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Michigan In Lieu of Services

As a part of MDHHS’ continuous commitment to deliver Michigan residents equitable, coordinated, and person-centered care, MDHHS will encourage Michigan’s Medicaid Health Plans (MHPs) participating in the Comprehensive Health Care Program (CHCP) to offer in lieu of services (ILOS) that address Medicaid members’ health-related nutrition needs. ILOS are services the state deems to be medically appropriate and cost effective when provided as substitutes for other Medicaid covered services. MDHHS will designate a set of federally approved ILOS that MHPs may offer starting October 2024.

This initiative will build on and complement the existing food and nutrition strategies in Michigan. MDHHS’ goal for ILOS is to improve health and reduce the future need for medical services by reducing food insecurity and ensuring enrollees have access to nutritious foods.

shopping for healthy food


Request for Information (RFI) Open March 13 – April 5, 2024: MDHHS is seeking public input on a proposed set of nutrition-focused ILOS in Medicaid. Please review to the RFI for more information and submit your comments via email by April 5, 2024, at 5:00 p.m. ET.

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Key Documents