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The ruling was issued on January 8, 2026, in response to two lawsuits filed by organizations in Michigan that currently administer a prepaid inpatient health plan (PIHP) for specialty behavioral health services for people with mental health disorders, substance use disorder, and developmental disabilities. The plaintiffs challenged the Michigan Department of Health and Human Services procurement to restructure administration of public specialty behavioral health services. In this ruling, the judge combined the two complaints. The ruling said the provisions of the procurement conflicted with state law and that the state would need to ensure that Medicaid-funded Community Mental Health . . .

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