Michigan Inpatient Psychiatric Admissions Discussion

In July 2017, Michigan Department of Health and Human Services (MDHHS) launched a new initiative which is known as the Michigan Inpatient Psychiatric Admissions Discussion (MIPAD). The goal of this initiative is to investigate ongoing barriers to accessing inpatient psychiatric services in Michigan. 



As part of this initiative, MDHHS convened a workgroup that was primarily composed of providers and payers to investigate ongoing barriers to inpatient psychiatric services and produce a set of recommendations to overcome these barriers. The workgroup submitted its final recommendations to the department on October 31, 2017.

Final Report of the MIPAD Workgroup



MDHHS conducted an analysis of the statutory, regulatory and fiscal impact of implementing the recommendations. MDHHS also reviewed each recommendation and identified whether the recommendation should be implemented on a short-term, medium-term or long-term timeframe. Based upon this analysis, MDHHS will be implementing 41 of the 42 recommendations, and MDHHS prioritized 19 of these recommendations for short-term action in 2018.

MDHHS will be publishing a progress report on the implementation of the recommendations each quarter. The quarterly progress reports for the MIPAD Initiative can be found below:

May 2018 Progress Report

MDHHS will continue to seek to engage stakeholders throughout the implementation process by convening specific workgroups or delegating implementation to existing forums. MDHHS is also currently exploring opportunities to collaborate with the House CARES Task Force on improving access to inpatient psychiatric services for Michigan residents. Finally, MDHHS will seek to use grant funding from the Michigan Health Endowment Fund to jumpstart the implementation of the recommendations.



MDHHS developed a crosswalk that compares the recommendations from the MIPAD report with other statewide initiatives that focus on improving the delivery of behavioral health services and highlights potential linkages between these initiatives. These initiatives include the House C.A.R.E.S. Task Force, the Section 298 Initiative, and the Diversion Council. The crosswalk can be accessed through the link below.

Crosswalk of Behavioral Health Initiatives


For more information on this initiative, email MDHHS-MIPAD@michigan.gov.