Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies.
Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance.
If you cannot afford child care, payment assistance is available.
Children's Special Health Care Services information and FAQ's.
Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements.
Information on the Food Assistance Program, eligibility requirements, and other food resources.
Information about the health care programs available through Medicaid and how to qualify.
Our migrant program works with a number of organizations to provide services for Michigan’s migrant and seasonal farmworkers.
A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival.
Universal caseload, or task-based processing, is a different way of handling public assistance cases.
Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children.
Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records.
Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services.
Information on child support services for participants and partners.
Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others.
Information on the Children's Foster Care program and becoming a Foster Parent.
Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure.
Information on treatment and services for juvenile offenders, success stories, and more.
Child Welfare Medical and Behavioral Health Resources
MDHHS and partners support a continuum of prevention services. The continuum is inclusive of primary, secondary, and tertiary prevention activities. Visit this page to learn more.
Information about injury and violence prevention programs in Michigan
Information on Safe Sleep for your baby, how to protect your baby's life.
The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards.
Resources and information to assist in assuring firearm safety for families in the state of Michigan.
The Division of Victim Services (DVS) provides a voice advocating for and responding to all victims of crime in Michigan. Learn more about DVS-funded programs and services, including Michigan’s 24/7, free, confidential, and anonymous domestic violence and sexual assault hotlines.
Medical Resources for Child Protection
Serves as liaison and provides funding to Michigan’s 45 local health departments.
Adult Behavioral Health & Developmental Disability Services
Multicultural Health
Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others.
Information on communicable & chronic diseases.
Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities.
Birth, Death, Marriage and Divorce Records
Boards and Commissions
Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST.
Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account.
Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals.
Information & resources for Community and Faith-Based partners
Information on DHS Applications and Forms grouped by category.
Health Care Providers
Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps.
Michigan Statewide Systems of Care
Information on the grant awarded for the State Innovation Model Proposal
Protect MiFamily -Title IV-E Waiver
Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan
Information is collected to monitor the general health and well-being of Michigan citizens.
Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices.
Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information.
A variety of reports & statistics for programs and services.
Search is currently unavailable. Please try again later.
The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
| 1) | Developing and implementing a model for surveillance of inherited cancers and use of relevant genetic tests |
| 2) | Identifying model provider education programs to increase use of appropriate screening, counseling and evidence-based genetic tests |
| 3) | Identifying a model health insurance policy for BRCA1 & 2 cancer genetic testing |
For an overview of the project, please view our presentation on the Cancer Control P.L.A.N.E.T. Research to Reality Cyber-Seminar series!
Methods:
The core MDCH team includes a project director, coordinator, cancer genomics educator and two epidemiologists. In addition, we have identified the partners needed to 1) develop a surveillance system to monitor the use of genetic counseling and testing for BRCA1/2, and the use of genetic tests for colorectal cancer (Lynch Syndrome); 2) implement educational activities; and 3) identify the need for health plan policy changes in relation to the US Preventive Services Task Force Guidelines for the use of BRCA testing. Multiple different activities will address each of these objectives.
This project's target population encompasses the entire state of Michigan and includes patients with or at increased risk for specific cancers, providers, health systems, and health insurance plans. Evaluation is based on methods recommended by the Guide to Community Preventive Services, and is designed to demonstrate an increase from baseline measures.
Expected Outcomes:
The project's outcomes as related to surveillance, education and policy are:
Surveillance
| a) | Increased understanding of statewide mortality associated with hereditary breast/ovarian, colorectal and other HNPCC-related cancers |
| b) | A description of provider practices regarding the use of family history assessment, genetic counseling, and genetic testing in patients with cancer |
| c) | An assessment of barriers and facilitators to cancer survivor knowledge, attitudes and use of family history, genetic counseling and testing |
| d) | Development of new methods for collecting data on the clinical use of BRCA1 & 2 genetic testing. |
Education
| a) | Increased use of USPSTF clinical practice guidelines for BRCA1 & 2 testing. |
| b) | Increased provider awareness about the validity, utility, harms, and benefits of HNPCC mismatch repair testing and gene expression profiling tests for breast cancer. |
Policy
| a) | An increased understanding of the current status of health insurance policies for BRCA1 & 2 genetic testing with respect to USPSTF guidelines |
| b) | An increased number (from baseline) of health insurance plans that have policies consistent with USPSTF clinical practice guidelines for BRCA 1 & 2 testing. |
Results:
This genomics translation project is now in its third year of activity, with data analysis currently underway. Accomplishments to date include:
|
|
Established partnerships with the state cancer registry, vital records, Michigan Cancer Consortium, Michigan Cancer Genetics Alliance, all cancer genetics clinics with board certified genetics professional(s), a health plan champion, and Michigan Association of Health Plans. |
|
|
Developed survey instruments and databases for collection of hospital medical record and genetics clinic data. |
|
|
Analyzed historical cancer registry data |
|
|
Collected baseline information on health plan policies for BRCA 1/2 counseling and testing |
|
|
Developed and implemented a patient survey instrument to assess the barriers and facilitators to accessing clinical cancer genetic services and genetic testing by breast cancer survivors |
|
|
Developed a patient survey instrument to assess follow-up measures, cancer diagnoses and treatment, insurance coverage for related services, and family notification of test results of patients BRCA positive patients with true negative patients |
|
|
Created and disseminated the Cancer Family History Guide handheld clinical decision tool designed to identify patients at risk for Hereditary Breast and Ovarian Cancer syndrome (HBOC) or Lynch syndrome |
|
|
Created and piloted a unique provider education presentation aimed at increasing provider knowledge of inherited cancer risk, increasing provider confidence in collecting and evaluating family history and making medical recommendations |
|
|
Disseminated the Cancer Genetics Profile (2010) with facility-specific data reports to 107 hospitals and health systems within Michigan |
|
|
Completed over 1600 hospital chart reviews to collect data on provider practices regarding the use of family history, genetic counseling, and testing |
|
|
Established a statewide network of 12 clinical sites for collecting and sharing data on cancer genetic referrals and the use of genetic testing for BRCA 1/2 |
|
|
Recognized and honored 7 Michigan health plans at key events for having written policies aligned with the USPSFT guidelines on "Genetic Risk Assessment and BRCA Mutation Testing for Breast and Ovarian Cancer Susceptibility" |
|
|
Held an educational session in December 2010 for Michigan Association of Health Plan members to highlight the USPSTF guidelines and other relevant information |
Additional progress will be shared on this website in the future. For further information, please call 1-866-852-1247 or email Genetics@michigan.gov.
Michigan's Cancer Genomics project is supported by Cooperative Agreement #5U38GD000054 from the Centers for Disease Control and Prevention (CDC). The contents of this webpage are the sole responsibility of the authors and do not necessarily represent the official views of CDC.
Last updated: 6/23/2022