There are instances when an area or population may not meet the traditional criteria needed to qualify for one of the preceding designations. As a result, the government has provided two exceptional designations, which include the following: 1) the Governor’s Exceptional MUP designation; and 2) Governor’s Certified Areas for RHCs. These requests must include a written recommendation for designation from the Governor or other chief executive officer of the State and local health official. Please click on the header for more information.
A primary purpose for applying for the MUP designation is to develop a Federally Qualified Health Center (FQHC) ‘look-alike’ or apply for FQHC grant funding. When a community does not meet the criteria for a traditional MUP, authorization for the Governor's Exceptional MUP is pending decision from the current administration. Scroll down to find a list of past approved exceptional MUP designations.
Exceptional MUP Designations (Governor's Exceptional MUP)
Under the provisions of Public law 99-280, enacted in 1986, a population group which does not meet the established criteria of an IMU less than 62.0 can nevertheless be considered for designation if "unusual local conditions which are a barrier to access to or the availability of personal health services" exist and are documented, and if such a designation is recommended by the chief executive officer and local officials of the State where the requested population resides.
Communities that are interested in pursuing a Governor’s recommended Exceptional MUP designation should submit a request to the Michigan Department of Community Health. This request should be in the form of a compelling two to five page narrative that describes and documents the unusual local conditions that necessitate consideration for designation.
To request assistance with a Governor’s MUP request, please contact Joe Tran, Michigan Primary Care Association.
Past Approved Governor's Exceptional MUPs
For more information on these designations, click here.
Current Designations in Michigan
Primary Care Health Professional Shortage Area
Mental Health Professional Shortage Area
Dental Health Professional Shortage Area
Medically Underserved Area/Population
Detroit Medically Underserved Area/Population
Governor’s Certified Shortage Area for RHC
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