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Accessing the CHAMPS System
To access the CHAMPS system you must register for your Single-Sign-On (SSO) user ID and password. For instructions on how to obtain a user ID and password as well as subscribe for CHAMPS see
SSO Instructions. Make sure all users in your organization that will need access to CHAMPS receive a SSO user ID and password.
MDCH recommends all organizations keep a list of their user IDs. The SSO user that submits the application, once approved, will become the Provider Domain Administrator for that application. That user will have to assist rights for all other users within the organization.
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Additional Resources:
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SSO/Domain Webcast
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System Settings and Configurations
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SSO Password Change Instructions & Rules
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Internet Explorer 10 Instructions
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CHAMPS Subsystems
The CHAMPS System has been divided into multiple subsystems. See below for a description of the subsystems available to Providers
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Provider Enrollment (PE):Users can enroll and update provider enrollment data quickly and easily. For complete instructions and further information on how to enroll as a MI Medicaid Provider please visit our Provider Enrollment website.
Additional PE Resources:
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Billing Agent QR Guide
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FAQ QR Guide
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Group QR Guide
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Individual/Rendering/Servicing QR Guide
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Individual/Sole Proprietor QR Guide
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Manage Enrollment QR Guide
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PE Webcast
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PE FAQs
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Primary Specialty
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My Inbox: Users can retrieve system alerts, change selected domain and profile, view archived documents, (including remittance advices), and upload HIPAA Compliant files directly in CHAMPS.
Additional My Inbox Resources:
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My Inbox Functions QR Guide
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Admin: Domain Administrators can add and maintain user access.
Additional Admin Resources:
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Admin QR Guide
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Admin Webcast
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Prior Authorization (PA): Users can initiate new and modify existing PA requests through our online web portal or through a 278 HIPAA Transaction.
Additional PA Resources:
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PA Inquiry QR Guide
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PA Request QR Guide
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PA FAQs
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Claims and Encounters (CE): Users can submit claims directly online through a batch upload process or through Direct Data Entry (DDE). Users can also view claims online and complete claim adjustments or replacements.
Additional CE Resources:
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Claim Adjustment QR Guide
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Claim Inquiry QR Guide
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Claim Void QR Guide
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DDE Dental QR Guide
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DDE Institutional QR Guide
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DDE Professional QR Guide
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Claim Adjustment Webcast
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Claim Void Webcast
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Claims FAQs
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Claims DDE Template Webcast
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Member: Users can check beneficiary eligibility through an online web portal in CHAMPS.
Additional Member Resources:
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Eligibility Inquiry QR Guide
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Eligibility FAQs
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CHAMPS Training
For a complete list of trainings in your area please visit our Medicaid Providers Training Sessions website.
A SSO ID will be required on the registration form. If you do not have a SSO ID click here for SSO Instructions.
Web Based Trainings (WBT): Individuals can use interactive learning tools to complete CHAMPS training courses. These courses are not required; however they are an excellent resource for gaining knowledge and understanding in the use of CHAMPS. To access these courses you must have access to Internet Explorer and follow the steps outlined in the Web-Based Training Instructional Guide to register. Once registered go to http://learning.mihealth.org/SOLO to begin.
Webcasts: Select from the list below to learn more.
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Billing Agent Training
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Billing Agent FAQs
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Claims: Adjustments
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Claims: DDE Template
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Claims: Void
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Domain Administrator Functions
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Provider Enrollment
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SSO/Domain
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Quick Reference Guides
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Claims:
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Claim: Adjustment
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Claim: Inquiry
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Claim: Void
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Dental DDE
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Institutional DDE
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Professional DDE
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Provider Enrollment:
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Billing Agent
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FAO
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Group
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Individual /Rendering/Servicing
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Individual/Sole Proprietor
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Manage Enrollment
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Additional QR Guides:
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Domain Administrator Functions
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Eligibility Inquiry
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My Inbox Functions
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Prior Authorization: Inquiry
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Prior Authorization: Request
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Frequently Asked Questions (FAQs)
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General Systems
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Accessing CHAMPS
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Provider Enrollment
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Eligibility
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Prior Authorization Claims
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Claims
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Office Manager SSN
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Resources
Select from the list below for additional CHAMPS related resources.
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Administrator Functions:
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Electronic Signature (DCH1401)
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Manage User List Page for Domain Administrators
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System Settings and Configuration
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Claims:
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Claim Limit List
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Common Reason & Remark Codes Crosswalk by Provider Types
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How to convert Text to Numbers in Excel
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CHAMPS Provider Update Table
2011
CHAMPS Archives: List of resolved issues
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How to use Claim Inquiry to compare to paper RA
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Most Common Provider Rejection List
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Other Insurance Coverage Type Codes
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Paper RA Explanation
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Reason & Remark Codes WPC Website
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TCN Composition Worksheet
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Third Party Liability Carrier/Payer IDs
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Third Party Liability Top 25 Insurance Carriers
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Verifying Adjustments
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2013 MDCH Pay Cycle Calendar
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How to Adjust a Claim with Other Insurance
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Eligibility:
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Benefit Plan Handout & Service Type Codes
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Provider Enrollment:
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How to Assign 835 in CHAMPS
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Primary Specialty
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Predictive Modeling
Predictive Modeling, a pre-payment claims process in CHAMPS, uses advanced screening technology to identify Medicaid claims in which there are billing irregularities. Claims flagged by the predictive modeling process will undergo a detailed analysis to determine the next step(s) to be taken. This may include a review of medical records and/or past claims. Providers must submit the requested records in a timely manner to avoid denials for lack of documentation.
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Resources: Select from the list below to learn more.
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Bulletin: MSA 12-65
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Predictive Modeling FAQs
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Documentation Fax Cover Letters
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Medical Request Letter (Sample)
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