text: Except in Michigan's three most populous counties (Wayne, Macomb, and Oakland), PIHPs and CMHSPs are separate organizations. While PIHPs develop and oversee regional networks of Medicaid-funded mental health providers, CMHSPs directly provide state-funded mental health services. Many CMHSPs in Michigan offer counseling and other outpatient care. However, funds are limited and services are prioritized for people who have severe mental illness. There are currently 10 PIHPs and 46 CMHSPs in Michigan.
  In addition to directly providing services, CMHSPs contract with other local providers to ensure that people in their area have access to a full range of mental health services and multiple options for care. Independent clinics and practitioners who contract with the state often accept a wider range of clients than county programs, including people with mild or moderate mental health conditions. Many of them accept private insurance plans and offer sliding scale fees to people who don't have insurance and who don't qualify for state funding.
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