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Do patients get a refund if they withdraw from the program?

Yes and no. No refund will be given for patients who withdraw once their cards have been issued. A refund may be given to a patient who withdraws before cards are issued.

Can a patient withdraw from the program?

Yes. A patient must submit a written statement that he or she wishes to withdraw from the MMMP. The MMMP will request that all cards be returned and the file will be closed. The patient’s card and all cards associated will be voided. It is the responsibility of the patient to notify his or her caregiver, if applicable, that his or her card is no longer valid. It is the patient’s responsibility to collect all cards associated with his or her patient card and return them to the Department. If the Department is notified by the patient that he or she would like to withdraw from the program, the Department shall notify the primary caregiver by mail at the address of record informing the caregiver that his or her card is no longer valid and must be returned to the Department within fourteen (14) calendar days. All cards must be returned to the Department within fourteen (14) calendar days of the date that the Department was notified of withdrawal. If the patient so chooses he or she may reapply as a new patient at any time. In order to reapply a patient must submit the required documentation and application fee.

Is my confidentiality protected?

Yes. The MMMP does not give out lists of patients or caregivers. Law enforcement personnel may contact the MMMP only to verify if a patient or caregiver registration card is valid. The MMMP will tell law enforcement staff if the patient or caregiver is registered. The MMMP will disclose patient information to others only at the specific written request of the patient. MMMP computer files are secure and paper files are kept locked when not in use.

Who has access to the patient registry list?

The state will maintain a confidential list of “qualified patients” and “approved caregivers” to whom the department has issued registry identification cards. Individual names and other identifying information on the list must be confidential and is not subject to disclosure, except to: (a) authorized employees of the department as necessary to perform official duties of the department; or (b) authorized employees of state or local law enforcement agencies, only as necessary to verify that a person is a lawful possessor of a registry identification card.

Do I need to keep a copy of my application and any other information I send to the MMMP?

Yes. If your application has not yet been approved, denied or terminated you may provide law enforcement with a copy of your written documentation submitted to the department; you must also submit proof of the date of mailing or other transmission of the documentation. This documentation shall have the same legal effect as a registry identification card, until such time as you receive your card or you have received notification that your application has been approved, denied or terminated.

What happens to my application once I mail it? What if I don’t send in all the required parts of my application?

The MMMP has 15 days to review your application to make sure it is complete and all parts are current. If your application is complete, your registry identification card will be issued within 5 days after the MMMP verifies the information on your application. If you don’t send in all the required parts of your application, the application will be denied.

Can I have someone else sign and date my application (a “proxy”) if I am physically unable to do so?

Yes, as long as the individual signing your application identifies him or herself as your proxy next to his or her signature on your application or has provided documentation showing guardianship or power of attorney.

Why are only MDs (Medical Doctors) and DOs (Doctors of Osteopathic Medicine) qualified to sign the “Physician Certification”? Why not chiropractors, physician’s assistants or nurse practitioners? Does the physician have to be licensed in Michigan?

The MMMA states that a “physician” means a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) licensed under Article 15, Parts 170 and 175 of the Michigan Public Health Code. MDs and DOs are the physicians licensed under these parts. The law also specifies that a physician must be licensed in Michigan. The MMMP verifies with the Board of Medicine or Board of Osteopathic Medicine that each patient’s attending physician has a valid license to practice medicine in Michigan and has no disqualifying restrictions.

Can the MMMP refer me to a physician?

No. The MMMP does not serve as a referral source. Any Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) licensed in Michigan can recommend a patient for the program.

Why do I need to have a physician sign and date a “Physician Certification” form? Why can’t I just provide my medical records?

According to the Michigan Medical Marihuana Act (MMMA), a physician must state in writing that the patient has a qualifying debilitating medical condition and that medical marihuana may mitigate the symptoms or effects of that condition. The MMMP contacts each physician during the application process to verify the patient is under the physician’s care. A signed and dated “Physician Certification” must be current within 3 months of the date of a person’s new or renewal application.

I don’t have the money for the registration fee. Is it a one-time payment? Can it be waived? Can I make installment payments?

Full payment, by check or money order, must be made at the time of the initial application and at renewal each year. The fee cannot be waived, and the department cannot accept installment payments.

What is the fee to apply for participation in the Michigan Medical Marihuana Program (MMMP)? Are there any circumstances under which the fee can be reduced?

The fee for a new or renewal application is $100.00, unless a qualifying patient can demonstrate his or her current eligibility in the Medicaid Health Plan or receipt of current SSD or SSI benefits, in which case the application fee is $25.00.

Do any age limits apply?

Registered caregivers must be 21 or older. Patients under age 18 must have the consent of their parent or guardian responsible for medical decisions. The parent or guardian must be the registered caregiver of the minor patient.

What medical conditions are eligible?

Patients must suffer from a debilitating medical condition, defined as:
(a) cancer, glaucoma, or positive status for human immunodeficiency virus (HIV), acquired immune deficiency syndrome (AIDS), hepatitis C, amyotrophic lateral sclerosis, Crohn’s disease, agitation of Alzheimer’s disease, or nail patella.
(b) a chronic or debilitating disease or medical condition or its treatment that produces one of more of the following:
(i) cachexia or wasting syndrome;
(ii) severe and chronic pain;
(iii) severe nausea;
(iv) seizures, including but not limited to those caused by epilepsy; or
(v) severe or persistent muscle spasms, including but not limited to, those which are characteristic of multiple sclerosis; or
(c) any other medical condition or treatment for a medical condition adopted by the department by rule. (NOTE: To date, the department has not added to the list by administrative rule.)

Why is marihuana spelled with an “h”, rather than a “j”, in Initiated Law 1 of 2008 and the administrative rules?

Marihuana is one of two acceptable spellings in the dictionary and is consistent with the spelling in the Michigan Public Health Code, Act 368 of 1978, and Initiated Law 1 of 2008.

How do I register as a medical marihuana patient with the state?

“Qualifying patients” must register with the Michigan Department of Community Health, Bureau of Health Professions, P.O. Box 30083, Lansing, Michigan 48909.

To register, the patient must submit (on forms provided by the department) the following information:
(a) an application or renewal fee;
(b) the name, address, and birth date of the qualifying patient;
(c) the name, address, and telephone number of the qualifying patient’s physician;
(d) the name, address, and birth date of the qualifying patient’s caregiver, if any.
(e) written certification that the person is a qualifying patient.


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