The Michigan Department of Health and Human Services (MDHHS) has established the Michigan Care Improvement Registry (MCIR) for immunization providers to record and access information regarding administered immunizations.
Below is information on site agreements, forms, registration, HL7, training sessions and resources, and other general information that applies to most immunizing providers. Follow the links in each section to access more detailed information on each of these topics.
*Frequently Asked Questions (FAQ) Page*
Forms for provider use including site usage agreements and petition for modification forms.
Completed forms can be sent to MDHHS-MCIRHelp@michigan.gov or 517-763-0370.
- Provider Site Usage Agreement
- Used to update Site Administrators, establish a new MCIR site, change site information, and more
- Petition for Modification – Person
- Petition for Modification – Immunization
Information on registering for a MiLogin account and requesting access to MCIR using a MCIR PIN.
Contact your Site Administrator for access to your MCIR site, or the MCIR Help Desk if you do not know your site administrators.
Site Administrators are responsible for managing their site by adding or removing site users and for site renewal.
To become the Site Administrator for your organization, complete a Provider Site Usage Agreement form.
Attend a virtual training session held weekly by the Education and Training Analyst (ETA) team.
To schedule a one-on-one training session for your organization, contact the ETA for your county.
Information and resources on the HL7 data transfer process.
Questions on the HL7 process should be directed to MDHHS-HL7@michigan.gov.
Immunization Resources and Information
General Resources
Live-Live Rule
Certain vaccines (MMR, Varicella, and Influenza Intranasal) are considered live-virus vaccines. Such vaccines must either be given on the same date or separated by at least 28 days. Otherwise, the second vaccine will not produce a proper immune response, and it will be considered an invalid dose. The 4-day grace period can be applied to any value in Table 3-2 of the ACIP General Best Practice Guidelines for Immunization (page 30). Therefore, it can be applied to the interval between two doses of the same live vaccine (e.g., MMR doses 1 & 2 or varicella doses 1 & 2). However, it does not apply to the interval between the doses of two different live vaccines (e.g., MMR & varicella), which should be separated by 28 days. For more information, please refer to ACIP’s General Best Practice Guidelines for Immunizations, Children’s Hospital of Philadelphia, and the Epidemiology and Prevention of Vaccine Preventable Diseases (Pink Book).
Contact Information
MCIR Help Desk
- For general and technical support with the MCIR system including form questions, site administrator information, registration assistance, etc.
- Email: MDHHS-MCIRHelp@michigan.gov
- Phone: 888-243-6652
- Fax: 517-763-0370
MCIR Education and Training Analyst (ETA)
- For information on virtual training sessions, scheduling one-on-one training, provider site usage agreements, general HL7 support, or more complex MCIR issues.
- See the ETA county map to determine which of the three ETA groups to contact.
- U.P., North, and West Michigan: MDHHS-MCIR-NorthWest@michigan.gov
- Central, East, and Thumb Region: MDHHS-MCIR-EastCentral@michigan.gov
- South Michigan and City of Detroit: MDHHS-MCIR-South@michigan.gov
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