Technology, Management and Budget to provide data across departments.

MDDC announces Peer Mentor 101 Training

The Michigan Developmental Disabilities Council is pleased to announce the upcoming Peer Mentor 101 Training for individuals with intellectual and developmental disabilities (I/DD) September 9-11, 2026. This training equips participants with the skills needed to support their peers, strengthen self‑advocacy, make informed choices, and increase independence.

Peer Mentoring is a Medicaid‑covered service that promotes self‑determination and empowers individuals receiving CMH services to direct their own lives.

Individuals interested in participating must be referred by their local CMHSP. The training will be held virtually.

To request an application packet or for additional information, please contact Tracy Vincent by phone at 517‑284‑7296 or email vincentt1@michigan.gov

MDRC announces: Disability Advocacy Training Series

Starting this week, Michigan Disability Rights Coalition is offering three virtual trainings to help disabled people, families, advocates, and community members build practical advocacy skills. Together, these sessions will explore how to identify issues, understand systems, share your story, connect with policymakers, and take action toward more inclusive communities.

You are welcome to attend one session or join MDRC for the full series.

Thursday, June 11
Cause Advocacy: Creating More Inclusive Communities, Part 1
What does it mean to advocate for a cause? This session will introduce the foundations of cause advocacy, why it matters, and how it can be used to move communities toward meaningful change.

Thursday, June 18
Cause Advocacy: Creating More Inclusive Communities, Part 2
Building on Part 1, this session will help participants explore how to identify issues, understand the systems connected to those issues, and begin planning effective action.

Thursday, June 25
Disability Advocacy Workshop: Preparing for Meetings with Legislators
Meeting with elected officials can feel intimidating, but preparation makes a difference. This workshop will offer practical tools for sharing your story, building relationships with policymakers, and preparing for productive advocacy conversations.

All sessions are virtual and take place from 12:00 to 1:30 p.m. ASL and CART captioning will be provided.

Whether you are just getting started or looking to strengthen your advocacy, these trainings are designed to help you turn your experiences and concerns into action.

Additional information and registration can be found here: Disability Advocacy Training Series | Eventbrite

HB 6022 Approves by the House Health Policy Committee

On Wednesday, the House Health Policy Committee, passed HB 6022 on a 10-0-7 vote. The bill received YES votes from Reps: VanderWall, Thompson, Meerman, Tisdel, Bierlein, DeBoer, Prestin, St. Germaine, Bohnak and Whitsett. The following Reps passed: Schmaltz, Frisbie, Witwer, Brenda Carter, Neeley, Hoskins and Foreman. There were no NO votes.  The bill addresses preadmission screening requirements under the Mental Health Code and is intended to advance certain components of the Mental Health Framework initiative.

The bill would make Medicaid health plans financially responsible for certain behavioral health services and allow those plans to conduct pre-admission screenings for the patients they cover. The legislation would also codify the three-hour deadline for completing screenings. If a community mental health agency or health plan does not respond within that timeframe, hospitals or contracted providers could conduct the screening instead.

CMHA remains opposed to the bill.  

1. HB 6022 advances a broader Mental Health Framework proposal that is opposed by numerous stakeholders, including the Michigan Sheriffs’ Association, Michigan Association of Counties, mental health advocacy organizations, providers, and thousands of consumers and families across Michigan.

2. The three-hour preadmission screening issue is separate from the Mental Health Framework and can be addressed through HB 5334. The provision appears to have been added to HB 6022 to build support for a much broader policy proposal that otherwise lacks stakeholder consensus.

3. The Mental Health Framework would create new paperwork, reporting, regulatory, and administrative burdens for patients, providers, and CMH organizations, potentially delaying services and treatment, without increasing system capacity or producing better outcomes for individuals seeking care.

4. CMHA and its members were not included in the development of HB 6022 and had no opportunity to review or provide input before the bill was introduced. Meaningful reform should be developed collaboratively with all affected stakeholders.

HB 6022 now goes to the House Rules Committee for consideration, if approved there it then goes to the House Floor. Again, we believe Rep. VanderWall is trying to push this bill through the House as fast as possible, before the Legislature adjourns for the summer recess.

Audit Finds DHHS Oversight of Michigan 211 Hotline Insufficient

A new state audit has found that the Michigan Department of Health and Human Services (DHHS) is not adequately monitoring the state’s 211 hotline system or sufficiently overseeing the contractors responsible for operating it.

The audit, released this week by the Office of the Auditor General, identified one material condition and one reportable condition related to DHHS’s administration of the service. Auditors concluded that “significant improvement” is needed in the department’s oversight of hotline operations and in its monitoring of employees responsible for overseeing hotline contractors and grantees.

Michigan’s 211 hotline provides residents with information and referrals for services such as food assistance, housing support and health care resources. Because the service is operated by third-party organizations, DHHS is required to maintain internal controls and conduct regular contract monitoring.

While auditors acknowledged that DHHS has implemented some oversight practices, they found the department does not consistently monitor the maintenance of the hotline’s resource database to ensure information is accurate and complete.

Under contract requirements, operators must regularly update and verify database content, confirming that at least 90% of records are accurate every 12 months and making more frequent updates when necessary. However, auditors found the contractor met the 90% accuracy standard in only one of the seven quarters reviewed. The audit also identified inaccuracies on DHHS webpages that originated from information pulled from the 211 database.

Auditors further reported that DHHS could not provide documentation showing it had reviewed a required gap analysis designed to identify unmet service needs and resource shortages. In addition, the department acknowledged it had not enforced contract penalties when warranted and had not verified certain information included in reports submitted to the Legislature.

In its response, DHHS agreed that oversight of Michigan 211 needs improvement. Department officials said they will work with contractors to strengthen monitoring practices and ensure compliance with existing contractual requirements.

DHHS also noted that although the hotline operator did not consistently meet performance standards during the audit period, performance improved during fiscal year 2025. The department said staff continue to closely monitor operations and, if penalties are warranted, will coordinate with the Department of Technology, Management and Budget to determine appropriate action.

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Save the Date 33rd Recipient Rights Conference!

Mark your calendars for the 33rd Annual Recipient Rights Conference, September 16-18, 2026, at Crystal Mountain Resort. This gathering brings together recipient rights experts, CMH administrative and clinical staff, and mental health professionals for professional development and networking. NOTE: New agenda this year. The conference will be held Sept. 16-18, 2026, with no pre-conference. More details are coming soon!

Sept. 16-18, 2026  |  Crystal Mountain Resort   |  For more information and details on how to reserve your room click here

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Implementation Learning Collaborative

Are you a manager, leader, or supervisor of a mental health system, organization, or program? Are you interested in learning how to implement or sustain Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?

The TF-CBT Implementation Learning Collaborative is a free, application-based program designed to equip mental health leaders and supervisors with the tools needed to drive meaningful, sustainable practice change. It is designed for SAMHSA grantees and behavioral health organizations in WI, MI, MN, OH, IN, IL, KS, NE, IA, and MO that currently provide TF-CBT and are seeking structured support to strengthen implementation, fidelity, and sustainability.

Why is this important? Implementation science demonstrates that successful adoption and sustainability of evidence-based practices require more than initial training — they depend on structured, ongoing support. This collaborative leverages proven implementation strategies — including coaching, data-driven feedback, and responsive adaptation — to ensure that TF-CBT is not only learned but consistently applied and sustained over time.

August 5, 2026 – September 17, 2026   |  Applications Due June 30, 2026   |   For more information and to apply click here

Program Highlights:

3 didactic sessions + 2 applied consultation sessions
Total commitment: 6.5 hours
Small cohort of up to 12 participants
6.5 CE credits available

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

SAMHSA CCBHC Resources: Housing Stability and Rural Communities

SAMHSA has released two new publications highlighting opportunities for CCBHCs to strengthen care and partnerships in key areas.

Improving Housing Stability for People with Behavioral Health Needs Through the CCBHC Model explores how CCBHCs can support housing stability through collaboration with national, state, and local partners.

Impact and Opportunities for CCBHCs in Rural Communities describes how CCBHCs are improving access and quality in rural areas and highlights opportunities to further strengthen the CCBHC model in rural communities.

CCBHC June Newsletter

The June CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

Upcoming Deadlines and Dates Section on the CMHA CCBHC Webpage

To support coordination, planning, and timely participation in CCBHC-related activities across Michigan, a new “Upcoming Deadlines and Dates” section has been added to the CMHA CCBHC webpage. This section highlights important upcoming meetings, technical assistance opportunities, reporting deadlines, evaluation activities, and other key dates relevant to CCBHC implementation and operations.

Information will be updated regularly and is intended to serve as a centralized reference point for CCBHC leadership teams and designated staff. Please review this section routinely to stay informed about upcoming requirements, engagement opportunities, and time-sensitive activities involving MDHHS, CMHA, CHRT, and other CCBHC partners.

Update: CCBHC-IA Grant Opportunity Timeline

An updated forecast has been released on Grants.gov for the upcoming CCBHC Improvement and Advancement (CCBHC-IA) grant opportunity. Based on the latest update, the estimated posting date for the Notice of Funding Opportunity (NOFO) is May 29, 2026.

This opportunity may provide additional resources to support CCBHC implementation and sustainability efforts across Michigan. CCBHCs interested in applying should begin early planning in anticipation of the updated timeline.  Technical Assistance will be available through the National Council for Mental Wellbeing and the CCBHC-T program to support SAMHSA CCBHC IA Grant Submissions.

Weekly Update June 5, 2026

Association and Member Activities

AI Algorithms Used in Coverage Determinations

Health insurers are increasingly using AI-driven “coverage algorithms” to decide whether care is medically necessary, how long treatment should last, and whether services will be approved. Unlike clinical tools used by providers, these algorithms often lack regulatory oversight, transparency, and external validation, as companies treat them as proprietary. Those in opposition of such usages argue that this creates risks for patients because the systems may be designed to reduce costs, leading to denied or delayed care and worse health outcomes.

CCBHC June Newsletter

The June CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

Protect MI Care Recommendations

The Protect MI Care coalition provides recommendations to Michigan health officials on how to implement new federal Medicaid requirements in a way that minimizes coverage loss and administrative burden.

The Launch of CMHA Magazine: A New Voice for Michigan’s Behavioral Health Community

The Community Mental Health Association of Michigan is proud to launch the inaugural issue of CMHA Magazine — a new digital publication dedicated to elevating the voices, stories, and advocacy efforts shaping Michigan’s public behavioral health system. In addition to the digital publication, printed copies of each issue will be included in conference packets at CMHA’s three statewide conferences each year, helping expand the magazine’s reach to behavioral health leaders, providers, and policymakers across Michigan.

More than just a magazine, this publication is designed to serve as a platform for highlighting the incredible work of CMHA members across the state, sharing innovative programs, and keeping providers, policymakers, and stakeholders informed on the most pressing issues facing behavioral health care today.

The inaugural issue features powerful member stories, including LifeWays Community Mental Health’s partnership with the Jackson Police Department, where embedded clinicians are helping transform crisis response and reduce repeat emergency calls. It also spotlights Genesee Health System’s 24/7 Behavioral Health Urgent Care expansion, which is helping fill critical gaps in crisis stabilization and access to care in Flint and surrounding communities.

In addition to member highlights, CMHA Magazine provides timely state and federal legislative updates impacting behavioral health providers and the individuals they serve. Articles in the inaugural edition examine Michigan’s psychiatric bed shortage and policy recommendations emerging from the House Oversight Subcommittee on Public Health and Food Security. The publication also explores upcoming federal Medicaid work requirements and the potential impact these changes could have on access to behavioral health services nationwide.

The magazine will also tackle important issues of the day — from workforce shortages and crisis response innovation to system reform proposals and advocacy efforts that affect Michigan’s public mental health system. Through thoughtful commentary, member engagement, and community storytelling, the publication aims to strengthen collaboration and ensure behavioral health remains a priority in Lansing and Washington.

Published three times each year, CMHA Magazine will reach more than 1,500 behavioral health professionals, clinicians, board members, policymakers, and provider organizations across Michigan through its digital distribution and conference circulation. The launch marks an exciting step forward in connecting Michigan’s behavioral health community and sharing the stories that make this work so important every day.

Call to Action! Protect Michigan’s Direct Care Workforce

This call-to-action advocates protecting and strengthening Michigan’s direct care workforce by ensuring stable funding and resources for workers who provide essential care to vulnerable residents.

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

MDHHS announces delay in implementation of Mental Health Framework

MDHHS recently issued an announcement delaying portions of the Mental Health Framework. The key excerpts of that announcement are provided below.

This communication is to notify providers of important updates regarding the implementation of the Mental Health Framework Initiative.

As a reminder, the Mental Health Framework Initiative included multiple different elements, level of need of the enrollee, not just the place or type of service. One element of the Mental Health Framework Initiative included shifting coverage responsibility between Medicaid Health Plans (MHP) and Prepaid Inpatient Health Plans (PIHP) for specific mental health care services. Under these changes, MHPs would cover 3 new services (crisis residential, inpatient psychiatric, and outpatient partial hospitalization) for certain enrollees, while PIHPs covered all mental health care needs for other enrollees, determined by level of need.

These coverage responsibility changes were previously scheduled to go into effect October 1, 2026. MDHHS is temporarily delaying this specific element of the Mental Health Framework Initiative to allow more time for system-wide preparation. Under the original changes, the coverage responsibility would be driven by a benefit plan in CHAMPS (Community Health Automated Medicaid Processing System) called “BH-COVER”. Providers will still see this new benefit plan assigned to certain MHP enrollees effective October 1, 2026, but will not need to change processes based on its assignment. Other Mental Health Framework changes—including the expansion of standardized assessments for Medicaid beneficiaries seeking mental health care (see Medicaid Policy Bulletin MMP 26-01 for the State’s standardized assessment policy) and efforts to improve care coordination across systems—are continuing.

We look forward to continued collaboration as we work together to improve service delivery and support the needs of Medicaid beneficiaries across the State. Please see MHF website for further updates and details and email MDHHS-MentalHlthFramework@michigan.gov with any questions.

Michigan’s RHTP initiative announces focus on fully rural counties

The Rural Health Transformation Program (RHTP) team at MDHHS recently indicated their aim of focusing RHTP dollars on “fully rural counties”. That message was contained in discussions with CMHA and in the most recent RHTP Newsletter. The relevant excerpts are below.

For determining rural and non‑rural counties, MDHHS uses the Federal Office of Rural Health Policy (FORHP) county and census tract classifications. This includes all counties identified by FORHP as fully rural, as well as those designated as partially rural, regardless of the number of rural census tracts, which are county subdivisions outside densely populated urban areas. Consistent with the RHTP description outlined in the project narrative, funding decisions will follow a needs‑based prioritization framework that focuses on counties experiencing high rates of chronic disease, limited access to hospitals and primary care, including OB/GYN and behavioral health, high Medicaid dependence, socioeconomic vulnerability and elevated levels of child poverty or aging populations.

MDHHS will further prioritize funding based on the percentage of the population living in U.S. Census‑defined rural areas. This approach recognizes that rural residents in more populous counties may face additional access challenges due to geographic dispersion and service capacity limitations, which refer to the maximum threshold an operation can handle without compromising quality. Using this method, funding will be directed first to high‑need rural areas with larger rural populations. Partially rural counties will be prioritized according to the share of residents living in rural census tracts, ensuring resources are allocated where they can have the greatest impact.

MDHHS seeks applicants for Michigan Opioid Treatment Access Internship Stipend Program  

Below are excerpts from a recent press release from MDHHS regarding the opening of the application period for the for Michigan Opioid Treatment Access Internship Stipend Program.

As part of its continuing efforts to support the expansion of access to opioid treatment and recovery, the Michigan Department of Health and Human Services is offering the Michigan Opioid Treatment Access Internship Stipend Program to Michigan students who are completing unpaid internships.   

The Michigan Opioid Treatment Access Internship Stipend Program aims to increase the number of qualified substance use disorder (SUD) professionals by providing stipends to eligible students who are participating in a degree program that will lead to a career in providing opioid treatment services.  

Students pursuing degrees for any of the following health professions are eligible: bachelor’s or master’s social worker, professional counselor, marriage and family therapist, nurse practitioner and physician assistant. Internships must be unpaid. Students can receive a stipend of up to $20,000 depending on the number of hours required by the internship. Stipend recipients must be committed to providing SUD services to Michigan residents after graduating.   

MDHHS has allocated $3.5 million for the program, which could benefit up to 350 students. The stipend is funded through the Michigan Opioid Healing and Recovery Fund. Michigan is slated to receive more than $1.8 billion from national opioid settlements by 2040, with half being distributed to the State of Michigan and the other half being distributed directly to county, city and township governments across the state.    

Applicants must be enrolled in an accredited program and sign a letter of intent to provide SUD services to Michigan residents after graduation. Participants must also take part in program surveys and engage in program evaluation activities.  

Applicants must complete an online application form by Monday, June 15, and submit the necessary supporting documentation. Applicants will receive an email notification of their acceptance status within seven weeks of the application deadline.  

For more information and to apply, visit the Michigan Opioid Treatment Access Internship Stipend Program website or email MIOTA-ISP@mphi.org.  

CMS Releases Medicaid Work Requirement Interim Final Rule

On June 1, the Centers for Medicare and Medicaid Services (CMS) released its interim final rule on implementing community engagement requirements (commonly referred to as “work requirements”) as provided under H.R.1. You can find the rule here, along with CMS’s press release and fact sheet.

Because CMS released an interim final rule, the rule will be effective July 31, 2026, with an opportunity for public comment, due July 31, 2026.

Background: H.R.1 requires expansion enrollees, non-pregnant adult Medicaid beneficiaries aged 19-64 who typically meet a higher income threshold than in traditional Medicaid and receive coverage in their state as a result of Medicaid expansion or waiver, complete at least 80 hours of work or qualifying activities per month. Other qualifying activities can include community service, work programs, educational programs, or a combination of these activities.

The law provides exemptions to meeting these requirements for those who are “medically frail,” which includes individuals with a substance use disorder, disabling mental disorder, or those participating in a Drug Addiction or Alcoholic Treatment or Rehabilitation Program. The Interim Final Rule seeks to provide further implementation guidance on these exemptions.

While people are still digesting the 400-page, two top lines have emerged:  

Restrictive Medical-frailty Definition:  Shifts from a one-step to a two-step standard where a person must have a serious medical condition, and show the condition impairs their ability to work. The new standard creates more work for Medicaid beneficiaries, clinicians, and states.  

Self-attestation for 2027: The rule temporarily allows for an individual to self-declare in limited circumstances to verify work or exemption status, including for medical frailty through 2027.   

This is an acknowledgment that states will need time to establish systems upgrades to access new data sources and particularly to implement the medical frailty exemption. 

While the rule is set to take effect on July 31, 2026, CMS is accepting comments through that date. You can submit them here.

Unless the Secretary grants an extension, states are required to implement work requirements by Jan. 1, 2027, with some states choosing to implement these requirements sooner (so far this includes Nebraska, Montana, Arkansas, and Iowa).

Michigan Medicaid rolls drop 5%, prompting fears of surge in uninsured

Below are excerpts from a recent Bridget magazine article underscoring what CMHA member organizations have seen over the past year – dropping Medicaid enrollment.

As states prepare to tighten access around Medicaid benefits, Michigan is facing the possibility of a big rise in people without health insurance. 

That includes more than 149,000 people who have already vanished from its Medicaid program in the last 16 months for reasons that elude many experts.

They do not appear to have gained coverage through employers — at least not all of them, according to the Michigan Association of Health Plans, which tracks insurance enrollment data.

Nor do those 149,000 — representing a drop of more than 5% in total enrollment — appear to have migrated en masse to the federal marketplace where consumers buy insurance directly.

It’s a particular concern now for advocates for Michigan’s low-income and disabled residents, who worry that many of those 149,000 residents are now uninsured.

There are several theories for the decline — from confusion about ever-changing policies to the immigration crackdown to cuts in critical staff. Some even cite a better economy. 

But it comes as even more Michiganders are likely to lose coverage through Medicaid starting next year.

Michigan and other states are gearing up for new federal requirements that will force beneficiaries next year to prove they are working, looking for work, engaged in the community, going to school or in a training program.

The Trump administration is still releasing guidance on those requirements — the latest arrived this week. In Michigan, the Whitmer administration has estimated that up to 200,000 residents will lose coverage under the new requirements, including some who are eligible, but fail to submit all their necessary documentation.

“We’re looking down the end of the barrel here,” said Jeremy Lapedis, executive director of the Washtenaw Health Project, an Ann Arbor-based nonprofit that works with the Washtenaw County health department to help residents find affordable coverage.

Left without coverage, those Michiganders will seek treatment only when it’s most serious and most expensive, Lapedis said.

It’s a problem that leads to medical debt for the individual and drives up health care costs for everyone.

“Those costs (for uninsured people) have to shift somewhere — whether it’s on the hospitals or places like ours,” said Jessica Kowalski, deputy director of clinical operations at the ACCESS Community Health and Research Center, a Dearborn-based community service organization that provides medical care.

The drop in Medicaid enrollment over the past year or so — even before new federal requirements, “may be a precursor to what we’re going to see in the future, which is just a huge stress to the entire health care system,” said Jeremy Lapedis, executive director of the Washtenaw Health Project, an Ann Arbor-based nonprofit that works with the Washtenaw County health department to help residents find affordable coverage.

In fact, the numbers of Michiganders covered by Medicaid significantly dropped the latter half of last year — more so than the US in general, according to KFF, a San Francisco-based nonprofit focused on health research.

At ACCESS, staff see the change firsthand, said Kowalski.

“People are coming in and we check their insurance,” Kowalski said, “and we tell them, ‘Your insurance is inactive.’ They’re shocked. They’re like, ‘What do you mean?’”

State officials appear baffled at the loss, too.

The Michigan Department of Health and Human Services is “monitoring this trend closely,” department spokesperson Laina Stebbins said in an email to Bridge. “Identifying and understanding the factors driving this decline is an important area of focus for the department,” she wrote.

There’s an argument that Michigan’s Medicaid program — one that cost $25 billion in 2024, according to the most recent numbers — is simply being made more efficient and slicing out what critics, including President Trump, say is waste and abuse.

Whatever the cause for the declining enrollment, it means less taxpayer money being spent on Medicaid in the short-term.

Cost savings weren’t immediately available on Wednesday but likely tally tens of millions of dollars a year.

By one 2022 estimate, an additional 775,000 people getting Michigan Medicaid during the pandemic cost Michigan taxpayers $50 million a month.

“It’s always easy to take the negative side of this, but I think the good part is that we’ve been able to graduate some people off Medicaid,” state Rep. Curt VanderWall, R-Ludington, said. “They’ve actually found full-time employment … and (become) independent.”

State Rep. Phil Green, R-Watertown Township, agreed. He’s vice chair on the House Appropriations Subcommittee on Medicaid and Behavioral Health.

There’s a “plethora of reasons” — good and bad — behind the disenrollments, he said.

“I think without doing … exit interviews, we’re just sort of surmising,” the reasons behind the enrollment drop, he said. 

And long term, the shrinking enrollment is less stark: Enrollment last month remained slightly above enrollment just prior to the pandemic: There were about 46,000 more people in Medicaid in April then in March 2020, the month Michigan confirmed its first COVID case.

Certainly, monthly enrollment in Medicaid fluctuates. It exploded, in fact, during COVID.

As the pandemic gripped the US in 2020, Michigan and other states suspended annual eligibility reviews that caused a “churn” of people in and out of Medicaid each month. 

With few exceptions, federal law prevented anyone from being disenrolled from Medicaid during the pandemic. The goal was to help people remain insured during the global health scare and economic upheaval.

By June 2023, that meant that nearly 3.3 million Michiganders — nearly 1 in 3 — was covered either by traditional Medicaid, which generally covers the lowest-income or disabled residents, and Healthy Michigan, which covers those whose family income is up to 138% of the federal poverty level and are relatively healthy.

In June that year, annual reviews restarted under the direction of the Biden administration. The year-long process, known as “unwinding,” whittled Michigan’s Medicaid back to fewer than 2.7 million by the end of 2024, according to state data.

That’s when experts expected enrollment to stabilize.

But since then, enrollment has continued to tumble — to just over 2.5 million by the end of April 2026, according to state data.

“You would have expected (the decline) to level off at some point,” said Lapedis at the Washtenaw Health Project. “It hasn’t, and we don’t know why.”

Moreover, more than 175,000 Medicaid beneficiaries are now enrolled in Plan First, a Medicaid plan launched in 2023 that provides narrow coverage limited to sexual health only.

While Plan First beneficiaries would have no coverage at all otherwise, their numbers further inflates the total size of Michigan’s Medicaid enrollees, said Pallone at the insurance industry group.

Advocates have offered several theories for the drop in Medicaid enrollment. Among them: anxiety.

The debate last year and ultimate passage of the “Big, Beautiful Bill,” made it clear that big cuts and stricter rules in Medicaid are ahead. 

Confused, some Michiganders “might just not be re-enrolling or applying to begin with,” said Amber Bellazaire, a senior policy analyst for the Michigan League for Public Policy, a Lansing-based nonprofit organization that advocates for low-income Michiganders.

Additionally, a high-profile, nationwide crackdown on immigration likely forced down enrollment, too, said Jennifer Tolbert, deputy director of the Program on Medicaid and the Uninsured at KFF, a nonprofit health policy research, polling, and news organization. 

Undocumented immigrants do not have access to full Medicaid benefits in Michigan; however, they may get emergency care, according to state eligibility criteria.

Another theory: Michigan is aging faster than other states. About 380 Michiganders each day turn 65, the age at which they age into Medicare.

Finally, the Trump administration last year slashed nearly all funding for navigators, the on-the-ground staff that help Americans sort through options and enroll in coverage, said Kowalski at ACCESS.

Risk assessment tool at MDHHS state psychiatric hospitals continues to reduce incidents and injuries

Below are excerpts from a recent press release from MDHHS on the impact of its risk assessment tool used in Michigan’s state psychiatric hospitals.

An innovative daily risk assessment and care planning process implemented at Michigan’s four state psychiatric hospitals has cut the number of patient injuries by more than half and continues to improve care and reduce incidents of aggression and injuries to both patients and staff. 

The Michigan Department of Health and Human Services (MDHHS) implemented the Dynamic Appraisal of Situational Aggression (DASA) in March 2024. Since then, there has been a 58% reduction in patient injuries and a 28% decrease in serious patient-related staff injuries. The state psychiatric hospitals were the first in the state to implement DASA. 

DASA is a daily risk assessment rating system used to evaluate the likelihood of aggression in behavioral health inpatients within the next 24 hours. Staff completing the DASA consider whether seven different kinds of behaviors are present that determine a rating of low, moderate or high risk of aggression.  

Based on their DASA score, the Aggression Prevention Protocol is used to develop individualized intervention strategies that are implemented to prevent aggressive behavior before it begins. Strategies can include reassurance and distraction techniques, one-to-one nursing, medication or setting limits and establishing boundaries of acceptable behavior, as well as increased observation.  

DASA and the Aggression Prevention Protocol was developed by the Centre for Forensic Behavioural Science at the Swinburne University of Technology in Melbourne, Australia. MDHHS’ state psychiatric hospitals are the first psychiatric facilities in Michigan to implement the survey and protocol. State psychiatric hospitals in Virginia are using the tool as well as The Johns Hopkins Hospital in Baltimore and UCLA Medical Center, which implemented it in its emergency department.  

MDHHS operates four inpatient psychiatric hospitals serving about 600 patients, Caro Psychiatric Hospital, Kalamazoo Psychiatric Hospital (KPH), Walter Reuther Psychiatric Hospital and the Center for Forensic Psychiatry (CFP). DASA was implemented at KPH in March 2024, Caro and Walter Reuther for adult patients in July 2024 and CFP and Walter Reuther for youth patients in September and August 2025, respectively. 

HHS announces 10 new states in CCBHC Medicaid demonstration

The U.S. Department of Health and Human Services (HHS), through Centers for Medicare and Medicaid Services (CMS) and in partnership with the Substance Abuse for Mental Health Services Administration (SAMHSA), has announced 10 new states selected for the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Program: Alaska, Colorado, Hawaii, Louisiana, Maryland, Mississippi, Montana, North Dakota, Washington, and West Virginia. This expansion reflects continued momentum behind the CCBHC model, which provides sustainable Medicaid funding to expand access to comprehensive mental health and substance use disorder services nationwide.

By enabling participating states to implement a prospective payment system, the demonstration helps ensure providers can deliver coordinated, whole-person care while strengthening behavioral health systems and supporting long-term financing beyond time-limited grants.

House Health Policy Committee Holds Hearing on Mental Health Framework Bill

This week, the House Health Policy Committee, chaired by Representative VanderWall, held a hearing on HB 6022. The bill addresses preadmission screening requirements under the Mental Health Code and is intended to advance certain components of the Mental Health Framework initiative.

Representative VanderWall opened the hearing by testifying in support of the bill, alongside Dominick Pallone from the Michigan Association of Health Plans. Throughout their testimony, both Representative VanderWall and Mr. Pallone repeatedly emphasized that HB 6022 is directly connected to the Mental Health Framework and is necessary to operationalize portions of that proposal.

VanderWall said the bill is intended to align state law with a proposed Department of Health and Human Services (DHHS) mental health framework that would make Medicaid health plans financially responsible for certain behavioral health services. Under the legislation, those health plans would also be authorized to conduct pre-admission screenings for patients whose care they are paying for.

The bill would codify a three-hour response standard for screenings and allow hospitals or contracted entities to conduct the screening if a CMH agency or health plan fails to respond within that timeframe. VanderWall said some patients currently remain in emergency rooms for extended periods while waiting for screenings, tying up hospital staff and law enforcement officers assigned to monitor patients in crisis.

Speaking in support of the bill, Dominick PALLONE, executive director of the Michigan Association of Health Plans, said the legislation would create accountability by giving the same entity both financial responsibility and operational authority over pre-admission screenings. He argued that under the current system, patients can get caught between physical and behavioral health systems while providers determine who is responsible for authorizing treatment.

Pallone said the legislation would allow Medicaid health plans to contract with multiple providers to conduct screenings and avoid situations in which plans are dependent on a single CMH agency to perform the service. He also argued that health plans face contractual penalties and potential loss of state contracts if they fail to meet performance standards.

The Hospital Association also supported language in the bill that it has long sought, which would allow any qualified professional to conduct a preadmission screening if the CMH is not present within the required three-hour contractual timeframe.

CMHA testified in opposition to the bill.  In our view, this proposal does not improve care for the people we serve. Instead, it adds more regulation, more administrative barriers, and additional steps for individuals trying to access the system and for providers trying to deliver services. HB 6022 would fragment those responsibilities by assigning different entities to that role depending on a person’s level of care. This change would almost certainly result in more paperwork, more patient handoffs, more delays in service, and more systems involved in managing funding, rather than directing more resources toward care.

The committee appeared particularly focused on the three-hour assessment requirement, with several members suggesting that delays in completing assessments are a primary reason individuals remain in hospital emergency departments for extended periods. Dave and I repeatedly emphasized that this is not the root cause of the problem. Individuals are not waiting in emergency departments because assessments have not been completed; they are waiting because there are no available psychiatric beds or appropriate treatment placements.

CMHA and its members were not included in the development of HB 6022. We were not consulted during the drafting process, did not have an opportunity to provide input, and did not see the bill language until it was formally introduced. Given the significant operational and policy changes proposed, we believe it is critical that all stakeholders—including CMHs, providers, hospitals, health plans, and consumers—be brought together to identify meaningful improvements to the system and develop solutions collaboratively.

This legislation appears to be moving forward on an accelerated timeline despite the lack of stakeholder engagement and consensus. We expressed concern that advancing a bill of this magnitude without the input of those responsible for implementing and operating the public mental health system increases the risk of unintended consequences and misses an important opportunity to develop more effective reforms. We also noted that MDHHS recently announced it is delaying implementation of the Mental Health Framework, and the House-passed budget includes language prohibiting the department from expending funds to implement the framework. If the framework is being delayed, paused, or restricted through the budget process, it raises a fundamental question: why is legislation intended to operationalize that framework being advanced so quickly at this time?

At this point, the next steps for HB 6022 remain unclear. However, it appears likely that Representative VanderWall will seek a committee vote on the bill as early as next week. Based on the pace of activity surrounding the legislation, my assessment is that he is attempting to move the bill quickly through the legislative process and position it for consideration by the full House before the Legislature adjourns for the summer recess.

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Save the Date 33rd Recipient Rights Conference!

Mark your calendars for the 33rd Annual Recipient Rights Conference, September 16-18, 2026, at Crystal Mountain Resort. This gathering brings together recipient rights experts, CMH administrative and clinical staff, and mental health professionals for professional development and networking. NOTE: New agenda this year. The conference will be held Sept. 16-18, 2026, with no pre-conference. More details are coming soon!

Sept. 16-18, 2026  |  Crystal Mountain Resort   |  For more information and details on how to reserve your room click here

On-site Registration Available! CMHA 2026 Annual Summer Conference

This conference attracts 500 attendees; bringing together board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors from Michigan CMHSPs and Provider Agencies. We also have strong attendance from others within the public mental health and substance use disorder systems.

June 8-10, 2026   |   Grand Traverse Resort, Traverse City   |   For more information click here (online registration closed)

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Implementation Learning Collaborative

Are you a manager, leader, or supervisor of a mental health system, organization, or program? Are you interested in learning how to implement or sustain Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?

The TF-CBT Implementation Learning Collaborative is a free, application-based program designed to equip mental health leaders and supervisors with the tools needed to drive meaningful, sustainable practice change. It is designed for SAMHSA grantees and behavioral health organizations in WI, MI, MN, OH, IN, IL, KS, NE, IA, and MO that currently provide TF-CBT and are seeking structured support to strengthen implementation, fidelity, and sustainability.

Why is this important? Implementation science demonstrates that successful adoption and sustainability of evidence-based practices require more than initial training — they depend on structured, ongoing support. This collaborative leverages proven implementation strategies — including coaching, data-driven feedback, and responsive adaptation — to ensure that TF-CBT is not only learned but consistently applied and sustained over time.

August 5, 2026 – September 17, 2026   |  Applications Due June 30, 2026   |   For more information and to apply click here

Program Highlights:

3 didactic sessions + 2 applied consultation sessions
Total commitment: 6.5 hours
Small cohort of up to 12 participants
6.5 CE credits available

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

SAMHSA Webinar: CCBHC Toolkit for Engaging Service Members, Veterans, and Families

SAMHSA will host a webinar on Tuesday, June 9 from 2–3:30 p.m. ET introducing its new CCBHC Toolkit for Engaging Service Members, Veterans, and Families. The webinar will highlight practical strategies to help CCBHCs identify and engage military-connected populations, increase awareness of military and Veteran experiences, strengthen partnerships with Veteran-serving organizations, and improve service coordination. Register here.

Upcoming Deadlines and Dates Section on the CMHA CCBHC Webpage

To support coordination, planning, and timely participation in CCBHC-related activities across Michigan, a new “Upcoming Deadlines and Dates” section has been added to the CMHA CCBHC webpage. This section highlights important upcoming meetings, technical assistance opportunities, reporting deadlines, evaluation activities, and other key dates relevant to CCBHC implementation and operations.

Information will be updated regularly and is intended to serve as a centralized reference point for CCBHC leadership teams and designated staff. Please review this section routinely to stay informed about upcoming requirements, engagement opportunities, and time-sensitive activities involving MDHHS, CMHA, CHRT, and other CCBHC partners.

Update: CCBHC-IA Grant Opportunity Timeline

An updated forecast has been released on Grants.gov for the upcoming CCBHC Improvement and Advancement (CCBHC-IA) grant opportunity. Based on the latest update, the estimated posting date for the Notice of Funding Opportunity (NOFO) is May 29, 2026.

This opportunity may provide additional resources to support CCBHC implementation and sustainability efforts across Michigan. CCBHCs interested in applying should begin early planning in anticipation of the updated timeline.  Technical Assistance will be available through the National Council for Mental Wellbeing and the CCBHC-T program to support SAMHSA CCBHC IA Grant Submissions.

The CCBHC Webpage is now live

The CCBHC webpage on the CMHA website serves as a resource hub for Michigan’s CCBHCs and organizations interested in becoming CCBHCs. Here you will find Technical Assistance (TA) resources, Evidence Based Practice (EBP) toolkits and links, updates relevant to Michigan CCBHCs, and information about collaboration and shared learning opportunities. You can find the CCBHC webpage under the

Resources tab of the CMHA website, or access directly here https://cmham.org/ccbhc

Weekly Update May 29, 2026

Association and Member Activities

Work of On Point, Lifeways, and St. Clair CMH highlighted in latest stories in partnership with Issue Media

The latest news story highlighting the innovation and successes of Michigan’s public mental health system, is made possible by the partnership of CMHA, a number of its members, and the Issue Media Group (IMG). This story, The people behind the system: How community boards shape mental health care, highlights the innovative work being done at On Point, Lifeways, and St. Clair CMH.

This story, along with the growing list of solutions journalism stories centered around the work of Michigan’s public mental health system, can be found at: https://cmham.org/newsroom/

This partnership, with the Issue Media Group (IMG), is built around the concept of “solutions journalism” – providing news about innovative and concrete ways that communities, across Michigan, are addressing the needs of their residents along a number of dimensions – healthcare, economic development, education, the arts, to name a few. Solutions journalism investigates and explains, in a critical and clear-eyed way, how people try to solve widely shared problems. While news sources and many of us typically define news as “what’s gone wrong,” solutions journalism runs counter to that definition by covering the innovative responses to identified needs and problems.

This partnership ensures that the work of Michigan’s public mental health system is highlighted in IMG’s large suite of solutions journalism-focused publications.

You can subscribe, at no cost, to these publications, on the websites of each of these publications. The list of partner publications and their websites are provided below:

Second Wave – Michigan
Concentrate – Ann Arbor/Ypsi
Epicenter – Mount Pleasant
Flintside
Metromode – Metro Detroit
Model D
Confluence Great Lakes Bay Region
Rural Innovation Exchange
Common Ground
The Keel – Port Huron
The Lakeshore
Upword – UP

Protect MI Care Recommendations

The Protect MI Care coalition provides recommendations to Michigan health officials on how to implement new federal Medicaid requirements in a way that minimizes coverage loss and administrative burden.

Pocketing Money Meant for Kids: Private Equity in Autism Services  

A new report argues that the growing role of private equity in autism services raises serious concerns about how care is delivered. It suggests that profit-driven business models can lead to cost-cutting measures—such as reducing staffing levels, limiting training, and increasing caseloads—that may ultimately lower the quality of care provided to children. At the same time, firms often emphasize revenue growth through billing practices and service expansion, which can shift the focus away from patient needs.

The Launch of CMHA Magazine: A New Voice for Michigan’s Behavioral Health Community

The Community Mental Health Association of Michigan is proud to launch the inaugural issue of CMHA Magazine — a new digital publication dedicated to elevating the voices, stories, and advocacy efforts shaping Michigan’s public behavioral health system. In addition to the digital publication, printed copies of each issue will be included in conference packets at CMHA’s three statewide conferences each year, helping expand the magazine’s reach to behavioral health leaders, providers, and policymakers across Michigan.

More than just a magazine, this publication is designed to serve as a platform for highlighting the incredible work of CMHA members across the state, sharing innovative programs, and keeping providers, policymakers, and stakeholders informed on the most pressing issues facing behavioral health care today.

The inaugural issue features powerful member stories, including LifeWays Community Mental Health’s partnership with the Jackson Police Department, where embedded clinicians are helping transform crisis response and reduce repeat emergency calls. It also spotlights Genesee Health System’s 24/7 Behavioral Health Urgent Care expansion, which is helping fill critical gaps in crisis stabilization and access to care in Flint and surrounding communities.

In addition to member highlights, CMHA Magazine provides timely state and federal legislative updates impacting behavioral health providers and the individuals they serve. Articles in the inaugural edition examine Michigan’s psychiatric bed shortage and policy recommendations emerging from the House Oversight Subcommittee on Public Health and Food Security. The publication also explores upcoming federal Medicaid work requirements and the potential impact these changes could have on access to behavioral health services nationwide.

The magazine will also tackle important issues of the day — from workforce shortages and crisis response innovation to system reform proposals and advocacy efforts that affect Michigan’s public mental health system. Through thoughtful commentary, member engagement, and community storytelling, the publication aims to strengthen collaboration and ensure behavioral health remains a priority in Lansing and Washington.

Published three times each year, CMHA Magazine will reach more than 1,500 behavioral health professionals, clinicians, board members, policymakers, and provider organizations across Michigan through its digital distribution and conference circulation. The launch marks an exciting step forward in connecting Michigan’s behavioral health community and sharing the stories that make this work so important every day.

Call to Action! Protect Michigan’s Direct Care Workforce

This call-to-action advocates protecting and strengthening Michigan’s direct care workforce by ensuring stable funding and resources for workers who provide essential care to vulnerable residents.

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

MDHHS issues MHF Coverage Responsibility Updates

Below is a recent communication from MDHHS regarding the mental health framework, including its delay:

This communication is to notify providers of important updates regarding the implementation of the Mental Health Framework Initiative.

As a reminder, the Mental Health Framework Initiative included multiple different elements, with a goal of improvement to service delivery for mental health care services, based on the level of need of the enrollee, not just the place or type of service. One element of the Mental Health Framework Initiative included shifting coverage responsibility between Medicaid Health Plans (MHP) and Prepaid Inpatient Health Plans (PIHP) for specific mental health care services. Under these changes, MHPs would cover 3 new services (crisis residential, inpatient psychiatric, and outpatient partial hospitalization) for certain enrollees, while PIHPs covered all mental health care needs for other enrollees, determined by level of need.

These coverage responsibility changes were previously scheduled to go into effect October 1, 2026. MDHHS is temporarily delaying this specific element of the Mental Health Framework Initiative to allow more time for system-wide preparation. Under the original changes, the coverage responsibility would be driven by a benefit plan in CHAMPS (Community Health Automated Medicaid Processing System) called “BH-COVER”. Providers will still see this new benefit plan assigned to certain MHP enrollees effective October 1, 2026, but will not need to change processes based on its assignment. Other Mental Health Framework changes—including the expansion of standardized assessments for Medicaid beneficiaries seeking mental health care (see Medicaid Policy Bulletin MMP 26-01 for the State’s standardized assessment policy) and efforts to improve care coordination across systems—are continuing.

Improving coordination, access, and quality of care remains a top priority, and MDHHS will continue advancing key Mental Health Framework activities, including:

– Expanding use of the State-specified mental health assessment tools, LOCUS for adults and MichiCANS Screener for children and adolescents,
– Reviewing data to better understand service needs and access to mental health care for Medicaid beneficiaries,
– Strengthening care coordination across MHP and PIHP systems, such as expanding referral pathways between systems and joint collaboration/coordination of services,
– Continuing to clarify coverage responsibility for existing covered services to minimize provider confusion and abrasion; and

Deepening relationships between providers, Community Mental Health Service Programs (CMHSPs), PIHPs and Medicaid Health Plans to improve service delivery and the beneficiary experience across the State.

We look forward to continued collaboration as we work together to improve service delivery and support the needs of Medicaid beneficiaries across the State. Please see MHF website for further updates and details and email MDHHS-MentalHlthFramework@michigan.gov with any questions.

The michigan department of human services logo.

MDHHS extends deadline for applications for Behavioral Health Repayment Program

The Behavioral Health Loan Repayment Program (BHLRP) application cycle deadline has been extended and is now open through June 5, 2026.

Funding is available for behavioral health professionals who provide direct, outpatient behavioral health services in public behavioral health settings within Michigan and are committed to remaining with their employer for two years. Priority for this program is given to applicants who provide behavioral health services to children.

To apply you must:

– Be a behavioral health professional providing direct, outpatient behavioral health services.
– Be employed in Michigan, providing services to Michigan residents.
– Commit to remaining with your eligible employer for two years.

For more information, visit: Behavioral Health Loan Repayment Program (BHLRP) or contact MDHHS-Behavioral-Health-LRP@michigan.gov

Over half of Michigan’s small businesses may be forced to drop healthcare benefits, a new Senate bill could prevent this 

Below are excerpts from a recent article in Gongwer/State Affairs regarding sky rocketing health insurance costs:

Nearly eight in 10 small business owners in the state report double-digit increases in employee healthcare premiums and more than 75% say the cost of healthcare limits their ability to hire new employees, according to a survey released Tuesday.

The survey from the Small Business Association of Michigan said inflationary costs are harming small businesses. About 65% of business owners report the cost of healthcare being a significant barrier to offering employee benefits.

“Someone must pay the increased cost of healthcare, and in Michigan, it seems small businesses owners are bearing the brunt of it, with double-digit cost increases,” SBAM President Brian Calley said in a statement.

He said some employers have seen increases of as much as $2,000 an employee.

“For a small business with 25 employees, that’s $50,000 more per year just in healthcare costs – $50,000 that could instead be used to hire another employee or invest in the business,” Calley said.

Within the survey, Michigan business owners responded to the prompt “With the way things are going with health insurance costs, it will be [X] years before I might consider dropping coverage entirely for my employees.”

About 270 business owners, 80% of them with fewer than 50 employees, responded. Nearly half of those surveyed, 42%, said between one and three years years, 16% said between four and six years and 4% said in seven or more years.

Sen. Kevin Hertel, D-Saint Clair Shores, recently introduced a bill that would address the unaffordability issue.The bill would allow small businesses to create association health plans that would lower insurance costs for them and their employees.

“As small businesses face rising costs and fewer customers in today’s uncertain economic climate, many are struggling to keep their doors open,” Hertel said in a separate statement. “And when small businesses are stretched thin, it becomes even harder for them to be able to provide benefits, including quality health coverage for their workers.”

He said smaller businesses often lack the leverage needed to negotiate lower insurance costs through risk sharing, unlike larger corporations. Smaller businesses also frequently face higher administrative expenses.

The bill, SB 1011 Track, would allow businesses to band together, pool resources and put together insurance options that reduce costs for themselves and staff.

“As we work together to build a healthier Michigan and a stronger economy, association health plans can help level the playing field – giving small business the ability to lower costs and make healthcare more accessible for working families,” Hertel said.

Hertel said the cost of healthcare has remained the number one concern for small businesses for decades, and costs have increased upwards of 23% over the last few years, making it difficult for businesses to be sustainable long-term.

Over 85% of those surveyed by SBAM said employee benefit costs influence long-term planning and growth strategies.

“In a business like ours, we’re constantly watching every cost and finding ways to operate more efficiently, but there’s only so much you can do when health care premiums keep rising at this pace,” Patti Eisenbraun, owner of Brown Iron Brewhouse in Royal Oak, said in a statement.

Eisenbraun said climbing costs put small business owners in a position where they cannot offer coverage at all.

“We need to see the same level of urgency and creativity within the health care system that small business brings to solving challenges every day,” she said.

Mike Shabluk, owner of Erie Custom Signs in Saginaw, said small businesses want to provide coverage and take care of their employees.

“If nothing changes, more small businesses will be put in a position where they simply can’t offer coverage at all, and that has real consequences for employees, families and communities all across Michigan,” he said.

The SBAM Board of Directors issued an open letter in April that calls for broader attention to the healthcare cost crisis and asks those within the healthcare systems to minimize cost increases.

Must Not Walk Away From The Addiction Crisis | Opinion

Below are excerpts from a recent opinion piece, by Representative Paul Tonko, carried in Newsweek:

Long before Congress found the will to act on the addiction crisis, the recovery community was already doing the hard work. They were telling their stories at kitchen tables and in church basements. They were fighting stigma in communities where addiction was still treated as a moral failure and a source of shame. They were organizing, marching, testifying, and demanding that their government see what they already knew: Addiction is a disease, and recovery is not only possible — it is happening every single day.

Throughout my years in Congress, I have had the privilege of learning from these advocates. Organizations like Faces & Voices of Recovery have been tireless partners—bringing the voices of people in recovery directly to Capitol Hill, helping federal policymakers understand what works, and holding us accountable when we fall short. The progress we have made in addiction policy did not originate in a hearing room. It was carried to Washington by the people who lived it.

A new national survey released by Faces & Voices of Recovery now documents, in powerful terms, just how far that advocacy has moved the country. Public Perceptions of Addiction and Recovery: A 20-Year Follow-Up to the Hart Benchmark (2004–2026) finds that the transformation in American attitudes is profound. Fifty-two percent of likely voters now name mental illness as the top national health concern, up from just 7 percent twenty years ago. Concern about the lack of addiction treatment nearly doubled, from 32 to 59 percent. And 83 percent of voters, across party lines, support requiring Medicaid to cover addiction treatment as essential health care.

These numbers are no accident. They are the direct result of decades of advocacy, courage, and storytelling by people in recovery and the organizations that support them. They reflect what happens when individuals stand up and say: this is who I am, this is what I survived, and this is what I need to stay well. They reflect the researchers who developed life-saving medications like buprenorphine and naltrexone and the advocates who fought to make sure those tools were accessible and destigmatized. They reflect years of community organizing and public health education and, yes, the painful visibility that comes from losing more than 80,000 Americans a year to overdose.

That death toll, after years of harrowing increases, has begun to fall. The progress is fragile, but it is real. We are at an inflection point—a moment when science, public will, and policy are aligned in a way that could fundamentally change the trajectory of addiction in America.

Which is precisely why the current administration’s dismantling of the Substance Abuse and Mental Health Services Administration (SAMHSA) is so reckless and so wrong.

SAMHSA is the federal architecture that connects Americans in crisis to treatment, funds the recovery support programs that help people rebuild their lives, and deploys the technical assistance that allows states and communities to build on what works. The grant programs housed at SAMHSA were shaped, in many cases, by the testimony and advocacy of recovery organizations—including Faces & Voices of Recovery—who came to Washington year after year to explain what communities actually needed. When SAMHSA is guttedwhen its staff is slashed, its grants frozen, its expertise scattered—the people who are hurt first are the ones those fought for by advocates for decades.

This recent survey confirms what advocates have been telling us: 81 percent of voters support increased federal funding for treatment and recovery services. They reject policies that would strip people in recovery of government assistance. These are not fringe positions. They are majority views held by Americans across income levels, education levels, and political ideology.

In a capitol defined by division, addiction policy has long been one of the places where we can still govern together. Republican colleagues have stood beside me in this fight for years. While we have disagreed on much, on this, we found common cause, largely because the recovery community demanded it of us. We must not fail them now.

At a time when the president’s fiscal 2027 budget again proposes large funding cuts and structural changes to SAMHSA, I am demanding we restore SAMHSA’s staffing and budget. Don’t cut addiction and mental health services. Don’t destroy the decades of progress we have made. Protect the funding streams that communities depend on. And let us agree that the gains of the past 20 years belong to the advocates, the families, and the people in recovery who built them.

They are not ours to discard.

Introducing Crossing Perspectives: A National Thought Leadership Series Bringing Together Housing, Health, and Behavioral Health 

Below is a recent announcement from the Corporation for Supported Housing related to an upcoming session on the connection between housing and behavioral health:

Housing and health systems are at a critical inflection point. 

Rising homelessness, growing behavioral health needs, and rapid policy changes are reshaping how we think about care, housing stability, and community well-being. At the same time, systems that have historically operated in parallel are being called to work in deeper alignment. 

To explore what’s next, the National Center for Housing + Health (powered by CSH) is launching a new thought leadership series: Crossing Perspectives: A National Thought Leadership Series Bringing Together Housing, Health, and Behavioral Health. 

Join Us for the First Session
The Future of Housing + Health: Where Systems Converge 
📅 Thursday, June 4
Register here for the first conversation.

This opening conversation brings together leading experts from across housing, healthcare, research, policy, and lived experience to examine the national trends shaping our field—and what it will take to build a more connected, resilient system. 

You’ll hear from:

Deb De Santis (Moderator)
Carmen Heredia, Sonora Strategy Partners
Margot Kushel, MD, UCSF
Amiyoko A. Shabazz, Lived Experience Consultant
Sarah Stella, MD, Denver Health 

Together, they will explore how aligning policy, financing, and service delivery can drive better outcomes for people and communities. Don’t miss this timely conversation. 

Michigan Budget Talks Could Extend Beyond July 1

Michigan lawmakers continue negotiating the state budget as disagreements over taxes, spending, and property tax relief threaten to delay completion past the traditional July 1 target date.

House Speaker Matt Hall said this week he does not expect a final budget agreement by July 1, blaming ongoing disputes over potential tax increases and use of the state’s rainy day fund.

The budget process determines funding for major state priorities including schools, roads, public safety, health programs, and local governments. This year, negotiations are centered heavily on Republican-backed property tax reform proposals and efforts to reduce overall state spending.

Hall said House Republicans want to lower costs for residents through property tax cuts and energy savings while avoiding new taxes. He also argued the state can reduce spending by eliminating what he described as waste, fraud, abuse, and vacant government positions.

The House recently passed an eight-bill property tax package, though additional negotiations are expected over a related proposal that could expand the state sales tax to certain services.

Despite political tensions, bipartisan cooperation will still be necessary because Republicans control the House while Democrats control the Senate and Governor’s Office. Gov. Gretchen Whitmer and other leaders at the Mackinac Policy Conference emphasized the importance of finding common ground during negotiations.

Although lawmakers aim to finish the budget by July 1, the state’s fiscal year does not officially begin until October 1, leaving additional time for negotiations if talks continue through the summer.

Michigan Senate Introduces Bipartisan Bills to Codify CCBHC Program in State Law

Michigan lawmakers this week introduced Senate Bills 1000 and 1001, legislation that would formally place the Certified Community Behavioral Health Clinic (CCBHC) program into Michigan statute and establish a long-term framework for implementation across the state. The bills represent a major step in Michigan’s ongoing behavioral health system transformation efforts and would codify requirements for certification, funding, and service delivery for CCBHC providers.

Senate Bill 1000 was introduced by Senator Rosemary Bayer (D-West Bloomfield), while Senate Bill 1001 was introduced by Senator John Damoose (R-Harbor Springs), reflecting bipartisan support for the initiative. Both bills were introduced on May 21, 2026, and referred to the Senate Committee on Housing and Human Services for consideration.

The CCBHC model was originally created through a federal demonstration program intended to expand access to comprehensive behavioral health services. Under the model, participating clinics are required to provide a broad range of coordinated services, including crisis intervention, outpatient mental health treatment, substance use disorder services, care coordination, and integrated primary and behavioral healthcare.

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Save the Date 33rd Recipient Rights Conference!

Mark your calendars for the 33rd Annual Recipient Rights Conference, September 16-18, 2026, at Crystal Mountain Resort. This gathering brings together recipient rights experts, CMH administrative and clinical staff, and mental health professionals for professional development and networking. NOTE: New agenda this year. The conference will be held Sept. 16-18, 2026, with no pre-conference. More details are coming soon!

Sept. 16-18, 2026  |  Crystal Mountain Resort   |  For more information and details on how to reserve your room click here

CMHA 2026 Annual Summer Conference

This conference attracts 500 attendees; bringing together board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors from Michigan CMHSPs and Provider Agencies. We also have strong attendance from others within the public mental health and substance use disorder systems.

June 8-10, 2026   |   Grand Traverse Resort, Traverse City   |   For more information and to register click here

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Implementation Learning Collaborative

Are you a manager, leader, or supervisor of a mental health system, organization, or program? Are you interested in learning how to implement or sustain Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?

The TF-CBT Implementation Learning Collaborative is a free, application-based program designed to equip mental health leaders and supervisors with the tools needed to drive meaningful, sustainable practice change. It is designed for SAMHSA grantees and behavioral health organizations in WI, MI, MN, OH, IN, IL, KS, NE, IA, and MO that currently provide TF-CBT and are seeking structured support to strengthen implementation, fidelity, and sustainability.

Why is this important? Implementation science demonstrates that successful adoption and sustainability of evidence-based practices require more than initial training — they depend on structured, ongoing support. This collaborative leverages proven implementation strategies — including coaching, data-driven feedback, and responsive adaptation — to ensure that TF-CBT is not only learned but consistently applied and sustained over time.

August 5, 2026 – September 17, 2026   |  Applications Due June 30, 2026   |   For more information and to apply click here

Program Highlights:

3 didactic sessions + 2 applied consultation sessions
Total commitment: 6.5 hours
Small cohort of up to 12 participants
6.5 CE credits available

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

CCBHC May Newsletter

The May CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

Upcoming Deadlines and Dates Section on the CMHA CCBHC Webpage

To support coordination, planning, and timely participation in CCBHC-related activities across Michigan, a new “Upcoming Deadlines and Dates” section has been added to the CMHA CCBHC webpage. This section highlights important upcoming meetings, technical assistance opportunities, reporting deadlines, evaluation activities, and other key dates relevant to CCBHC implementation and operations.

Information will be updated regularly and is intended to serve as a centralized reference point for CCBHC leadership teams and designated staff. Please review this section routinely to stay informed about upcoming requirements, engagement opportunities, and time-sensitive activities involving MDHHS, CMHA, CHRT, and other CCBHC partners.

Update: CCBHC-IA Grant Opportunity Timeline

An updated forecast has been released on Grants.gov for the upcoming CCBHC Improvement and Advancement (CCBHC-IA) grant opportunity. Based on the latest update, the estimated posting date for the Notice of Funding Opportunity (NOFO) is May 29, 2026.

This opportunity may provide additional resources to support CCBHC implementation and sustainability efforts across Michigan. CCBHCs interested in applying should begin early planning in anticipation of the updated timeline.  Technical Assistance will be available through the National Council for Mental Wellbeing and the CCBHC-T program to support SAMHSA CCBHC IA Grant Submissions.

The CCBHC Webpage is now live

The CCBHC webpage on the CMHA website serves as a resource hub for Michigan’s CCBHCs and organizations interested in becoming CCBHCs. Here you will find Technical Assistance (TA) resources, Evidence Based Practice (EBP) toolkits and links, updates relevant to Michigan CCBHCs, and information about collaboration and shared learning opportunities. You can find the CCBHC webpage under the

Resources tab of the CMHA website, or access directly here https://cmham.org/ccbhc

Weekly Update May 22, 2026

Association and Member Activities

The Launch of CMHA Magazine: A New Voice for Michigan’s Behavioral Health Community

The Community Mental Health Association of Michigan is proud to launch the inaugural issue of CMHA Magazine — a new digital publication dedicated to elevating the voices, stories, and advocacy efforts shaping Michigan’s public behavioral health system. In addition to the digital publication, printed copies of each issue will be included in conference packets at CMHA’s three statewide conferences each year, helping expand the magazine’s reach to behavioral health leaders, providers, and policymakers across Michigan.

More than just a magazine, this publication is designed to serve as a platform for highlighting the incredible work of CMHA members across the state, sharing innovative programs, and keeping providers, policymakers, and stakeholders informed on the most pressing issues facing behavioral health care today.

The inaugural issue features powerful member stories, including LifeWays Community Mental Health’s partnership with the Jackson Police Department, where embedded clinicians are helping transform crisis response and reduce repeat emergency calls. It also spotlights Genesee Health System’s 24/7 Behavioral Health Urgent Care expansion, which is helping fill critical gaps in crisis stabilization and access to care in Flint and surrounding communities.

In addition to member highlights, CMHA Magazine provides timely state and federal legislative updates impacting behavioral health providers and the individuals they serve. Articles in the inaugural edition examine Michigan’s psychiatric bed shortage and policy recommendations emerging from the House Oversight Subcommittee on Public Health and Food Security. The publication also explores upcoming federal Medicaid work requirements and the potential impact these changes could have on access to behavioral health services nationwide.

The magazine will also tackle important issues of the day — from workforce shortages and crisis response innovation to system reform proposals and advocacy efforts that affect Michigan’s public mental health system. Through thoughtful commentary, member engagement, and community storytelling, the publication aims to strengthen collaboration and ensure behavioral health remains a priority in Lansing and Washington.

Published three times each year, CMHA Magazine will reach more than 1,500 behavioral health professionals, clinicians, board members, policymakers, and provider organizations across Michigan through its digital distribution and conference circulation. The launch marks an exciting step forward in connecting Michigan’s behavioral health community and sharing the stories that make this work so important every day.

Statewide FY 26 CMHSP client satisfaction report issued by CMHA’s Center for Health Care Integration and Innovation (CHI2)

Weekly Update readers may remember that, over the past several years, CMHA and its members have engaged in an Accurate Picture campaign. That campaign is aimed at providing an accurate picture of Michigan’s public mental health system and those whom it serves, countering what are often negative misconceptions attached to Michigan’s public mental health system and those who rely upon that system.

The Accurate Picture campaign had a number of components, including the highly successful partnership of CMHA and a number of its members with the Issue Media Group/Common Group publications – a partnership built around the concept of “solutions journalism”. This partnership ensures that the work of Michigan’s public mental health system is highlighted in IMG’s large suite of solutions journalism-focused publications. More about this partnership can be found here.

Over the last several months, CMHA also pursued another component of this Accurate Picture campaign–a statewide client satisfaction report (Note that this report is a revised version, reflecting several refinements from the report sent to you a week ago.)

STATEWIDE FY 26 CMHSP CLIENT SATISFACTION REPORT: All of Michigan’s CMHSPs and PIHPs, and many of the provider organizations in the networks of the state’s CMHSPs and PIHPs, conduct client satisfaction surveys of those whom they serve.

Because the CMHSPs, PIHPs, and providers use a variety of client satisfaction instruments, statewide client satisfaction data has been difficult to aggregate.

However, while a number of instruments are used by the provider organizations across the state, there are a set of satisfaction elements or domains found in all of these instruments. These common domains are: Overall Satisfaction/Improvement, Accessibility/Responsiveness, Supportiveness, Dignity, Respect, Cultural Competency, Person-Centered Planning, and Being Heard & Confidentiality

Using these common client satisfaction domains, CMHA’s Center for Health Care Integration and Innovation (CHI2) aggregated the client satisfaction data, across these common domains, resulting in a recently published report which provides a picture of client satisfaction with the system. This report, 2026 Accurate Picture Initiative Statewide Satisfaction Survey Report (May 2026) can be found here.

In summary, the findings of this report, demonstrate high levels of satisfaction as noted below.

Statewide Behavioral Health Satisfaction Summary by Domain 

Satisfaction Domain Positive Average (%)
Overall Satisfaction / Improvement 87.48%
Accessibility and Responsiveness 83.53%
Supportiveness, Respect, Dignity 85.35%
Cultural Competency 87.97%
Person-Centered Planning 87.15%
Being Heard & Confidentiality 86.02%

 

Work of On Point highlighted in latest stories in partnership with Issue Media

The latest news story highlighting the innovation and successes of Michigan’s public mental health system, is made possible by the partnership of CMHA, a number of its members, and the Issue Media Group (IMG). This story, True community mental health: How one county’s CMH board ensures care is relevant, highlights the innovative work being done at On Point (CMH or Allegan County).

This story, along with the growing list of solutions journalism stories centered around the work of Michigan’s public mental health system, can be found at: https://cmham.org/newsroom/

This partnership, with the Issue Media Group (IMG), is built around the concept of “solutions journalism” – providing news about innovative and concrete ways that communities, across Michigan, are addressing the needs of their residents along a number of dimensions – healthcare, economic development, education, the arts, to name a few. Solutions journalism investigates and explains, in a critical and clear-eyed way, how people try to solve widely shared problems. While news sources and many of us typically define news as “what’s gone wrong,” solutions journalism runs counter to that definition by covering the innovative responses to identified needs and problems.

This partnership ensures that the work of Michigan’s public mental health system is highlighted in IMG’s large suite of solutions journalism-focused publications.

You can subscribe, at no cost, to these publications, on the websites of each of these publications. The list of partner publications and their websites are provided below:

Second Wave – Michigan
Concentrate – Ann Arbor/Ypsi
Epicenter – Mount Pleasant
Flintside
Metromode – Metro Detroit
Model D
Confluence Great Lakes Bay Region
Rural Innovation Exchange
Common Ground
The Keel – Port Huron
The Lakeshore
Upword – UP

Gratiot Integrated Health Network Honored with State and Congressional Recognition

Gratiot Integrated Health Network (GIHN) has been recognized at both the state and federal levels for its commitment to children and families in Gratiot County, receiving the Child Advocate Organization of the Year Award from the Child Advocacy Center of Gratiot County along with official tributes from the State of Michigan and the United States Congress.

The recognitions highlight GIHN’s longstanding dedication to child advocacy, crisis response services, and community collaboration across Gratiot County.

In a Special Tribute issued by the State of Michigan, legislators commended the organization’s staff, partners, and advocates for their leadership and impact throughout the community. The tribute specifically recognized GIHN’s role as a strong community partner and acknowledged the organization’s efforts to provide critical resources and support for children and families.

The tribute noted GIHN’s partnerships with local organizations including the Gratiot Collaborative, the Gratiot Substance and Suicide Prevention Coalition, Child Advocacy, MyMichigan Medical Center – Alma, Gratiot County Schools, and local law enforcement agencies. State leaders also praised GIHN’s administration and workforce for helping remove barriers to services and expanding the reach of behavioral health support throughout the region.

The State of Michigan tribute further highlighted GIHN’s prioritization of children’s mental and physical health needs and recognized the organization’s enhanced 24/7 crisis services, which provide timely and tailored support for individuals and families facing difficult situations.

In addition to the state recognition, Congressman John Moolenaar presented Gratiot Integrated Health Network with a Certificate of Special Congressional Recognition on behalf of Michigan’s Second Congressional District.

The congressional certificate praised GIHN for “going above and beyond to advocate for the betterment of children and families in the community” and extended best wishes for the organization’s continued success.

GIHN continues to provide behavioral health and support services designed to improve access to care, strengthen families, and promote healthier outcomes throughout Gratiot County.

Call to Action! Protect Michigan’s Direct Care Workforce

This call-to-action advocates protecting and strengthening Michigan’s direct care workforce by ensuring stable funding and resources for workers who provide essential care to vulnerable residents.

Upcoming Deadlines and Dates Section on the CMHA CCBHC Webpage

To support coordination, planning, and timely participation in CCBHC-related activities across Michigan, a new “Upcoming Deadlines and Dates” section has been added to the CMHA CCBHC webpage. This section highlights important upcoming meetings, technical assistance opportunities, reporting deadlines, evaluation activities, and other key dates relevant to CCBHC implementation and operations.

Information will be updated regularly and is intended to serve as a centralized reference point for CCBHC leadership teams and designated staff. Please review this section routinely to stay informed about upcoming requirements, engagement opportunities, and time-sensitive activities involving MDHHS, CMHA, CHRT, and other CCBHC partners.

Update: CCBHC-IA Grant Opportunity Timeline

An updated forecast has been released on Grants.gov for the upcoming CCBHC Improvement and Advancement (CCBHC-IA) grant opportunity. Based on the latest update, the estimated posting date for the Notice of Funding Opportunity (NOFO) is May 29, 2026.

This opportunity may provide additional resources to support CCBHC implementation and sustainability efforts across Michigan. CCBHCs interested in applying should begin early planning in anticipation of the updated timeline.  Technical Assistance will be available through the National Council for Mental Wellbeing and the CCBHC-T program to support SAMHSA CCBHC IA Grant Submissions

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

Arc Michigan Free Disability Policy Webinar Series

It’s Time For The Arc Michigan’s 2026 Policy Webinar Series:

Friday, June 5      |    9:30a.m.– 12:00p.m.
Friday, June 12    |    9:30a.m.– 12:00p.m.
Friday, June 26    |    9:30a.m.– 12:00a.m.

Join Arc-Michigan for this year’s webinar series for updates on disability services and supports in Michigan. As Michigan’s disability service system continues to evolve, staying informed and connected is more important than ever.

Each Friday, you will hear from key leaders at the state and national levels—including the Michigan Department of Health and Human Services and The Arc of the United States—on topics that impact access, quality, and the future of services for people with disabilities. You will also receive timely legislative and policy updates, along with insights into how state and federal decisions may impact disability services and supports in the months ahead. Whether you’re a family member, self-advocate, professional, or policymaker, these conversations are for you. You can learn more about his series and register here.

Registration is Now Open for the 2026 Rural Michigan Opioid & Substance Use Summit!

The Northern Michigan Opioid Response Consortium (NMORC), a program of the Michigan Center for Rural Health (MCRH), is proud to host its annual summit, bringing together rural partners, leaders, and community champions committed to addressing substance use across rural Michigan.

This convening creates space for meaningful connection, shared learning, and action. Together, participants explore practical strategies and emerging approaches that strengthen prevention, expand access to treatment, support long-term recovery, and build a resilient rural workforce.

July 16th, 2026 |  Treetops Resort, Gaylord MI  | Register here: 2026 Rural Michigan Opioid and Substance Use Summit

Who Should Attend?

Behavioral Health Professionals
Public Health Professionals
Law Enforcement
Community Mental Health Providers
Substance Use Disorder Treatment Professionals
Rural Health Clinics, FQHCs, and Hospital Staff
Anyone Passionate About Addressing Substance Use in Rural Michigan!

Michigan Medicaid Covered transportation

Michigan lawmakers are pushing bipartisan legislation to allow Medicaid to cover specialized behavioral health transportation, aiming to reduce delays in care, ease dependence on ambulances and police, and improve access for people in mental health crises.

Decline in Michigan Drug overdoses

Michigan is seeing a significant decline in drug overdose deaths, largely due to expanded access to naloxone and treatment programs. At the same time, the state is set to receive an additional $154 million from opioid settlements, which will support ongoing prevention, recovery, and harm-reduction efforts even as experts caution that drug use itself may not be declining.

FY 2027 Medicaid Savings Workgroup report prepared for the Michigan State Budget Office

The workgroup was convened by the State Budget Director as part of Governor Whitmer’s FY 2027 budget recommendations and charged with identifying opportunities to achieve at least $150 million in Medicaid general fund savings for FY 2027 while protecting access to care for Michiganders who rely on Medicaid. The group focused on administrative efficiencies, operational improvements, and targeted programmatic changes that could be implemented within the next fiscal year.

Again it is unclear how/if these recommendations will be used in the final version of the FY27 budget. See summary below – CMHA was NOT part of this workgroup (see highlighted sections below under other items considered):

The workgroup was tasked with identifying at least $150 million in Medicaid-related general fund savings while:

Protecting access to care
Avoiding cost shifts to providers or patients
Prioritizing administrative efficiencies
Using data-driven approaches
Focusing on changes implementable within FY 2027

The group ultimately identified approximately $124.9 million in potential savings, though several estimates remain uncertain.

1. Pharmacy Savings (Estimated: $0–$96 million)

Proposed Actions

Increase pharmaceutical supplemental rebates through federal “most-favored-nation” pricing models such as the GENEROUS Model
Increase use of biosimilars and generic drugs via changes to the preferred drug list
Eliminate Medicaid coverage of GLP-1 drugs when prescribed solely for obesity treatment
Tighten the definition of “independent pharmacy” to better target enhanced dispensing fees

Important Caveats

MDHHS technical analysis warned that:

Greater use of generics/biosimilars could actually increase costs
Michigan currently benefits from substantial rebates tied to brand-name drugs
Switching broadly to generics could raise costs by an estimated $18.7 million GF / $85 million gross

Several organizations abstained or opposed portions of these proposals, especially the GLP-1 recommendation.

 2. Administrative Savings in MDHHS (Estimated: $15 million)

Proposed Actions

Expand the Estate Recovery Program by:

Broadening estate definitions
Allowing recovery from trusts and non-probate assets
Removing the 3-year filing limitation

Reduce MDHHS consulting contracts and renegotiate contract costs
Seek lower-cost nonemergency medical transportation contracts without reducing access

Some stakeholder groups opposed or abstained from estate recovery expansion proposals.

3. Managed Care Administrative Savings (Estimated: $3.8 million)

Proposed Actions

Require MDHHS and Medicaid managed care organizations to jointly streamline administrative requirements and achieve at least 1% savings
Eliminate duplicative audits and redundant reporting requirements

These recommendations focused on operational efficiencies rather than benefit reductions.

4. Benefit Modifications (Estimated: $9.8 million)

Proposed Action

Tighten oversight of Applied Behavioral Analysis (ABA) services to ensure clinical appropriateness and adherence to existing contract standards

The savings estimate assumes reducing average ABA service utilization by approximately one hour per week statewide without reducing access.

Other Policy Ideas Discussed (No FY 2027 Savings Estimate)

The workgroup also discussed longer-term policy concepts that were not formally voted on, including:

Expanding cross-departmental data sharing to reduce Medicaid enrollment churn
Expanding Certified Community Behavioral Health Clinics
Reviewing aging technology systems
Evaluating the structure of Michigan’s behavioral health system
Improving pharmacy pricing transparency

These were presented as future considerations rather than immediate savings measures.

Michigan Senate Introduces Bipartisan Bills to Codify CCBHC Program in State Law

Michigan lawmakers this week introduced Senate Bills 1000 and 1001, legislation that would formally place the Certified Community Behavioral Health Clinic (CCBHC) program into Michigan statute and establish a long-term framework for implementation across the state. The bills represent a major step in Michigan’s ongoing behavioral health system transformation efforts and would codify requirements for certification, funding, and service delivery for CCBHC providers.

Senate Bill 1000 was introduced by Senator Rosemary Bayer (D-West Bloomfield), while Senate Bill 1001 was introduced by Senator John Damoose (R-Harbor Springs), reflecting bipartisan support for the initiative. Both bills were introduced on May 21, 2026, and referred to the Senate Committee on Housing and Human Services for consideration.

The CCBHC model was originally created through a federal demonstration program intended to expand access to comprehensive behavioral health services. Under the model, participating clinics are required to provide a broad range of coordinated services, including crisis intervention, outpatient mental health treatment, substance use disorder services, care coordination, and integrated primary and behavioral healthcare.

Duggan to end bid for governor

Former Detroit Mayor Mike Duggan is ending his independent bid for governor in a shocking announcement that completely recasts the race to become Michigan’s 50th governor.

Sources, speaking on background, said those inside the Duggan camp are reaching out to allies to confirm he is dropping out of the race. Polling recently suggested Duggan was failing to catch on, or even seeing a dip in support, and sources said Duggan had concluded the Democratic momentum is too strong and that he no longer saw a path to victory.

A nonprofit allied with Duggan, Put Progress First, had spent about $15 million on ads, but Duggan himself last week signaled concern that the race had begun shifting into a referendum on President Donald Trump and gasoline prices, making his message of fixing Lansing problematic.

So unexpected was his decision that news of it began spreading merely half an hour after his campaign announced its 27th union endorsement

Duggan’s candidacy will end much as it began: with a jolt to Michigan’s political observers who’d been wondering since the former mayor’s December 2024 announcement whether he would be able to overcome the hurdles faced by third-party candidates and which major party candidate he would potentially spoil a general election turnout for.

Just last week, Duggan spoke optimistically to supporters at a Lansing Regional Chamber event about what the next several months of the campaign would hold, stating he was prepared to “come home” to metro Detroit after spending months outstate.

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Save the Date 33rd Recipient Rights Conference!

Mark your calendars for the 33rd Annual Recipient Rights Conference, September 16-18, 2026, at Crystal Mountain Resort. This gathering brings together recipient rights experts, CMH administrative and clinical staff, and mental health professionals for professional development and networking. NOTE: New agenda this year. The conference will be held Sept. 16-18, 2026, with no pre-conference. More details are coming soon!

Sept. 16-18, 2026  |  Crystal Mountain Resort   |  For more information and details on how to reserve your room click here

CMHA 2026 Annual Summer Conference

This conference attracts 500 attendees; bringing together board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors from Michigan CMHSPs and Provider Agencies. We also have strong attendance from others within the public mental health and substance use disorder systems.

June 8-10, 2026   |   Grand Traverse Resort, Traverse City   |   For more information and to register click here

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Navigating Uncertainty: The Importance of Telling the Story of Your Work – May 28th

You know you’re doing great work, but how do others know about the great work you’re doing? Being able to tell the story of your work effectively and efficiently is critical for messaging and sustainability. Having a strategy and effective story can also be an invaluable tool in advocating for resource allocation and informing funding decisions by both internal and external interested parties. To learn more and register visit the event page.

Clinical Supervision Learning Community

Three women work together at a desk with computers. Text promotes a mental health clinical supervision learning series from June 2 to December 15, offering 10 sessions.

Dates: June 2–December 15, 2026. Full schedule is on the event page (link below).

Apply by: Accepting applications through May 15, 2026. Acceptance letters will be sent by May 22, 2026.

CMEs: 18 continuing medical education (CME) credits available (see event page for details).

Trainer: Mimi Choy-Brown, PhD, MSW

The Clinical Supervision Learning Community is a 7-month, expert-led program designed for clinical supervisors working in fast-paced, resource-limited community mental health settings. This unique opportunity combines interactive training, individualized coaching, and peer learning to help supervisors implement evidence-based practices (EBPs) while fostering workforce resilience and retention. Read the full series description, participant requirements, and apply on the event page.

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

CCBHC May Newsletter

The May CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

The CCBHC Webpage is now live

The CCBHC webpage on the CMHA website serves as a resource hub for Michigan’s CCBHCs and organizations interested in becoming CCBHCs. Here you will find Technical Assistance (TA) resources, Evidence Based Practice (EBP) toolkits and links, updates relevant to Michigan CCBHCs, and information about collaboration and shared learning opportunities. You can find the CCBHC webpage under the

Resources tab of the CMHA website, or access directly here https://cmham.org/ccbhc

Weekly Update May 15, 2026

Association and Member Activities

CMHA staff member receive national recognition

Woman with long brown hair wearing a black blazer, maroon top, and a beaded necklace, smiling at the camera against a plain dark background.Anne Wilson, a Conference and Event Manager at CMHA, has just been named the recipient of a Legacy Award by the Society of Government Meeting Professionals (SGMP). To receive this award, from the national SGMP, puts Anne in a rare group of meeting professionals.

Congratulations to Anne on her receipt of this recognition. CMHA is proud to have her on our team.

The announcement from SGMP can be found here.

Here about the experiences of the SGMP National Award Winners – “I am SGMP

Financial Opportunity for CCBHC Staff Pursuing Clinical Licensure

A new opportunity is available to employees who are pursuing clinical licensure in social work, counseling, marriage and family therapy, substance use counseling, clinical psychology or credentialing in substance use counseling.

The CCBHC Transformation Workforce Career Accelerator, offered by the National Council for Mental Wellbeing, provides:

Professional development and training
A library of resources to support your licensure journey
Mentorship and peer support
Virtual supervision support, if needed
Up to $8,500 in financial incentives for eligible participants

The application is free and due May 22. It takes only 15 minutes to complete.

If you’re interested, please review this flyer and complete the application here: https://ica.mentalhealthfirstaid.org/?program=ccbhct

Want to learn more? Join us at an informational session:

CCBHC-T Workforce Career Accelerator Candidate Informational Session
Tuesday 5/19, from 12-12:45 pm CT (1-1:45 pm ET)
https://thenationalcouncil-org.zoom.us/webinar/register/WN_USMJF_wRS2SspPeCi3F99g

To participate, you must be a full‑time employee (part-time employees will be considered on a case-by-case basis) and meet the licensure‑related requirements.

For more information, please visit the CCBHC Transformation webpage.

Listen to latest ‘Connections’ Podcasts 

Real voices. Real journeys. Discover the stories that connect us. Hear powerful conversations that bring our community together and inspire better lives for all.

Pilar Horner presented at the 2026 Annual Winter Conference on strengthening the social work workforce through evidence-based substance use training as part of the MI CARES Project, a statewide initiative focused on addiction education. Drawing from her professional experiences, Pilar emphasized the importance of collaboration, resilience, and finding solutions together when navigating challenges. Listen Here.

Support Your CMH PAC – Donate TODAY!

By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing. Donate online or mail check donations to our office located at 507 S. Grand Ave., Lansing, MI 48933. Please make checks payable to CMH PAC.

CMH PAC (Political Action Committees) gives money to candidates running for elective office who support and advocate on behalf of Michigan’s publicly funded mental health system. By making a donation to the CMH PAC, you are ensuring that issues important to mental health are not left out of the dialog in Lansing.

Why Support CMH PAC? 

In the Michigan Legislature there are:

  • More new legislators due to term limits.
  • Fewer legislators with in-depth knowledge about behavioral health issues.
  • More legislative proposals that directly and indirectly impact Michigan’s publicly funded mental health system.
  • More aggressive interest groups competing for limited resources.
  • Very few legislative champions for persons with mental health, developmental/intellectual disabilities and substance use disorders.

CMH PAC helps overcome some of these obstacles by raising awareness for issues that are important to behavioral health care. The CMH PAC supports legislators/candidates who support and advocate on behalf of Michigan’s publicly funded mental health system.

Recipient Rights Booklets

The Mental Health Code states that Community Mental Health Service Providers are required to distribute Recipient Rights Booklets to each recipient receiving services. The “Your Rights When Receiving Mental Health Services in Michigan” booklets can be purchased through our website’s new ordering system. Click here to place your order.

Connections

Connections purpose is to be an avenue for the exchange of information that includes people’s dreams, stories, concerns and successes. Its intent is to connect us all – the individuals who sit around the board room table, our customers, our administrators, caregivers, and our partners in the communities in which we live.

‘BoardWorks’ Videos Online

The CMHA BoardWorks program was developed to assist Board members in fulfilling their obligations as CMH leaders, directors of policy, and advocates for those they serve.

Get in Touch! 

Meet the Team

CMHA Board of Directors

Contact your Legislators

State & Federal Developments

Gov. Whitmer Releases Top Lines of Report on Federal Medicaid Cuts, Finding Cuts Would Terminate Health Care for 700,000 Michiganders

Recently, Governor Gretchen Whitmer released toplines of an alarming report from the Michigan Department of Health and Human Services (MDHHS) on the impact of federal proposals to cut Medicaid. According to the new report, these proposed cuts would result in a loss of health care coverage for hundreds of thousands of Michiganders, reduce access to providers for all residents, increase financial burdens on hospitals and small businesses, and significantly strain the state’s budget. 

The full press release can be found here.

MDHHS issues overview of Behavioral Health Home changes in Michigan Medicaid State Plan

The Michigan Department of Health and Human Services (MDHHS) has received approval from the Centers for Medicare & Medicaid Services (CMS) for a state plan amendment (SPA). A key change reflected in the SPA includes revised staffing requirements for the Behavioral Health Home (BHH) program. This program provides federally required health home services to Medicaid beneficiaries with select diagnoses who are enrolled in a health home program. To align with the revised staffing requirements outlined in the SPA, MDHHS updated the underlying assumptions that drive the health home case rates effective October 1, 2025. In addition to the staffing requirement updates, the revised case rates also reflect updates to other assumptions (primarily wage levels) to better align case rate assumptions with the costs in the current environment.

This letter can be found here.

An Early Look at Policy Decisions as States Get Ready to Implement Work Requirements

The Kaiser Family Foundation (KFF) recently related a report on the work being done by states in response to the Medicaid cuts outlined in the federal budget bill, HR1. Below is an excerpt from that report.

The 2025 reconciliation law, also known as the One Big Beautiful Bill, requires states to condition Medicaid eligibility for adults in the Affordable Care Act (ACA) Medicaid expansion group and in partial Medicaid expansion waiver programs at application and at least semi-annually at renewal on meeting work requirements. States must implement work requirements starting January 1, 2027 but have the option to begin enforcing the requirements earlier. A total of 43 states will be required to implement work requirements, including the 41 states and DC that have adopted the Medicaid expansion and Georgia and Wisconsin that have implemented partial expansion waivers. As of June 2025, about 20 million people were enrolled in the Medicaid expansion, representing 30% of total enrollment in expansion states. The Medicaid expansion population includes parents and adults without dependent children, many of whom have chronic conditions or disabilities but do not qualify for Medicaid on the basis of their disability or through a disability pathway.

The full article can be found here.

SAMHSA Refocus and Renew: Moving Towards Health Technical Assistance Papers

The federal Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued an announcement of a change to the technical assistance provided by SAMHSA. Below is an excerpt from that announcement:

The Technical Assistance Coalition series of 10 papers calls on state leaders torefocuson serious mental illness (SMI) and serious emotional disturbances (SED) treatment and recovery— and torenewtheir commitment to system changes in improving whole-person health. The series focuses on providing updated information and guidance on SMI and SED and renewing efforts for systems-level changes.

More information on this TA approach can be found here.

HHS Launches MAHA Action Plan to Curb Psychiatric Overprescribing

The U.S. Department of Health and Human Services (HHS) recently announced efforts to curb psychiatric overprescribing at a MAHA Institute summit on mental health and overmedicalization. As the closing speaker, HHS Secretary Robert F. Kennedy, Jr. laid out a new action plan to promote appropriate psychiatric prescribing and drive deprescribing when clinically indicated.

The full press release can be found here.

The Office of National Drug Control Policy releases 2026 National Drug Control Strategy

The federal Office of Drug Control Policy recently released its 2026 National Drug Control Strategy. The National Drug Control Strategy is prepared biennially by the Office of National Drug Control Policy. This document provides a strategic roadmap for the Administration to continue dismantling the drug supply and defeating the scourge of illicit drugs in our country.

The full strategy document can be found here.

Hall sets June 1 deadline for Selfridge funding, a move that could accelerate budget negotiations

With the May Consensus Revenue Estimating Conference set for Friday, May 15, and lawmakers and Gov. Gretchen Whitmer increasingly pointing to a June 1 deadline to secure additional funding for Selfridge Air National Guard Base, House Speaker Matt Hall on Wednesday argued that the Legislature should move quickly on a supplemental spending package — a move that could also accelerate broader state budget negotiations.

Speaking to reporters Wednesday, Hall said talks over the supplemental continue and acknowledged he would prefer a “clean” bill focused solely on Selfridge funding. Still, he emphasized that making the money immediately available was the top priority.

“The Senate supplemental, the way it’s structured, the money would not become available for the runway construction until October of this year,” Hall said. “To meet the construction deadline of getting this done … we really needed to begin that construction in March.”

Hall said beginning construction by June could still allow the runway project to be completed before President Donald Trump leaves office, which he argued is critical to ensuring the long-term future of the Macomb County base.

“The reason for that is a new president is very likely to reopen this decision, delay it for years and years, and then move the fighter jets somewhere else,” Hall said. “The Air Force did not want this. It took President Trump and our secretary of war to override the Air Force to make this happen … it would be subject to another decision by the military, and most people think it won’t come to Michigan.”

The comments came as Hall also floated a broader proposal to move up the overall budget negotiation process to June 1 — months ahead of the traditional July 1 target — a shift he said could bring more certainty to state finances and force earlier resolution of contentious issues.

The U.S. House Appropriations Committee last month approved $162 million to improve and extend the runway at Selfridge Air National Guard Base. The funding request, made by U.S. Rep. John James, R-Shelby Township, is expected to receive a floor vote Friday.

At the state level, both the House and Senate have advanced supplemental spending plans that include $152 million for Selfridge. However, the Senate version also contains additional spending for Medicaid and other priorities, bringing the total package to roughly $1 billion.

Hall criticized the Senate-passed supplemental for bundling in unrelated spending and delaying access to the Selfridge funds, while also reiterating his broader concerns about the budget process. During Wednesday’s press conference, Hall also discussed scaling back earmark spending and revisiting housing legislation as part of ongoing negotiations over the state’s fiscal priorities.

House Says Medicaid Should Go Generic First

Medicaid may be prohibited from covering brand-name drugs or biological drug products if an equivalent generic drug or interchangeable biological drug product is available, under legislation the House passed, 63-43, this week.

HB 4839, sponsored by Rep. Sarah LIGHTNER (R-Springport), would amend the Social Welfare Act to require Medicaid coverage to default to the lower-cost generic or interchangeable biological option. The exception would apply when the prescriber writes “dispense as written,” “d.a.w.” or “to be dispensed as communicated” on the prescription, under existing Public Health Code language. 

The House Fiscal Agency (HFA) estimated the proposal could generate “moderate to significant” state Medicaid savings, ranging from $50 million to $100 million gross, or $12.5 million to $25 million in General Fund savings. HFA noted, however, that pharmaceutical costs and rebates are volatile and can lag, making an exact savings estimate difficult. 

The analysis said Michigan’s Medicaid pharmaceutical benefit totals more than $4.1 billion gross in payments, while receiving more than $2.4 billion in pharmacy rebates, leaving net Medicaid pharmaceutical costs above $1.5 billion gross. 

Supporters framed the bill as a cost-saving measure for the Medicaid program, while still leaving room for physicians to request a brand-name drug when they believe it is medically necessary.

Rep. Alabas FARHAT (D-Dearborn) was among the members who opposed the bill. 

“Families across our state are struggling with the crippling costs of health care,” Farhat said. “And right now, 25% rely on Medicaid as their primary insurance. Complicating their coverage and interfering between the patient and doctor relationship is not the place of state government. We should be looking at ways to let doctors continue practicing medicine and delivering the best outcome for their patients.”

As far as the budgetary savings, he said that “we cannot compromise on ensuring our residents get the health care they deserve.”

The legislation now heads to the Senate.

Medicaid House panel considers expanding swing beds for behavioral health patients

Under HB 5903, sponsored by Rep. Matthew Bierlein, R-Vassar, hospitals and psychiatric facilities could temporarily use swing beds to help address Michigan’s shortage of inpatient psychiatric capacity. Bierlein said the state is currently short more than 1,000 psychiatric beds to meet minimum demand and more than 3,000 beds for optimal access to care.

“This bill is a practical reform aimed at addressing Michigan’s severe shortage of inpatient psychiatric beds,” Bierlein told the committee.

Bierlein emphasized the proposal would not change the state’s certificate-of-need process or alter existing bed licensure requirements. Instead, he said it would give providers more flexibility to respond to patient demand during periods of high need.

“At a time when Michigan families are struggling to access mental health care, we should be removing barriers that prevent providers from delivering timely treatment,” he said.

House Health Policy Committee Chair Curt VanderWall, R-Ludington, voiced support for the legislation, calling it a creative approach to expanding access to care.

“We’ve worked hard in this committee on mental health,” VanderWall said. “I think this is an out-of-the-box solution that will continue to push forward opportunities to address the situation, even if it’s just for a flex period of time.”

VanderWall added that increasing treatment availability could also help keep individuals experiencing mental health crises out of the criminal justice system.

Protect MI Care Toolkit

This toolkit has sample social media posts, newsletter content, talking points, and graphics that you can use. Please share these resources on social media, especially the content that focuses on collecting personal impact stories. These stories will help drive our success during the budget negotiations throughout the spring.

You can access the toolkit here.

Education, Sponsorship & Exhibition

Registration Discount Deadline! CMHA 2026 Annual Summer Conference

This conference attracts 500 attendees; bringing together board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors from Michigan CMHSPs and Provider Agencies. We also have strong attendance from others within the public mental health and substance use disorder systems. Early Bird Registration Deadline: May 18, 2026.

June 8-10, 2026   |   Grand Traverse Resort, Traverse City   |   For more information and to register click here

CMHA Events

To search all upcoming CMHAM events, including conferences, trainings and webinars click here.

Logo with the text "Center for Mental Health Implementation Support" and two stylized mountain designs.

Center for Mental Health Implementation Support (CMHIS)

Navigating Uncertainty: The Importance of Telling the Story of Your Work – May 28th

You know you’re doing great work, but how do others know about the great work you’re doing? Being able to tell the story of your work effectively and efficiently is critical for messaging and sustainability. Having a strategy and effective story can also be an invaluable tool in advocating for resource allocation and informing funding decisions by both internal and external interested parties. To learn more and register visit the event page.

Clinical Supervision Learning Community

Three women work together at a desk with computers. Text promotes a mental health clinical supervision learning series from June 2 to December 15, offering 10 sessions.

Dates: June 2–December 15, 2026. Full schedule is on the event page (link below).

Apply by: Accepting applications through May 15, 2026. Acceptance letters will be sent by May 22, 2026.

CMEs: 18 continuing medical education (CME) credits available (see event page for details).

Trainer: Mimi Choy-Brown, PhD, MSW

The Clinical Supervision Learning Community is a 7-month, expert-led program designed for clinical supervisors working in fast-paced, resource-limited community mental health settings. This unique opportunity combines interactive training, individualized coaching, and peer learning to help supervisors implement evidence-based practices (EBPs) while fostering workforce resilience and retention. Read the full series description, participant requirements, and apply on the event page.

Starting June 16th: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Fund Diversification

The Sustainability Academy helps program staff plan beyond time-limited federal funding and build a clear strategy for long-term program sustainment. Serving up to 30 participants, the academy integrates CMHIS Sustainability tools and provides individualized coaching to develop actionable approaches for funding diversification, partnership and policy alignment, and data-driven storytelling. Participants engage in large‑group training, small‑group practice, and individual coaching while using established sustainability tools. The facilitation team brings expertise in implementation, CQI, evaluation, and fundraising, offering practical examples and case studies throughout.

June 16, 30, July 14, 28, August 11, 25, September 8, and 1 hour of individual coaching scheduled directly with the presenters.

All sessions will take place from 1:00 PM–2:00 PM CT / 2:00 PM–3:00 PM ET. 8 CEs available.

Apply here: Sustainability Academy: Beyond the Grant – Planning and Data Storytelling for Funding Diversification

Starting June 2nd (Applications required and due by May 15th- limited spots available)

The Clinical Supervision Learning Community is a 7-month, expert-led program designed for clinical supervisors working in fast-paced, resource-limited community mental health settings. This unique opportunity combines interactive training, individualized coaching, and peer learning to help supervisors implement evidence-based practices (EBPs) while fostering workforce resilience and retention.

Why is this important?

Implementation science demonstrates that successful adoption and sustainability of EBPs require more than initial training—they depend on structured, ongoing support. Clinical supervision is one of the most effective implementation strategies for bridging the gap between research and practice. Supervisors act as key “implementation champions,” reinforcing fidelity, troubleshooting barriers, and promoting continuous quality improvement. Without supervision informed by these principles, EBPs often fail to translate into consistent practice, leading to diminished effectiveness and staff burnout.

This program leverages proven implementation strategies—such as coaching, data-driven feedback, and responsive adaptation—to ensure that evidence-informed practices are not only learned but consistently applied and sustained over time. A recent study demonstrated evidence that supervisors who used effective strategies in supervision had stronger relationships with supervisees, which, in turn, were associated with lower supervisee intent to leave their position. Participants will gain practical tools to align supervision with licensure standards, foster reflective practice, and build resilience within their teams.

Program Highlights:

3-hour initial training plus 3 individual and 6 group coaching sessions
Total commitment: 18 hours over seven months
Small cohort of 6–8 peers for meaningful engagement
18 CE credits available

Apply here: Clinical Supervision Learning Community

Center for Mental Health Implementation Support (CMHIS)

A group of diverse people place their hands together in a show of unity and teamwork.

CMHA has joined, as the Michigan partner, the Center for Mental Health Implementation Support (CMHIS) applies deep knowledge of how to sustainably implement effective mental health prevention, treatment, and recovery practices and programs to support organizations and systems in improving the lives of the people they serve.

CMHIS and its bi-regional Hubs can help your organization or system improve the delivery of mental health care by strategizing to overcome barriers and planning new program implementation from start to finish. CMHIS can help you map the course, navigate roadblocks, and provide support to ensure that the people who need it receive the excellent mental health care that providers always strive to deliver. CMHIS serves grantees funded by SAMHSA’s Center for Mental Health Services and organizations that oversee or directly provide mental health services. These organizations typically work with people with serious mental illness or serious emotional disturbance.

More information on CMHIS at: https://www.cmhisupport.org/

Text logo: "SAMHSA", abbreviation for the Substance Abuse and Mental Health Services Administration.

This project is supported by Grant Number SM090078 from the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA/HHS or the U.S. Government.

Logo with three horizontal lines and text reading "CCBHC Certified Community Behavioral Health Clinic Resources.

Certified Community Behavioral Health Clinic (CCBHC) Resources

CCBHC May Newsletter

The May CCBHC Newsletter is now available! Download it here or access it directly on the CCBHC webpage under Newsletter Archives.

Quick Survey to Inform Future Cost-Reporting & PPS 1 Technical Assistance

The CCBHC-T Program is collecting input from CCBHC finance staff to help shape ongoing technical assistance programming in the weeks ahead related to cost reporting and PPS‑1 rate methodology. Each CCBHC is asked to identify one representative from their finance team – preferably someone directly involved in cost reporting – to complete a brief survey outlining questions, challenges, and areas of interest.

Responses will not affect the cost reports submitted on April 27 but will directly inform future technical assistance support.

Participants may submit responses more than once as additional needs or questions emerge. 

Please continue to submit needs related to cost report and PPS 1 TA needs as they arise for your organization by completing the survey no later than
Friday, May 22, 2026: https://survey.zohopublic.com/zs/mej6TW

Completion of the CCBHC-T Clinic Vision and Practice Transformation Workshops 3-part series

Multi-disciplinary leadership/management teams from each CCBHC joined session 3 of the three-part CCBHC-T Clinic Vision and Practice Transformation series on May 6: Peer-to-Peer Learning for CCBHC Practice Transformation Planning.

This clinic-only session provided a space for leaders to discuss real-world practice transformation challenges, tradeoffs, and lessons learned. Through facilitated discussion, participants explored approaches to leading organizational change, engaging staff, and prioritizing transformation efforts.

You can view a recording of Session 3 here.  If you were not previously registered for this session, you will be prompted to do so at no cost when you click on the link.

The CCBHC Webpage is now live

The CCBHC webpage on the CMHA website serves as a resource hub for Michigan’s CCBHCs and organizations interested in becoming CCBHCs. Here you will find Technical Assistance (TA) resources, Evidence Based Practice (EBP) toolkits and links, updates relevant to Michigan CCBHCs, and information about collaboration and shared learning opportunities. You can find the CCBHC webpage under the

Resources tab of the CMHA website, or access directly here https://cmham.org/ccbhc

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