Maternal Infant Health Program (MIHP)
The Maternal Infant Health Program is for any expecting or new parent with a baby under the age of 1 year with Medicaid health insurance. We serve families who live in Washtenaw or Western Wayne County. Our goal is to help support a healthy pregnancy, connect you with resources for things you might need, and provide support and education during your baby's first year as they grow and try new things. Please fill out this form and a member of the MIHP team will contact you with more details!
Your Name
First Name
Last Name
Your Birth Date (Parent must be younger than 26 years old to be served at the Corner. Parents who are older than this will be referred to another program)
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Month
-
Day
Year
Date
What best describes your situation
I am currently pregnant
I have a baby under the age of 12 months
Both: I am pregnant and have a baby under the age of 12 months
Due Date or Baby's Birthdate
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Month
-
Day
Year
Date
What kind of health insurance do you have?
Medicaid - Including any Medicaid health plan (Molina, Meridian, United, Blue Cross Complete, etc)
Private insurance
Both: Private insurance and Medicaid
I don't know
No health insurance
Anything specific you want us to know before we contact you for more information?
Contact Information
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: