MDHHS Adds Fourth Priority Testing Tier for Critical Infrastructure Employees

As the COVID-19 situation in the State of Michigan evolves, the Michigan Department of Health and Human Servies (MDHHS) continues to adapt resource and capacity planning to support the varied needs of partners in healthcare and public health. Given the continued expansion of COVID-19 testing capacity in Michigan, MDHHS is expanding the COVID-19 testing prioritization criteria to broaden the populations eligible for testing.

  • MDHHS is expanding COVID-19 testing prioritization criteria to include all health care workers and first responders (even if they do not have symptoms) as part of the Priority Three group for testing.
  • MDHHS has added a Priority Four group that includes critical infrastructure workers (i.e., any worker still leaving the home for in-person work), whether they have symptoms or not.
  • Health care providers should still prioritize test capacity for higher-risk patients, but if additional specimen collection and testing capacity is still available after serving these patients, providers should also test exposed critical infrastructure workers.

The addition of a fourth priority tier for critical infrastructure workers without symptoms is based on the availability of tests after the first three tiers have been met. 

The current MDHHS COVID-19 testing prioritization criteria are as follows:

Priority One
• Hospitalized Patients
• Healthcare facility workers with symptoms

Note: MDHHS interprets this to include all workers within a healthcare facility, not just providers of direct healthcare services.

Priority Two
• Patients in long-term care facilities with symptoms
 Note: MDHHS interprets this to include any resident with symptoms in congregate living arrangements, not only long-term care facilities.
• Patients over age 65 years with symptoms
• Patients with underlying conditions with symptoms
• First responders with symptoms

Priority Three
• Critical infrastructure workers with symptoms
• Individuals who do not meet any of the above categories with symptoms
• (Newly added) Asymptomatic health care workers and first responders
• Individuals with mild symptoms in communities experiencing high COVID-19 hospitalizations
Note: MDHHS interprets the full state of Michigan to be a community with high
COVID-19 hospitalizations

Newly Added Priority four
• Critical infrastructure workers, including asymptomatic workers
Note: these individuals may be tested only if specimen collection and testing capacity remains after serving all patient groups above

Site testing site information can be found here. 

The full current testing prioritization criteria can be found here. 

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