The NMRE is the PIHP for 21 counties in northern Lower Michigan. This means the NMRE manages the Medicaid funding for the behavioral health and substance use disorder services in the region. The NMRE is jointly owned by five Member Community Mental Health Services Programs (CMHSPs) which provide mental health services and supports to individuals with a mental health diagnosis or an intellectual disability. The NMRE also manages and coordinates prevention, treatment, and recovery support services individuals with a substance use disorder.