The opioid settlement funds that the State of Michigan receives will be directed to the Michigan Opioid Healing and Recovery Fund (MCL 12.253). This restricted fund was created by the Legislature in 2022. The Legislature also created the Opioid Advisory Commission (MCL 4.1851) to make recommendations on the State’s opioid fund.
View pre-2025 planning and investment information.
View the April, 2025 Opioid Task Force update which contains the proposed MDHHS 2026 budget, as well as updates on planning and previous years' investments.
View the Actual Fiscal Year 2025 Ongoing Appropriations and Work Project Funding.
*Total of 2025 investment includes Fiscal Year 24 unspent carryforward funds. Not all programs were able to spend down the entirety of their allocated Fiscal Year 2024 funding, thus allowing some of them to continue programming into Fiscal Year 2025.
Community coalitions have proven effective in raising awareness and galvanizing community efforts around a variety of topics surrounding substance misuse, including syringe exchanges and naloxone distribution, as well as youth substance use. Funds will allow Michigan coalitions in various stages of coalition development to apply for a sponsored membership to a national coalition organization that provides training, resources, and support to substance use prevention organizations. Funds would also give selected coalitions the opportunity to attend a 3-week virtual coalition academy and receive follow up support. This opportunity would give communities the tools to develop and sustain impactful grassroots efforts to prevent and address substance use disorder and opioid misuse/disorder in their communities. Planning efforts are currently underway for this investment. Sign up for MDHHS email updates to receive press release announcements for open funding opportunities here.
The Michigan Adolescent Pregnancy and Parenting Program (MI-APPP) supports young parents by offering strength-based 1:1 case management and support services designed specifically for young parents. The program funds several local community agencies across Michigan to provide these services to both mothers and fathers individually, or together if preferred. The goal of MI-APPP is to create an integrated system of care to improve the education, health, and social outcomes of young parents and their families in high-need Michigan communities. Through this integrated system, MI-APPP aims to reduce repeat pregnancies; strengthen access to and completion of secondary education; improve maternal and child health outcomes; and strengthen familial connections and community support networks. To learn more, find resources for young families, or be connected with a local program, visit the Young Parent Support/MI-APPP website.
QRTs utilize a multi-disciplinary approach of trained professionals including first responders, case managers, and peer mentors who go to a person’s home and address any post-overdose needs and connect to supports. The primary aim is to prevent further harm or death by linking individuals/families who use substances to person-centered supportive services, such as treatment, education, peer support, housing, work force development and other needed resources.
The Health Outcomes for Positive Experiences (HOPE) Framework is designed to provide stakeholders, schools, communities, and other local partners a way to address the next steps of adverse childhood experiences (ACEs). MDHHS IVP will work with the Early Childhood Investment Corp. to identify pilot communities, utilizing the Balancing Adverse Childhood Experiences (ACE) with HOPE Framework as a guide for promotion, outreach, awareness, education, development, and implementation. Implementation strategies will include education and creating awareness by working with local Early Childhood Investment Corp Councils and other state/local partners to promote the HOPE Framework (protective factors). Some implementation strategies may include education and training webinar to state/local public health, educations, health care and other community partners, enhancing parenting education opportunities to include multigenerational approaches (strengthening bonding. attachment, adult mentoring, resiliency, and connectedness) that foster positive experiences and positive health outcomes at the individual, family and community level.
The Prevention Education Assistance and Community Engagement (PEACE) Program, based at Corewell Health Teen Health Center in Taylor, helps prevent youth substance use by building resilience, reducing risk factors, and connecting teens and families to resources. Through parenting support, support groups for high-risk teens, school-based prevention programs, and peer-led education, PEACE empowers young people and caregivers with skills, strategies, and supports to prevent opioid and other drug misuse.
Michigan Model for Health (MMH): $2.4 million will utilize funds to maintain licenses for educators that are due to expire (licenses expire every two years) and on-going maintenance including fees to support the on-line platform, which supports educators, families, and communities and across Michigan to build skills for youth and help build positive lifestyle behaviors in students. Topics addressed by MMH include alcohol, tobacco, and other drug use prevention, including skills-based instruction in opioid misuse prevention; social and emotional health; personal health and wellness; and safety.
US Dept. of Health and Human Services Adoption and Foster Care Analysis and Reporting System (AFCARS) FY 2021 data indicates that 3,837 children entered foster care during FY2021. 38% of those circumstances involved "drug abuse" of parent. Further, studies indicate that there is substantial overlap between parents involved in the child welfare and substance use treatment systems. Funding will invest in the SUD Family Support Program and peer supports for families vulnerable to child removal due to involvement with substance use, with the goal of reducing the rate of children removed from family homes, supporting family recovery and family reunification, and providing parents will parenting skills and tools to lead healthy families and stay engaged in treatment/recovery.
Hospitals, especially emergency departments, are a critical intervention point to reach and treat those with opioid use disorder (OUD), increase access to MOUD, and provide equitable care. The emergency department is often the only contact individuals with OUD have with the healthcare system, and it's 24-hour, 365-day accessibility positions it well to help close the treatment gap. The Michigan Opioid Partnership (MOP) will implement the ED MOUD Initiative with the objective to clearly identify barriers to sustainability, assist with removing those barriers, and identify what emergency departments need in order to set up and sustain ED MOUD protocols. The primary focus of the project will be on engaging successful hospitals who have embedded and sustained ED MOUD protocols, building on MOP’s existing partnership with a local racial equity organization to ensure disparities in healthcare are addressed, and facilitate work groups with key external stakeholders across Michigan to gain a holistic view of the system in its entirety, including but not limited to, funding, state policies, billing and reimbursement, outpatient landscape, culture, etc. Emphasis will be on hosting peer-to-peer learning engagements and engaging with clinical champions across the state to equip others with the knowledge and skillset to begin an ED MOUD program in their hospital. More information on this project is available here.
Michigan is seeing a rise in methamphetamine use, polysubstance use, and the presence of fentanyl in the illicit methamphetamine supply. To address the substance use crisis in Michigan, MDHHS is launching the Recovery Incentives Pilot to provide contingency management to eligible Medicaid beneficiaries with a stimulant use disorder (StimUD) and/or OUD. Contingency management is an evidence-based practice that provides motivational incentives to individuals living with substance use disorder (SUD) for meeting treatment goals. The pilot period will last for two years, and its goals are to: 1) Improve access to effective community-based SUD treatment and recovery services. 2) Address the SUD crisis in Michigan through a new evidence-based treatment. 3) Improve the health and well-being of Medicaid beneficiaries living with StimUD and OUD. 25% of the project budget will be funded through Settlement dollars. Funds will cover the cost of the service and startup costs for qualifying providers, the recovery incentives, training and TA for providers, and a web-based incentive vendor that will develop the system to log and deliver incentives to beneficiaries. Visit the Recovery Incentives Webpage to learn more. Sign up for MDHHS email updates to receive press release announcements for open funding opportunities here.
Provider organizations cite staffing as one of the largest barriers to providing SUD treatment services. However, federal funders have historically prohibited the use of funds for workforce development programs. This funding will continue to support the second year of the award period for awards made under the Michigan Opioid Treatment Access Loan Repayment Program (MIOTA LRP 2.0) that provides loan payment support to incentivize their commitment to providing SUD services for a period of two years. Awardees include those that provide MOUD or SUD counseling services, including physicians or psychiatrists (MDs or DOs), psychologists, nurse practitioners, physician assistants, and SUD counselors.
PIHPs and SUD provider organizations face physical infrastructure challenges to adequately serve clients, limiting access to services in Michigan. Grant funding to make infrastructure improvements is not possible through other sources of grant funding. Carry over funding will allow for grantees awarded under the FY 2023 Infrastructure RFP to complete their approved projects. The goals of the projects are to expand, increase, or enhance the physical treatment and recovery services infrastructure to ultimately increase or expand the availability of treatment for OUD and any co-occurring SUD/Mental Health conditions, including all forms of MOUD, to better meet the demand for services.
Feedback from beneficiaries and providers indicates that the lack of reliable transportation is the most significant barrier to treatment access and retention. Settlement funds will provide one-time grant funding to grantees to expand or increase the availability of transportation services for individuals seeking or receiving SUD treatment or recovery services. Through transportation service expansion, grants are intended to encourage treatment and recovery service access and retention by serving target communities and underserved populations in need of services and support. Due to the success of this project, the funding opportunity was extended to additional organizations early in the year. The total above includes both iterations of the grant.
A contracted TA and Training project administrator will recruit county jails to participate in individualized technical assistance and training to implement or expand access to MOUD. While training and technical assistance needs may vary by participating jails, technical assistance will include: 1) Implementing or expanding a MOUD continuum-of-care model from jail to release to the community. 2) Identifying incarcerated individuals with OUD. 3) Providing evidence-based treatment within the jail. 4) Establishing reentry to ensure continuity in medication and supportive services after release from incarceration. 5) Participating county jails will receive a stipend that must be used to cover the costs associated with MOUD programs, such as medications that can cost up to $1,800 per dose.
Research has shown that individuals who are incarcerated are at significant risk of experiencing both non-fatal and fatal overdose post-incarceration. Increased risk for overdose in the incarcerated population is partially attributed to the sporadic use or total abstinence of opioids while incarcerated, resulting in a lower tolerance to opioids, putting the individual at significant risk of overdose if they attempt to consume the same amount of substances that they were using pre-incarceration. Michigan has been working to expand MOUD treatment in jails and prisons and improve connections to the community after release. Increasingly litigation and federal rulings have required the provision of OUD services. This would offset the cost of these medications (which can be as high as $1800 per dose) to support MDOC prisons in providing MOUD.
Funds will be directed to provide additional innovative treatment-related supports that will likely be made possible to providers through a competitive RFP. Planning efforts are currently underway for this investment. Sign up for MDHHS email updates to receive press release announcements for open funding opportunities here.
Peer recovery coach services are provided by a person in a journey of recovery from substance use, co-occurring disorders, and/or non-substance addictive disorders, and who identifies with a beneficiary based on a shared background and lived experience. A peer recovery coach, serving in a role as a community health worker (CHW), operates as a personal guide and mentor for beneficiaries seeking, or already in, recovery from substance use disorders (SUD). Peer recovery coaches support a beneficiary’s journey toward recovery and wellness by creating and sustaining networks of formal and informal services and supports while role modeling the many pathways to recovery as each individual determines their own way. The peer recovery coach helps to remove barriers and obstacles, assists with practices of harm reduction, and links beneficiaries to resources in the recovery community. Services provided by peer recovery coaches support beneficiaries to become and stay engaged in the recovery process and reduce the likelihood of relapse. Activities are targeted to beneficiaries at all points along their path of recovery.
Given the high need for community-based recovery supports, additional funds will be directed to support additional innovative community-based recovery support services. This funding will ensure that essential recovery programs operate without interruption due to other funding constraints. Sign up for MDHHS email updates to receive press release announcements for open funding opportunities here.
Housing insecurity serves as a risk factor for OUD and overdose death. The risk of death from an opioid overdose is 30 times higher for those that have experienced homelessness. Individuals recovering from an SUD consider housing one of their primary needs following treatment. MDHHS is working with the Michigan State Housing Development Authority (MSHDA) to plan a competitive opportunity to fund recovery residences, with a focus on fostering new recovery housing sites in areas of the state where recovery beds are most needed. Current funding streams restrict the use of funds to subsidizing or expanding recovery housing within existing housing stock. These funds would promote the establishment of new recovery housing sites through loans, similar to other MSHDA initiatives to expand recovery housing. Planning efforts are currently underway for this investment. Sign up for MDHHS email updates to receive press release announcements for open funding opportunities here.
Michigan is an innovator within the nation in launching this online portal for bulk order naloxone for community organizations to order at no-cost. Widespread dissemination of naloxone is essential to reversing the tide of overdose, especially given the prevalence of strong opioids like fentanyl in the illicit drug supply. The availability of intranasal naloxone through Narcan Direct has enabled the distribution of over 730K naloxone kits into Michigan communities, resulting in an estimated 6,637 overdose reversals (as of September 2023) since the Portal’s launch in 2020. Access the portal here.
SSPs have been a critical part of Michigan's response to the overdose epidemic. Michigan SSPs have demonstrated success in engaging people who actively use illicit substances contaminated with fentanyl and other dangerous substances. SSPs are ideal for distributing Narcan and fentanyl test strips directly to this otherwise hard-to-reach population. The state's expansion of these programs has made it possible for 36 SSPs to operate 97 sites within Michigan. SSPS have made a demonstrated impact in addressing the state’s opioids crisis, however there is no sustained funding for these programs. Settlement funding allocated to SSP expansion around Michigan will cover the costs of services and supplies for these community-based organizations and local health departments. Find a local Syringe Service Program.
SUP is a web-based, data collection tool housed within the Michigan Disease Surveillance System (MDSS) that collects client-level utilization and encounter data from syringe service program (SSP) partners in real-time. SUP is designed to be adapted to the unique needs of various service models and populations throughout the state. Aggregate data collected from the SUP can be used to inform state and regional harm reduction efforts. The purpose of the SUP is to offer syringe service programs in Michigan a simple and efficient encounter-based data collection tool. The SUP reduces the administrative burden of programs and encourages more direct contact between staff and participants. The SUP allows programs to track client needs and behavior trends in order to provide person-centered care. It performs these functions using de-identified information to maintain the privacy and anonymity of SSP participants/clients. SUP has features that allow for monitoring inventory and exporting data. Data can be helpful to the operation of a syringe service program and serves to inform harm reduction and other public health efforts. However, distributing sterile syringes remains an SSP’s most important function.
It is critical to maximize the amount of this funding going to services. However, sufficient staffing is required to successfully implement programs to ensure appropriate program oversight to successfully implement funded efforts, as well as issuing and overseeing grant and contract opportunities, and providing communications regarding settlement investments. The federal Substance Abuse and Mental Health Services Administration (SAMHSA) has a five percent cap on admin for grants and this provides the right balance of funding for services, while providing sufficient staffing. Likewise, this funding would adhere to the 5% cap standard set by SAMHSA.
Local governments/subdivisions will receive a portion of the 50% local share of the $776 million coming to Michigan over the next 18 years as a result of the nationwide Opioids Settlement with the three largest opioid distributors and manufacturer, Janssen. The State of Michigan and local governments in receipt of Settlement funds must follow Settlement documentation Exhibit E: List of Opioid Remediation Uses as they allocate funds towards programming. Local governments may need technical assistance consultation to assist in planning and implementation of approved opioid remediation programming in their community. The Technical Assistance Collaborative, which is comprised of MDHHS, Michigan State University, the University of Michigan, and Wayne State University, will provide information and assistance on evidence-based practices suited to address the opioid crisis to ensure impact of funding. Individualized technical assistance to requesting counties, informational webinars, and resource sharing will be included in the Technical Assistance plan.
SIGMA Vendor Self-Service (SIGMA VSS), is the vendor portal where you can register, maintain your account, and perform financial inquires. For more information, including how to register, visit the SIGMA Website.
EGrAMS is an Electronic Grants Administration & Management System to aid users in the grants process. To gain access to funding applications, and to complete application entry and submission, a step-by-step instruction manual is available for your use. Visit the EGrAMS website at http://egrams-mi.com/mdhhs, and click the link “About EGrAMS” on the left-side panel to access the manual.
