In Michigan, the Department of Human Services (MDHS) handles Medicaid eligibility issues. However, the Michigan Department of Community Health (MDCH) issues the Medicaid cards and handles all card problems.

A client who becomes entitled to SSI is mailed a plastic MiHealth card within a few days of their Medicaid eligibility being determined through the SDX process. This card will be used by the client for all current and future active Medicaid periods. A new card is not issued every time Medicaid eligibility is established for the client (i.e., if the client has a MiHealth card, a new one will not be issued).

If the SSI client has not received the MiHealth card or if the card has been lost, stolen or damaged, a replacement card can be requested. The replacement card cannot be issued in the local MDHS office or at MDCH. The client must call the Beneficiary Helpline at 1-800-642-3195 to request a replacement card. If the client finds the original MiHealth card after the replacement is received, the original should be destroyed.