Michigan Maternal Levels of Care (MLC)

MDHHS Funding Announcement


The Michigan Department of Health & Human Services (MDHHS) appropriated $9M in the Fiscal Year 2024 budget, and another $9M in the Fiscal Year 2025 budget to support hospitals in obtaining MLC verification. Please review the information below to learn more about The Joint Commission's MLC Verification Program.

Resources

Michigan Health & Hospital Association's PowerPoint Slides - MLC Presentation

April 17, 2024

FINAL_MHA MLC Grant_Webinar_April 2024.pdf

MI AIM Webinar PowerPoint Slides - MLC Overview 

April 23, 2024

20240423_FINAL_MI AIM Webinar_April 2024_MLC Funding Overview.pdf

An official guide from the MHA Keystone Center will be avilable in the near future. Please reach out to keystone@mha.org with questions.

Frequently Asked Questions

What are the benefits of participating in The Joint Commission’s MLC Verification Program?

This program provides birthing hospital leaders with an independent, external evaluation of their organization’s maternal health expertise, equipment and resources. The assessment determines the facility’s ability to care for many obstetric events, ranging from low- to moderate-risk pregnancies, as well as complex maternal medical conditions, obstetric complications and fetal conditions.

Is my birthing hospital eligible to participate in The Joint Commission's MLC Verification Program?

Yes, all birthing hospitals in the state of Michigan are eligible, regardless of Joint Commission certification status. 

What is the MHA Keystone Center’s role in this program?

The MHA Keystone Center will support birthing hospitals by providing reimbursement for completing The Joint Commission’s MLC Verification Program. This includes covering the annual fee for three years, plus the one-time, on-site visit fee during the three-year verification period. Additionally, the MHA Keystone Center will provide logistical and technical assistance to hospitals who wish to apply for a share of the $9 million in state funding that supports staff time for MI AIM participation and MLC implementation.

When should birthing hospitals apply for the program?


How long are funds available to birthing hospitals?

Funds are available in state fiscal year 2024 (ending Sept. 30, 2024) for hospitals that participate with MI AIM and have applied for MLC through The Joint Commission by Aug. 1, 2024. The MHA is working with MDHHS and the Legislature to continue the funding in subsequent fiscal years.

Is there a deadline to receive reimbursement for TJC MLC Verification Program?

Yes, Michigan birthing hospitals must participate with MI AIM and apply for MLC verification through The Joint Commission by Aug. 1, 2024 to be eligible for funding. By applying before this deadline, the birthing hospital will be eligible for reimbursement through the MHA Keystone Center to cover costs over the three-year verification period.

How do birthing hospitals receive the maternal quality payments?

Payments will be issued to all qualifying birthing hospitals in September 2024 directly from Michigan Medicaid. Hospitals qualify if fully participating in MI AIM and  have applied to participate in The Joint Commission's MLC Verification Program.  

How much will my hospital receive from the program?

Hospitals will receive a quality payment calculated based on the number of Medicaid covered deliveries, severe maternal morbidity rate and inclusive of $50,000 in base funding.  

Note that The Joint Commission fees for participating in the MLC Verification Program are being covered by MDHHS via the MHA Keystone Center.

Can my birthing hospital still participate with MI AIM even though the 2024 Commitment Form is past due?

Yes, every birthing hospital in Michigan is eligible to participate in the MI AIM Collaborative. Generally, the program year begins in January and runs for an entire calendar year. However, a birthing hospital is eligible to join the collaborative at any time.

For more details, please visit the 2024 Designation Criteria page.

The Joint Commission Resources

MLC Verification Roadmap

Michigan MLC Summary.pdf

The Joint Commission Standards

Michigan MLC Standards_Current_10.16.23.pdf

Sample Connect Portal Application

TJC MLC Verification Program Sample Application.pdf

On-site Verification Process Guide

TJC MLC On-site Verification Proces Guide_2024.pdf

Webinar Information

January 23, 2024 - The Joint Commission's Team will be presenting on their Maternal Levels of Care Verification Program. 


Objectives: Overview of the Maternal Levels of Care standards, what to expect during the review, the qualifications of our reviewers, what is expected if a standard is found to be non-compliant during the review, how to apply for MLC Verification, and whom to contact for more information.


Presenters:

MI AIM Webinar PowerPoint 

MLC Michigan Presentation_DSSM_ACO_BD.pptx

January 23rd MI AIM Webinar

Jan MLoC Joint Commission.mp4