The UP MOM Program

The Upper Peninsula Maternal Opioid Misuse (UP MOM) program supports the needs of the whole person allowing women to focus on a healthy pregnancy and well-being after birth for both mom and infant.

The UP MOM Program utilizes a Community Health Worker (CHW) Model to provide support for women who are pregnant and up to 12 months postpartum and who have had a history of, or are currently experiencing, opioid use disorder (OUD). Each woman is screened for Social Determinants of Health (SDOH) by their CHW to identify needs, refer to assistance, and follow the enrollee to remove barriers to health.

Research evaluating the impact of CHW’s during pregnancy has demonstrated potential benefits such as; reduced Emergency Room utilization, reduced NICU stay, increased breastfeeding initiation, and improved access to preventative and social services targeting maternal and infant health outcomes.

  • Women who are pregnant and up to 12 months post partum
  • and who have experienced any level of Opioid Use Disorder or treatment.  

A community health worker is a frontline public health worker who has a unique understanding of the pregnant and postpartum individual experiencing opioid use disorder (OUD). This trusting relationship enables the worker to serve as a liaison between health and social services and the individual to improve the health outcomes of mom and infant. Any health care professional may request the assistance of a CHW to coordinate:

  • Ongoing medical or social service appointments
  • Completing forms for transportation, housing, clothing, and food assistance
  • Family education and supportive parenting groups
  • Referral coordination upon discharge

Please begin by completing the Universal Family Referral Form. This form is the first step in connecting your patient or client to a Home Visiting Coordinator. Be sure to indicate that the individual is experiencing Opioid Misuse. Once the form is complete, it can be emailed or faxed to the coordinator in your area. Click below to refer a patient or client to UP MOM and/or any Upper Peninsula Home Visiting Program. For questions, please contact UPHCS Project Director.

The Universal Family Services Referral Form can be completed one of two ways: 

1. Online by clicking the button below


2. Print and fax the signed and completed form to:

For Marquette County
Marquette County Health Department
Attn: MIHP Coordinator
Fax: 906-293-5453

UP MOM Model Consortium

The Upper Peninsula Maternal Opioid Misuse Model (UP MOM) is comprised of a consortium of stakeholder organizations in Michigan’s Upper Peninsula (UP) to implement the Community Health Worker (CHW) Model for Care Coordination. The model continues to be implemented at key locations throughout the region for the vulnerable population of pregnant and post partum women who have experienced Opioid Use Disorder (OUD). By providing oversight, training opportunities, and access to a collaborative network of service provider organizations, the goals of the UP MOM Model Program are to remove barriers to receiving treatment, and thereby, improving patient engagement in treatment and ultimately, health outcomes for mothers and infants.

The intent of the program is to provide a dedicated coordinator for pregnant Medicaid beneficiaries who are struggling with OUD. Through the utilization of a CHW, beneficiaries will be enrolled in existing support programs identified through the UP MOM program CHW and other assistance programs. The CHW will also assist in identifying parenting education, housing, and transportation needs of the enrollee after pregnancy through the first 12 months after birth.

UP MOM Workgroup – Marquette County