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Medicaid Provider Training Sessions

CHAMPS REGIONAL TRAININGS:
ATTENTION ALL PROVIDER ENROLLMENT and CREDENTIALING STAFF!!!!
CHAMPS Provider Enrollment Revalidation Session Information:
  • For all Provider Enrollment and Credentialing Staff
  • Conducted at Computer Labs
  • Seating is Limited (must be prepared to revalidate providers onsite)
  • 1-hour Sessions
  • Free of Charge

Billing information will NOT be available at this time , however additional staff within your organization may be included on your registration form and can view the application all from the work station.

Prior to attending a session, MDCH asks that you complete the following tasks:

  • Review the resources and information at the CHAMPS website  (including user guides, checklists and webinars)
  • Register for a SSO User ID and Password
  • Subscribe to the CHAMPS Application
  • Have your application Tracking ID
  • Have your credentialing information to begin revalidation

REGIST RATION INFORMATION:
The registration form can be found at the bottom of this page. Registration is mandatory for all training sessions. You MUST register for all sessions and MDCH recommends at least 2 weeks prior to the scheduled session. Confirmations will be provided via the email address that is given on the registration. You may be contacted via phone, fax or email prior to the session if any information has changed. Registration and attendance for the CHAMPS sessions are free of charge to all Medicaid providers and staff. 

If you have any questions or you do not receive a confirmation please email ProviderOutreach@michigan.gov .  


Date

Training Center 

Address

Registration is mandatory.  Seating is limited.  Register Today!

TRAINING SESSION REGISTRATION

Please choose one CHAMPS session below that you would like to attend.

DATE and COUNTY
TIME

Contact Information

Primary Contact:

*Email Address: *

EMAIL ADDRESS IS MANDATORY .  MDCH will not receive your registration if the "Email Address" field is blank.  If you do not have an email, please enter ProviderOutreach@michigan.gov and leave remarks in the Comments area on how MDCH can send the confirmation.

*First Name: *Last Name: *SSO User ID:

Address:

*Phone Number: *Fax Number:

Office Hours:

Additional Attendees:

First Name: Last Name: SSO User ID:

First Name: Last Name: SSO User ID:

First Name: Last Name: SSO User ID:

First Name: Last Name: SSO User ID:

First Name: Last Name: SSO User ID:


Provider Information

Provider Name:

*NPI: *Tax ID:

Other Name:
(i.e. Billing Service Name, Health Plan, etc.)

Comments:


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