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It is possible for clearinghouses, software vendors, billing agents, and service bureaus to all handle electronic claims. They are all classified differently and some can be considered multiple depending on the type of business that they complete. Only a billing agent will be able to enroll within the Michigan Medicaid system. 

As part of the transition from the current State of Michigan (SOM) financial system, Michigan Administrative Information Network (MAIN), to Statewide Integrated Governmental Management Application (SIGMA), there will be a delay in payment and Remittance Advices (RA), i.e. HIPAA Electronic 835 transactions & paper, from the Michigan Department of Health and Human Services (MDHHS).

CHAMPS Pay cycle 40 payments (pay date 10/5/2017) and RAs will be delayed and pushed into pay cycle 41 (pay date 10/12/2017). 

SIGMA Key Dates:  

  • September 22, 2017: C&PE no longer available for update 
  • October 5, 2017: No Payments and RAs from CHAMPS
  • October 12, 2017: Combined 40 & 41 pay cycles from CHAMPS

For more information on SIGMA’s major improvements, visit Michigan.gov/SIGMAVSS  

Additional SIGMA resources and Provider information can be found at Michigan.gov/MedicaidProviders


 

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BILLING AGENT INFORMATION 

A Billing Agent is the business authorized by MDHHS to submit Medicaid HIPAA compliant transactions.  

Before any organization can receive a Billing Agent ID there is information that must be completed.  To receive a Billing Agent ID, the Billing Agent MUST be able to complete HIPAA compliant transactions, review the Electronic Submissions Manual, Companion Documents and Implementation Guides, and submit the Billing Agent Enrollment Application for approval. Michigan Medicaid will not allow testing for non-HIPAA compliant transactions. Once the enrollment application has been approved by MDHHS the Billing agent will receive a Billing Agent ID and File Transfer Service (FTS) user ID and password. All providers must associate to the corresponding Billing Agent within the CHAMPS system. This association provides the Billing Agent with the authorization to submit claims on behalf of the Provider. If the Provider has not associated the Billing Agent in CHAMPS all testing and production claims will deny. All Billing agents must also complete the B2B Testing requirements prior to submitting production claims.

 


NEW BILLING AGENT APPLICATION INSTRUCTIONS
All new Billing Agent enrollments must 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 to complete a new enrollment until the Billing Agent has been approved in CHAMPS. 

 


CHAMPS ACCESS INFORMATION

If you would like to become a Michigan Medicaid Billing Agent, you MUST complete the Billing Agent enrollment application within the CHAMPS system. The CHAMPS Web Application resides within the Michigan Department of Health & Human Services (MDHHS) MILogin website. In order to access CHAMPS, you will need to have a valid MILogin account. To register for a MILogin user ID and Password please visit https://milogintp.michigan.gov.

For step-by-step instructions on how to complete the enrollment process in CHAMPS, please view the documents or webinar at the Provider Enrollment Website.

For Domain Administrator step by step CORE password instructions

For any Billing Agent related questions, please contact AutomatedBilling@michigan.gov.  

 


B2B TESTING

All Michigan Medicaid Billing Agents will need to complete the B2B Testing process to ensure proper submission of HIPAA compliant transactions.

For further information please email MDHHS-B2B-Testing@michigan.gov

Instructions for Access to the CHAMPS B2B Test Environment

Testing Instructions
 5010 270 ACA Test Instructions
 5010 276 ACA Test Instructions
 5010 837 Claims Test Instructions
 5010 837 Encounter Test Instructions

 


POLICY & FORMS 

Medicaid Provider Policy and Forms Information
Electronic Submissions Manual
 


COMMUNICATIONS & TRAINING

For Medicaid updates and communications see our Medicaid Alerts page.
For available Medicaid trainings see our Medicaid Provider Training Sessions page.

 


 

HELPFUL LINKS

HIPAA

BCCCP

CMS

 WEDI
 WPC
 BCBSM
 Magellan Medicaid Administration

Michigan Medicaid Provider Enrollment

 

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