The first step to a healthy pregnancy is letting Upper Peninsula Health Plan (UPHP) know you are pregnant. Please complete this form and submit it to UPHP. If you have questions about completing this form, please call 800-835-2556.
*This form is being completed by: ProviderMemberMember Representative
In accordance with a contractual agreement with the Michigan Department of Health & Human Services, UPHP, Marquette, MI, has the obligation to review medical records related to the administration of the Michigan Medicaid Program for UPHP enrollees. The confidentiality of this medical information will be maintained by the UPHP in accordance with the Michigan Medical Services Administration Provider Manual requirements and federal and state regulations.