April 2026: As part of ongoing updates to meet Web Content Accessibility Guidelines (WCAG) standards, we are enhancing our website to improve accessibility for users who rely on Assistive Technologies. You may notice updates across the website, including clearer color contrast for better readability, enhanced keyboard navigation for users who do not use a mouse, improved screen reader support through better labels and field descriptions, additional tooltips explaining the purpose of buttons and links, and improvements to responsive page design for phone and tablet use. These enhancements reflect our commitment to ensuring the website remains accessible, inclusive, and usable for all.
If you require information in a more accessible format, please contact the Maternal Infant Health Program using the information provided below:
Additional Resources can be found on the Notice Under The Americans With Disabilities Act webpage.
Archive Statement
The content in the archive below is defined as archive material pursuant to ADA Title II § 35.104 and ADA Title II § 35.201. If you need assistance accessing information in the archived content or if you require this information in a more accessible format, please contact the Maternal Infant Health Program using the information provided below:
Additional Resources can be found on the Notice Under The Americans With Disabilities Act webpage.
MDHHS MIHP is committed to supporting providers throughout the QA process. In doing so, below are some key questions and answers to understand the quality assessment.
1. When will I be scheduled for my Quality Assessment?
Each month from June 2022 through May 2023, a number of MIHP agencies will be notified if their Quality Assessment is scheduled that month. MIHP Coordinators will receive this information via email, which will include a detailed letter outlining next steps. The steps of the Quality Assessment are detailed in the Overview document.
2. Who is expected to complete the survey?
All home visitors within the agency will receive a link to the survey and should complete this survey (within 5 business days of receipt).
3. What if I don't know the answers to the survey questions?
This is okay! This process is not intended to "test" or "judge" providers or their staff. If there is a question you don't know the answer to or a process that you do not have in place at your agency, indicate this and continue through the survey to completion.
4. After the debrief with an MDHHS MIHP Consultant, do I need to return the Reflection Plan?
Yes, please return the document within 60 days. This document allows you to reflect on the Quality Assessment Survey and decide whether to conduct a quality improvement (QI) project. If a QI project is planned, your agency can receive additional MDHHS MIHP to support your efforts.
5. What is the "rating scale" used on the Quality Assessment Survey?
The ratings are adapted from the MHVQAS tool. Therefore, these categories offer insight into alignment with measures set forth to assess the larger continuum of home visiting models. This QA process and the respective language is to support best practices across models and offer opportunities for quality improvement. It is not intended to assess whether an agency is aligned with current MDHHS MIHP practices. By offering this quality assessment, MDHHS MIHP is harnessing the opportunity to support agencies in a manner separate from the certification process to highlight the breadth of work conducted by home visiting providers. There are three rating categories used:
Current Practice: Agency information aligns with the measures set forth by the MHVQAS document as listed in the tool.
Inconsistencies: Agency information meets at least one criterion, but not all measures were present or clear and concise as set forth in the MHVQAS document as listed in the tool.
Not Currently Aligned: Agency information does not show evidence or is missing clear, concise alignment with the measure set forth by the MHVQAS document as listed in the tool.
"Inconsistencies” and “Not Currently Aligned” measures present opportunities for improvement.
6. Who do I email with questions or with the requested documentation for QA?
All communication for the QA can be directed to: MDHHS-MIHP-CERT-REVIEW@Michigan.gov. As a reminder, please send requested information via fax or secure/encrypted email.
