Resources & Related Links

Summer 2025

Fall 2024

Spring 2024

Spring 2023

Summer 2022

Spring 2021

• Confidential Communications Member Request Form
• Request a Restriction Member Form

Clicking on any of the links below will take you away from Upper Peninsula Health Plan’s (UPHP) website.

CMS Best Available Evidence Policy – Centers for Medicare and Medicaid Services: Best Available Evidence Policy

enTouch Wireless – Lifeline provider who can help approved people with phone and internet costs.

Medicare.gov – The Official Government Site for Medicare

MDHHS – Michigan Department of Health and Human Services – MI Coordinated Health

MMAP, Inc. – Michigan Medicare/Medicaid Assistance Program

NorthCare Network – Prepaid Inpatient Health Plan for Medicaid Specialty Services and Supports

StandUp Wireless – Lifeline provider who can help approved people with phone and internet costs.

Safe Link Wireless – Lifeline provider who can help approved people with phone and internet costs.

SAIL – Superior Alliance for Independent Living

UPCAP – Upper Peninsula Commission for Area Progress

These links are provided for your convenience and informational purposes only.  UPHP bears no responsibility for the accuracy, legality, or content of any external site or for that of subsequent links.  The inclusion of links to any external sites does not imply any endorsement, investigation, verification, or monitoring by UPHP of any information in that site.

Do you need help finding resources? If yes, UPHP has a program to help you! Connected Communities for Health (CC4H) is a help desk and online directory that connects you with social service programs in your area. It can help with needs such as food, clothing, childcare, transportation, housing, utilities, employment, education, and more. Visit. www.uphp.com/cc4h to find resources in your area.

If you’d like to speak with someone instead, call (906) 225-5964 to get connected to our dedicated team of community health workers. They will help ensure your needs are met and offer any extra assistance you need.

UPHP is required to provide you with electronic access to your health information.

Learn more about the CMS Interoperability Rule

Learn more about MDHHS myHealthPortal and myHealthButton

The Upper Peninsula Health Plan (UPHP) uses an integrated approach to coordinate and promote optimal use of health care resources, make utilization decisions that affect the health care of members in a fair, impartial, and consistent manner, and assist with transition to alternative care when benefits end, should a member no longer be eligible for UPHP benefits. UPHP uses written objective criteria based on sound clinical evidence and specific utilization management (UM) procedures for properly applying the criteria. 

UM decision making is based on relevance of care and service and active coverage. UPHP does not reward practitioners or other persons conducting utilization review for issuing denials of coverage or service care. UPHP does not provide financial incentives to UM decision makers that result in decreased use of services.

Members and/or practitioners may request a copy of the benefit term, guideline, protocol, or other criteria used in UM determinations, by any of the following methods:

• Verbally via phone:
  • UPHP Customer Service (Medicaid): 1-800-835-2556 (TTY: 711)
  • UPHP Customer Service (Medicare): 1-877-349-9324 (TTY: 711)
  • UPHP UM Department Direct: (906) 225-7774
• Hard copy via mail or fax upon request
  • Fax: 906-225-9269
  • Mail: Upper Peninsula Health Plan, Attention Utilization Management, 853 West Washington Street, Marquette, MI 49855

• Download from the UPHP website for the appropriate plan below.

If the treating practitioner does not agree with the UM determination, they may ask for a phone call with the practitioner making the determination. This request may be made via phone by calling the UPHP Utilization Management Department at 906-225-7774 (toll-free 1-888-904-7526) or in writing. UPHP UM staff will arrange an agreed scheduled time upon the practitioner’s request.

UPHP is happy to promote various member incentives to reward members for engaging in care. These include completion of tobacco cessation, diabetes care, immunizations, and cancer screening. To learn if you qualify and for more information, please contact UPHP Customer Service at 1-877-349-9324, Monday through Friday from 8:00 a.m. to 9:00 p.m. ET. TTY: 711.