Grantees: Michigan

Community Mental Health Association of Michigan 

Created in 1967, the Community Mental Health Association of Michigan (CMHAM) has become one of the most influential trade associations in the nation, representing Michigan’s 46 community mental health agencies, 10 Prepaid Inpatient Health Plans, and over 90 provider organizations that deliver mental health, SUD and developmental disabilities services to a total of 300,000 lives in all 83 Michigan counties. CMHAM is working in collaboration with the Michigan Primary Care Association (MPCA), the voice of Michigan’s 45 Health Centers. These Health Centers serve over 700,000 patients at over 260 sites across the State. Both organizations have rich histories of advancing integrated care and value based payment strategies, building a strong foundation and framework for this Delta Initiative. For two decades, CMHAM’s members, under a Medicaid 1915b and c waiver have served as Michigan’s Medicaid Specialty Services managed care system, with a risk-based capitated payment structure, moving from a fee-for-service system in 1998. Both organizations participate in SIM and have members who are operating as Section 2703 Health Homes. In addition, MPCA members have formed an IPA, strengthening their leverage with Medicaid managed care plans.

The 1115 behavioral health waiver currently under review by CMS is intended to promote more value-based payments. To take advantage of this opportunity, CMHAM, in collaboration with MPCA, will use the Delta Center to strengthen its ability to fuel the development of sustainable infrastructure, effective training/technical assistance and the enactment of policies that support value-based payment and care.



Robert Sheehan
Chief Executive Officer, CMHAM

Policy Context