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State Innovation Model (SIM)

The State Innovation Model (SIM) focuses on the development and testing of multi-payer health care payment and service delivery models in order to achieve better care coordination, lower costs, and improved health outcomes for Michiganders. The Michigan Department of Health and Human Services (MDHHS) is implementing this initiative based upon the Blueprint for Health Innovation, which is a strategic plan that was developed in partnership with Michigan stakeholders. MDHHS received a $70 million grant from the U.S. Department of Health and Human Services to develop and test the models that were outlined in the Blueprint for Health Innovation over the next four years. MDHHS will work with stakeholders to develop and test these models in the five pilot regions in Michigan: Genesee County; Jackson County; Livingston-Washtenaw counties; Muskegon County; and the Northern Region.


Updated SIM Summary and New Infographic:  To help foster better understanding of the SIM initiative in Michigan, the team has updated our comprehensive summary of the program and developed an infographic describing the various initiatives within each component. The summary will be updated annually to reflect major achievements, outcomes and other SIM-related developments.

Updated Operational Plan: MDHHS received approval of the SIM Year 3 Operational Plan from the Centers for Medicare and Medicaid Services on February 1, 2018. The SIM Year 2 Operational Plan concluded on January 31, 2018.  

SIM Newsletter:  The Michigan SIM team is producing a quarterly newsletter to cover the latest news and pertinent SIM information.  The newsletter is intended to inform all stakeholders, participants and interested parties of the progress, status and achievements across all SIM component initiatives.

PCMH Initiative: The SIM Patient Centered Medical Home (PCMH) Initiative launched on January 1, 2017. Information about the Initiative can be accessed through the following link.

Frequently Asked Questions: MDHHS has posted the following document to address recent questions from stakeholders on the SIM Initiative: Frequently Asked Questions about SIM

SIM Summit: MDHHS hosted a summit on August 10-11, 2016 to mark the official start of the SIM Model Test in Michigan. The presentations from the summit are posted below.

Portions of the Kick-Off Summit were also presented virtually through WebEx. Each WebEx session was recorded, and the recordings are posted below.


MDHHS is not posting any documents for public review at this time.



If you have questions or would like to receive updates on the State Innovation Model initiative, please send an email to