close print view
October 10, 2012- Primary Specialty
April 19, 2010- Please view the notice regarding the verification of Taxonomy codes reported in CHAMPS
April 19, 2010- Office Manager Social Security Number Frequently Asked Questions Document
April 14, 2010- Letter regarding CHAMPS SED Waiver, Children's Waiver Program (CWP) Payment Implications
October 26, 2009- Please be advised: Due to CMS Auditing regulations ( click here for CMS letter) all providers are now required to supply the office manager name and social security number within the Location step of each Provider Enrollment application. For additional information regarding this requirement, please see this notice from the Michigan State Medical Society.
CHAMPS Provider Enrollment is Live!
Medicaid has implemented a new online Provider Enrollment system. The new system is specifically structured to comply with NPI standards. All current HIPAA-Covered* Fee-For-Service** Michigan Medicaid Providers, including Out-of-State Providers but excluding Pharmacy Providers, must access to CHAMPS to enroll in the Michigan Medicaid Program. The CHAMPS Provider Enrollment subsystem allows Providers to enroll and update data quickly and easily in addition to offering improved provider support and services.
CHAMPS online provider enrollment and maintenance replaces the paper enrollment process. New Providers can access the CHAMPS system to track the status of their application.
CHAMPS is a NPI based system and all providers, groups and/or facilities (unless otherwise exempt) must obtain and register their NPI with the National Plan and Provider Enumeration System (NPPES) prior to enrollment in CHAMPS.
All new providers must have their SSN or EIN/TIN enrolled with Vendor Registration prior to enrolling within the PE subsystem. To register your SSN or EIN/TIN visit http://www.mi.gov/cpexpress.
Applicant Type Rendering/Servicing
Applicant Type Individual/Sole Proprietor
CHAMPS Regional Trainings
MDCH has canvassed the State providing CHAMPS user training since April 2008. User training for other phases of CHAMPS, like Beneficiary Eligibility Verification and Claims Submission/Tracking, will be provided as they become active. For the most up-to-date training schedule and online registration please visit the Medicaid Provider Training Sessions webpage. Attendance is encouraged; all attendees must register.
Retroactive Enrollment - When requesting retro enrollment within the "Complete Enrollment Checklist" step of an application, you must indicate the date requested in the "Comment" field. If you are requesting a date prior to one year from today's date you must also include a reason for this request.
Pharmacy Providers - To enroll in the Medicaid Program as a Pharmacy Provider, contact Magellan Medicaid Administration, Incorporated for enrollment information at 888-868-9219. Pharmacy Providers can also download the enrollment form via Internet at www.michigan.fhsc.com>>Providers>>Forms. Pharmacy Providers who need to enroll as Medical Suppliers (see Medicaid Provider Manual for details) must use the CHAMPS online system.
Out of State Providers (Beyond Borderland) - MDCH reimburses out of state providers who are beyond the borderland area (defined in the MDCH Provider Manual) if the service meets one of the following criteria:Emergency services as defined by the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Balanced Budget Act of 1997 and its regulations; or Medicare and/or private insurance has paid a portion of the service and the provider is billing MDCH for the coinsurance and/or deductible amounts; or the service is prior authorized by MDCH. MDCH will only prior authorize non-emergency services to out of state/beyond borderland providers if the service is not available within the state of Michigan and borderland areas.
Electronic Funds Transfer (EFT)
If you have questions regarding this process, contact the Vendor Payee Help Desk at 1-888-734-9749.
*HIPAA/NPI-exempt Fee-For-Service Michigan Medicaid Providers such as non-emergency transportation and respite service providers will continue their current provider enrollment protocol. For details, call or email Provider Enrollment at 517-335-4952 or ProviderEnrollment@michigan.gov.
Michigan.gov Home MDCH Home Office of Regulatory Reinvention Contact MDCH State Web Sites Spending & Accountability
Copyright © 2001-2013 State of Michigan