To access the CHAMPS system you must log onto
https://sso.state.mi.us
to
register for your Single Sign On (SSO) user ID and password. For instructions on how to obtain a user ID/password and to subscribe to CHAMPS please click here (
SSO Instructions
). Make sure all users within your organization that will need to access the information in CHAMPS (Provider Enrollment, Claims, Prior Authorization, etc.) receive a Single Sign-On (SSO) user ID and password.
MDCH recommends that all organizations keep a list of each user ID. The SSO user that submits the application as is approved will become the Provider Domain Administrator for that application. That user will have to assign rights for all other users within the organization to access the Provider's file.
May 6, 2009 -
Attention Rendering/Servicing Providers: Many providers billing within the professional claim format are reporting the same NPI in both the billing provider and rendering provider loops/fields. THIS IS INCORRECT!! If you are a rendering/servicing provider who renders services on behalf of a group, the biller MUST report the GROUP NPI (Type 2 NPI) in the billing provider loop. Currently, within the legacy system, rendering/servicing only providers are incorrectly receiving payment. THIS WILL NOT HAPPEN WHEN CHAMPS GOES LIVE. PAYMENTS WILL STOP if the claims continue to be billed incorrectly!!!
Within the professional claim format, providers enrolled as rendering/servicing only must report the-group NPI of the billing provider (Type 2 NPI) in Loop 2010AA , Segment NM108, Qualifier 85 for electronic claims (or) Field 33a on the CMS 1500 paper claim form. The rendering provider (Type 1 NPI) must to be reported in Loop 2310B, Segment NM108, Qualifier 82 for electronic claims (or) Field 24J on the CMS 1500 paper claim form.
Within the dental claim format, providers enrolled as rendering/servicing only must report the group NPI of the billing provider (Type 2 NPI) in Loop 2010AA for electronic claims or Field 49 on the ADA 2006 paper claim form. The rendering provider NPI (Type 1 NPI) has to be in Loop 2310B for electronic claims or Field 54 on the ADA 2006 paper form.
January 7, 2009 - Provider Outreach has scheduled CHAMPS information sessions to discuss Managing Provider Enrollment and all upcoming Subsystems that will be released in Summer 2009. For more registration information please visit our Training Website.
The Michigan Department of Community Health, Department of Information Technology and other key members are working together throughout the design process to create the new CHAMPS system. The CHAMPS System has been divided into multiple subsystems. The subsystems for Providers include:
Prior Authorization (PA) - The PA subsystem will allow users to initiate new and modify existing PA requests through the online web portal or through a 278 HIPAA Transaction. Prior Authorization is scheduled for release in Summer 2009.
Claims and Encounters (CE) - The CE subsystem will allow Providers to submit claims directly online through a batch upload process or through Direct Data Entry. CE will also provide users with a method to view claims within the subsystem and complete online claim replacements. Claims and Encounters are scheduled for release in Summer 2009.
Eligibility and Enrollment (EE) - The EE subsystem will allow users to check beneficiary eligibility through the online webportal in CHAMPS. Eligibility is scheduled for release in Summer 2009.
Please visit our
Medicaid Provider Training Sessions website
for a complete listing of sessions in your area. Billing information will NOT be available during these sessions, however billing sessions have also been scheduled and are available for registration. The CHAMPS sessions will cover topics such as: domain issues, managing your Provider Enrollment applications, and a brief tutorial on the Eligibility, Prior Authorization, and Claims subsystems that will be going live this spring.
Single Sign-On (SSO) ID will be required on the registration form. If you do not have an SSO ID, please see the SSO Instructions in the Resources section of this website for more information.
PE is no longer accepting any new paper applications (DCH-1625). Beginning March 31, 2008 all new providers will need to complete an enrollment through the online 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
.
All new Billing Agent enrollments must also be completed utilizing the CHAMPS system. This process replaces the paper enrollment using the "Billing Agent ID Request" form. All providers who are associated to a Billing Agent will not be able complete a new enrollment until the Billing Agent has been approved in CHAMPS.
A Group provider is an organization of individual providers that provide medical or dental services. A Group provider would receive a Type 2 NPI and rendering/servicing providers would associate to the Group provider. All new Group enrollments must be completed utilizing the CHAMPS system. All providers who are associated to a Group will not be able to complete a new enrollment until the Group has been approved in CHAMPS.
A Facility / Agency / Organization (FAO) provider is an entity that provides health care services. A FAO includes Hospitals, Nursing Facilities, Laboratories, etc., and have a Type 2 NPI number associated to them. All new FAO enrollments must also be completed utilizing the CHAMPS system. All providers who are associated to a FAO will not be able to complete a new enrollment until the FAO has been approved in CHAMPS.
Applicant Type Rendering/Servicing
Applicant Type of Rendering/Servicing is a provider who provides services through a Group, Facility, Agency, Organization or an Individual/Sole Proprietor. A Rendering/Servicing provider does not bill directly to Michigan Medicaid. The Billing Provider that is associated to this applicant type, submits claims and receives payments for the Rendering/Servicing provider. This Billing Provider must be approved in CHAMPS prior to the submission of a new enrollment application for a rendering/servicing provider.
Applicant Type Individual/Sole Proprietor
An Individual/Sole Proprietor is a provider that owns his/her own practice. This provider will receive payments directly from MDCH for services rendered at their practice. An Individual/Sole Proprietor may associate to other entities and Rendering/Servicing providers may associate to an Individual/Sole Proprietor.
Medicaid posts a quarterly Provider Inquirer newsletter at the Communication &Training webpage. Since the August 2006 edition, a new section has been added, referred to as "The CHAMPS Corner." This article gives a basic quarterly update and incorporates any changes in the project. Make sure you continue to view the Provider Inquirer Newsletter!
All CHAMPS information will be mailed to providers with GREEN documents.
Did we miss something that you want to know more about? Please let us know. Send an email to
CHAMPS@michigan.gov
. This email is for design suggestions only and providers will not receive a response through this email. All additional inquiries should be sent to
ProviderOutreach@michigan.gov
.
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