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.
OBRA Programs were originally established in response to the provisions of the federal Omnibus Budget Reconciliation Act (OBRA) of 1987, which amended the Medicaid program requirements for all nursing facilities. Its primary function has been to assure the implementation of those provisions of Preadmission Screening and Annual Review (PASRR) which address the relationship of nursing facilities to persons who are seriously mentally ill and/or have an intellectual/developmental disability (ID/DD).
The PASRR, required by OBRA, is the major function of this office. Under the PASRR program, all persons seeking admission to a nursing facility who are seriously mentally ill and/or have an intellectual/developmental disability are required to be evaluated to determine whether the nursing facility is the most appropriate place for them to receive services and whether they require specialized behavioral/mental health services. In addition, persons residing in a nursing facility who are seriously mentally ill and/or have an intellectual / developmental disability are required to undergo a similar review annually or when there is a significant change in condition to determine whether they continue to require the services of a nursing facility or whether they require specialized mental health services.
This review process begins with the completion of a screening form (Level I DCH-3877) usually by a nursing facility, hospital, or community agency/provider. If the responses to the questions on the form indicate the presence of a mental illness and/or an intellectual/developmental disability (or a related condition), the person is referred to the local community mental health services program (your local OBRA Coordinator) to assess if a comprehensive evaluation (Level II) is needed. This evaluation and the evaluator's recommendation are reviewed by the State OBRA office and a final determination is made as to whether the person is appropriate for nursing facility admission/stay and whether specialized services mental health care is required. The individual evaluated or their legal representative may appeal the determination if they disagree.
In addition to the PASRR determination process, the office handles contracts and billings with community mental health services programs for the PASRR evaluation process. The Office also provides technical assistance to local community health services programs in providing behavioral health services to persons residing in nursing facilities.
Contact:
For questions or information regarding OBRA programs, call 517-241-5881 or via email:
MDHHS-OBRA-Helpdesk@michigan.gov
The OBRA Helpdesk is available between 8:00am and 4:00pm Eastern time Monday through Friday. Messages will be responded to as quickly as possible or within 24 hours.
Electronic 3877/78 Application Training and Information:
Important Dates:
Important Documents
Coordinator List (Updated 04/13/23)
Facility Administrator Authorization Document - Example 2022
OBRA FAQ (Updated 9/9/21)
OBRA Electronic Application Downtime Procedure for Non-Business Hours (Updated 1/28/2022)
Available Training Links
MILogin/OBRA Registration Training
Facility Administrator User Role
PowerPoint Training Modules
If you are a community agency in the State of Michigan and are looking to establish an account for facilitating the new electronic Level I (DCH-3877/78) application, please contact our office. Please provide the following information: Name, Facility Name, Address and a list of other facilities in your group if applicable.