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Important Documents & Forms

Member Handbook

  • UPHP Member Handbook: A Guide to Your UPHP Benefits
  • Medicaid Certificate of Coverage
  • Healthy Michigan Plan Certificate of Coverage

Forms

  • Release of Protected Health Information
  • Online Notification of Pregnancy Form
  • UPHP Management Committee Application
  • Health Risk Assessment Form (for Healthy Michigan Plan members)
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Member Newsletters

UPHP Medicaid members are mailed hard copy newsletters every June and December. Review past editions below for information on health, wellness, UPHP benefits, and more!

  • Winter 2020
  • June 2020
  • December 2019
  • June 2019
  • December 2018
  • June 2018
  • December 2017
  • June 2017

Page Last Updated: 12/29/2020

Medicaid

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  • Core Benefits
  • Healthy Michigan Plan
  • Health Management
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  • Important Documents & Forms
  • To Report Problems and Appeal Decisions
  • Transportation
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Services

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