Medicaid Alerts

 

 

 


 

 

 

Description: Description: Biller B Aware

Description: Description: Provider Tips

Description: Description: Medicaid Providers

 

 

 

Description: Description: Provider Manual

Description: Description: Provider Fee Schedule

Description: Description: Forms

 

 

 

 Description: Description: CHAMPS

Description: Description: Policy Bulletins

Description: Description: ICD10

 

 

 

Description: Description: Email Provider Support

 

Description: Description: Phone Menu for Provider Support

 

 

 


 

 

 

Description: Description: Biller B Aware

 

 

 

 

 

 

 

 

 

February 05, 2016: Attention ALL Providers: The Data Exchange Gateway will be unavailable from 9:00 A.M. EST – 12:00 P.M. EST on Sunday, February 7, 2016. Please do not submit files during this outage. We apologize for this inconvenience.

Please contact AutomatedBilling@michigan.gov with questions.

February 02, 2016: Attention Dental Providers: MDHHS has identified a CHAMPS defect with dental claims. Instead of the system deducting a $3.00 copay for prior authorized services, the system is paying a $3.00 copay. This defect is projected to be corrected in the CHAMPS June 2016 update, after which time MDHHS will adjust identified claims.

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov.

January 29, 2016: Attention Trading Partners: Web Interface Connection HTTPS for the File Transfer Service (FTS) will be unavailable on Sunday, January 31, 2016 between 9:00 AM through 2:00 PM EST. Please do not submit any files through the HTTPS connection during this time. All other access connections (SFTP, FTP/SSL), will remain available for submission of files.

We apologize for any inconvenience.

January 29, 2016: Attention Trading Partners: This is an update to the message posted on January 19, 2016 related to the File Transfer Service (FTS), previously referred to as the Data Exchange Gateway (DEG). Beginning February 1, 2016, user screens will look different but all functions will remain the same when accessing the Web Interface utilizing an HTTPS Connection. Please review the below information.   

  • Destination Mailbox is now called “Recipient” (ex. DCHEDI or DCHBULL – must all be in CAPS);
  • Transfer Mode defaults to Binary – in the past, the transfer mode defaulted to Text;
  • Refer to the Electronic Submissions Manual (ESM) for changes related to the new download file extension .msg, transfer mode; and
  • There are NO changes to the current password.  Please refer to the ESM, Section 7 for password information.

Please refer to the ESM, Section 4 for updated FTS information. Additional FTS Web Client information, including how to connect and log-in, can be accessed here. 

Please contact AutomatedBilling@michigan.gov with questions.

January 25, 2016: Attention Hospice Providers: This is a reminder to the message posted on October 19, 2015. Effective January 1, 2016, the following billing requirements are being required for all Hospice providers: Routine Home Care Hospice for Hospice claims submitted on/after November 1, 2015, Hospice Certification Date (Occurrence Code 27 & Date) must be reported on every Hospice claim. Hospice claims submitted to MDHHS must be in date sequence order. Please ensure payment is received for the initial Hospice month prior to submitting claims for subsequent months. When applicable, the date of death must be reported using Occurrence Code 55 and Date.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

January 22, 2016: EDI Virtual Training Series: Three trainings focusing on the life cycle of becoming an authorized billing agent and submitting electronic files to Michigan Medicaid Fee-for-Service.

  1. New Billing Agent Enrollment Application: February 04, 2016: 10 A.M. - 11 A.M. EST
    Intended for businesses seeking to submit Fee-for-Service electronic files directly to Michigan Medicaid without the use of a clearinghouse.
  2. Ramp Manager/Connection Options: February 18, 2016; 10 A.M. – 11 A.M. EST
    Intended for approved billing agents that are in the process of completing file testing.
  3. Production: March 3, 2016; 10 A.M. – 11 A.M. EST
    Intended for approved billing agents that have successfully completed file testing and have been approved by Michigan Medicaid to submit production files.

To register for these trainings, please select the Virtual Training Registration link.
*You must register individually for each of the three offered trainings*
*If you have not been issued a submitter ID number, please enter your contact phone number (omit dashes) in the NPI or Submitter ID field of the registration form*


Please contact AutomatedBilling@michigan.gov for further assistance.

January 21, 2016: Attention Hospice Providers: This is a reminder to the message posted on October 19, 2015.  Effective January 1, 2016, the following billing requirements are being required for all Hospice providers: Routine Home Care Hospice for Hospice claims submitted on/after November 1, 2015, Hospice Certification Date (Occurrence Code 27 & Date) must be reported on every Hospice claim.  Hospice claims submitted to MDHHS must be in date sequence order.  Please ensure payment is received for the initial Hospice month prior to submitting claims for subsequent months. When applicable, the date of death must be reported using Occurrence Code 55 and Date.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

January 21, 2016: Attention ALL Providers: CHAMPS Document Management Portal (DMP) and CHAMPS Archived Documents function will be unavailable from Friday January 22, 2016 at 6:00 PM until Monday January 25, 2016 at 12:00 AM to allow for maintenance and upgrades for document archiving and retrieval. We apologize for any inconvenience.

January 20, 2016: Attention ALL Providers: The Plan First! Program is coming to an end. In the next couple of weeks, MDHHS will be reviewing Plan First! recipients eligibility for other Medicaid programs. MDHHS would like to remind Plan First! recipients to update their mailing address and phone number. MDHHS is requesting this poster be printed on 8.5 by 14 inch paper and prominently displayed in your waiting or reception area(s). An all provider bulletin regarding the termination of the Plan First! Program will be issued shortly.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

January 19, 2016: Attention Trading Partners: Beginning February 1, 2016, the Data Exchange Gateway (DEG) will be renamed as File Transfer Service (FTS).  Please review the information below.

  • There is now a Java Mode option and Non-Java Mode option  - please use the Java Mode option for full functionality;
  • Destination Mailbox is now called “Recipient” (ex. DCHEDI or DCHBULL– must all be in CAPS); and
  • Transfer Mode defaults to Binary - prior to February 1, 2016, the transfer mode defaulted to Text.  The text transfer mode must be manually selected.

Please contact AutomatedBilling@michigan.gov with questions.

January 19, 2016: Attention Inpatient Hospital Providers: MDHHS has identified a CHAMPS defect with Inpatient Hospital claims span billing the ICD-10 implementation date that are not triggering the alternate NICU DRG rate. These inpatient claims billed with the revenue code 0174 are paying at the normal DRG rate. This defect is projected to be corrected in the March 25, 2016 CHAMPS update, after which time MDHHS will adjust identified claims to ensure they assign the alternate NICU DRG rate.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

January 19, 2016: Attention ALL Providers: The latest batch of MDHHS Quarterly Newborn Recoveries is currently being processed. This batch includes Medicaid Fee for Service claims for newborns that were retroactively enrolled into a Medicaid Health Plan. Please note, as with previous quarterly newborn take backs, claims must be submitted to the Medicaid Health Plans within 60 days from the Medicaid Remittance Advice date. Please review the following for information on how to verify the Adjustment Source of your claim.

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov

January 12, 2016: Attention ALL Providers: This is an update to the message posted on January 11, 2016, related to technical issues with outbound files. The electronic file technical difficulties are now resolved. Please check frequently for files that you normally receive from MDHHS Michigan Medicaid. Please do NOT resubmit a file to MDHHS Michigan Medicaid unless you have received an acknowledgement file indicating that your file was rejected. Please contact AutomatedBilling@michigan.gov for further assistance.

We apologize for any inconvenience and will continue to monitor file traffic and provide any updates as necessary.

January 11, 2016: Attention ALL Providers: MDHHS Medicaid EDI is experiencing a technical difficulty with the SFTP for inbound and outbound files. Please expect delays with the receipt of 999 acknowledgement files. This affects all Data Exchange Gateway (DEG) submissions including HTTPS and SFTP connections.

We apologize for the inconvenience and will post an update when the issue is resolved.

Please contact AutomatedBilling@michigan.gov with questions.

December 22, 2015: Attention Home Health and Hospice Providers: In alignment with CMS and effective January 1, 2016, the CHAMPS system will recognize new G-Codes to differentiate levels of nursing services provided during a hospice stay and a home health episode of care.

•    G0299 Service is provided by an RN
•    G0300 Service is provided by an LPN

Effective for hospice dates of service on and after January 1, 2016 and for home health episodes of care ending on or after January 1, 2016, the previous code G0154 will be retired. Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

December 22, 2015: System Outage: Due to system maintenance, the CHAMPS system will be down Thursday, December 31st, 2015 between 8:00 PM EST and 11:59 PM EST. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

December 18, 2015:  Attention All Providers:  Per MSA-15-49 Cost-Sharing Limits, the eligibility response within CHAMPS includes the following cost-sharing information: Cost-Share Met (Y or N); Cap Amount Remaining; and Copayment (for various services).  Please see Cost-Share Examples for further information including CHAMPS screen-shots. Cost-sharing information will be reported within the MSG section found under each beneficiary on the 271 eligibility response file.  Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

December 15, 2015: Attention Nursing Facility Medicaid Fee for Service Providers: As part of the December 11, 2015 CHAMPS system update, the final phase of the Medicare Advantage Coinsurance Pricing Logic was implemented. For claim dates of service 2010 and prior, please refer to the Medicaid Provider Manual under General Information for Providers Chapter, Section 12.4 Provider Returning Overpayments.

For claim dates of service 2011 and forward, MDHHS will be initiating the claim adjustment within the next few weeks.  Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

December 15, 2015: Attention Hospice Providers: CHAMPS will be ready to process and reimburse claims for the two-tiered routine hospice rates beginning January 1, 2016. However, CHAMPS will not be able to process the new SIA payment until an upgrade is completed in late March 2016. Starting January 1, 2016, providers may bill for the SIA with G codes G0299 and G0155, but these will reject in CHAMPS until the system updates are functional. Once functionality is in place, MDHHS will resurrect any claims with G-codes G0299 and G0155 from January 2016 onward and process SIA payments to providers. Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

December 10, 2015: Attention ALL Providers: CHAMPS Document Management Portal (DMP) and CHAMPS Archived Documents function will be unavailable from Thursday December 10, 2015 at 6:00 PM until Monday December 14, 2015 at 8:00 AM to allow for maintenance and upgrades for document archiving and retrieval. We apologize for any inconvenience.

December 9, 2015: System Outage: Due to CHAMPS system maintenance, the CHAMPS system will be down between 2:00 PM Saturday, December 12th, 2015 and 6:00 AM Sunday December 13th, 2015. This outage will affect the system access for all functionality. We apologize for any inconvenience this may cause.

December 01, 2015: Attention Nursing Facility Medicaid Fee for Service Providers: UPDATE:  This is an update to the message posted November 18, 2015, related to the Michigan Medicaid Nursing Facility Level of Care Determination (LOCD) migration from the Legacy LOCD System into CHAMPS.

MDHHS has identified rejected claims that were denied incorrectly and are re-processing these denied claims.  The re-processing will include only those denied claims affecting LOCDs that were conducted more than once within the Legacy system whereby the incorrect migrated LOCD was end-dated. MDHHS is aware the end dates remain incorrect and are working to resolve this issue.  Newly submitted claims will no longer be denied for LOCD end dates.

November 20, 2015: Attention ALL Providers: Michigan Department of Health and Human Services (MDHHS) Provider Relations Section would like to provide notification that we will begin using Adobe Connect for virtual Medicaid trainings. Adobe Connect is a web-based program that offers many features and will be beneficial in providing better customer service to providers.

There will be some minor changes with registration and accessing the trainings. The information within this guide will provide assistance. We ask that you please take the time before the training to review the guide to best assist us in this transition.

We will begin using this new tool immediately. December trainings are now available and additional virtual trainings will be posted on our website on or around January 1, 2016.

If you have any questions, please email ProviderOutreach@michigan.gov

November 19, 2015: Attention ALL Providers & Trading Partners: Due to the State of Michigan Holiday (Thursday, November 26, 2015 and Friday, November 27, 2015), the date for warrants and Electronic Fund Transfers (EFTs) will be moved to Wednesday, November 25, 2015. Please contact AutomatedBilling@michigan.gov  for any further questions.

November 18, 2015: Attention ALL Providers: MDHHS will no longer reimburse claims for a newborn when CHAMPS identifies the mother is enrolled in a Medicaid Health Plan (MHP). Initial informational claim editing will begin with claims adjudicated on or after December 11, 2015. Providers will see the Claim Adjustment Reason Code (CARC) 128 – Newborn’s services are covered in mother’s allowance on their remittance advice.  Initial claim editing will result in informational editing only. At a future determined date, claims billing to the incorrect payer will result in a denial.

Providers are encouraged to review L-letter 15-66 for further information and to check the MHP of the mother when rendering services for newborns in order to ensure services are being billed to the correct and appropriate payer.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov

November 18, 2015: Attention Nursing Facility Medicaid Fee for Service Providers: Due to system issues in the migration of the Level of Care Determination (LOCD) from the Legacy into CHAMPS, two issues have been identified:

  1. The LOCDs that migrated from Legacy to CHAMPS and did not contain the member ID number were not included in the nightly match process.  To address these affected LOCDs, we are requesting the provider to enter a copy of the Legacy LOCD into CHAMPS and include the member ID number.  If the LOCD date does not go back to the date of the Legacy LOCD, please email copies of BOTH the Legacy LOCD and the CHAMPS-based LOCD Freedom of Choice (FOC) forms to ProviderSupport@michigan.gov.  Provider Support will adjust the CHAMPS-based LOCD start date to the LOCD start date that was registered in the Legacy system.

REMINDER
For any new Level of Care Determination (LOCD) tool created in the CHAMPS system, the NPI number in the LOC 02 segment must match that of the NPI conducting the LOCD tool.  The LOCD tool will remain incomplete until they match with the following status: LOCD complete waiting LOC.

November 10, 2015: Attention ALL Providers: UPDATE:  This is an update to the message posted October 30, 2015 related to access to Predictive Modeling Request for Documentation Letters within CHAMPS archived documents being temporarily unavailable. Effective November 9, 2015, Requests for Documentation Letters can be accessed within CHAMPS archived documents.  Providers with further questions can contact Provider Support by email at ProviderSupport@michigan.gov or by phone at 1-800-292-2550.

November 10, 2015: Attention ALL Providers:  Due to maintenance activities, the FileNet system will be down between 6:00 PM and 11:59 PM Thursday, November 12th, 2015. Providers will not be able to search Archived Documents, Complete EHR applications, View Paper Claims and/or use DMP application/faxes during this time. We apologize for any inconvenience.

November 10, 2015: System Outage: Due to system maintenance, the CHAMPS system will be down between 6:00 PM Saturday, November 14th and 6:00 AM Sunday, November 15th, 2015. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience.

November 9, 2015: Attention Dental Providers:  Effective January 1, 2016, the Michigan Department of Health and Human Services (MDHHS) is converting the MIChild program to a Medicaid expansion program.  Although individuals will be enrolled in a Medicaid expansion program, the program will continue to be referred to as the MIChild program.

All MIChild eligible children will receive dental services only through Delta Dental/ Healthy Kids Dental program.  MIChild dental benefits will be identical to the current Healthy Kids Dental benefits.  Beneficiaries currently receiving dental services through Golden Dental will be transitioned to the Delta Dental/Healthy Kids Dental program and will receive a letter about this transition.  Providers are to complete any dental procedures that are in progress.

If you are not currently enrolled with Delta Dental, please contact Delta Dental for enrollment and billing requirements.  Please be reminded, Michigan Medicaid policy requires verification of a beneficiary’s eligibility information prior to rendering services.

MDHHS will continue to provide update notices throughout this conversion.  Please visit the MIChild Provider website for more information.  Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov

November 9, 2015: Attention ALL Providers:  Effective January 1, 2016, the Michigan Department of Health and Human Services (MDHHS) is converting the MIChild program to a Medicaid expansion program.  Although individuals will be enrolled in a Medicaid expansion program, the program will continue to be referred to as the MIChild program.

All currently enrolled MIChild households will receive a letter informing them of this transition, when this will happen, and what to do next.   Children who are currently enrolled in MIChild will automatically be transitioned from their current health plan to a Medicaid Health Plan or Fee-for-Service.  There will be no gap in coverage and individuals will have access to more benefits because of this change.  The MIChild program will provide dental services only through Delta Dental/Healthy Kids Dental program.  Those individuals who receive dental care through Golden Dental will receive a letter about transitioning to Delta Dental/Healthy Kids Dental program.

Many individuals will stay in the same health plan and will keep their same provider(s).  Those individuals that may have to switch health plans or providers will be assisted by MIChild in selecting a health plan that services their area.  Please be reminded, Michigan Medicaid policy requires verification of a beneficiary’s eligibility information prior to rendering services.

MDHHS will continue to provide update notices throughout this conversion.  Please visit the MIChild Provider website for more information. This website will be updated as more information becomes available. Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

November 02, 2015: Attention ALL Providers: Currently the hyperlink within CHAMPS to view “Commercial/Other” Third Party Liability (TPL) information is disabled in error for beneficiaries who do not have an active Medicaid (MA) benefit plan but have active coverage through another benefit plan (example, beneficiaries with Children’s Special Health Care Service (CSHCS) only coverage). This defect will be corrected at a later date and until resolved, providers can use alternate tools to verify other insurance information for these beneficiaries.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov

October 30, 2015: Attention ALL Providers:  The Michigan Department of Health and Human Services (MDHHS) is currently reviewing Predictive Modeling processes.  Due to this review, access to Predictive Modeling Request for Documentation Letters within CHAMPS archived documents are temporarily unavailable.  Additional information will be posted as it becomes available.  We apologize for any inconvenience.

Providers with further questions can contact Provider Support by email at ProviderSupport@michigan.gov or by phone at 1-800-292-2550.

October 29, 2015:  Attention Nursing Facilities, PACE, MICHOICE and MIHealth Link Plans: The Michigan Medicaid Nursing Facility Level of Care (LOCD) will not be available at its current location beginning Thursday, October 29th, 2015 at 5:00 PM.  The LOCD application will be migrated to the CHAMPS system.  All online LOCDs created in the current legacy system as of October 29th, 2015 will be migrated to the CHAMPS LOCD system over the weekend.  Providers may begin entering online LOCDs on Monday, November 2nd, 2015 and must have an LOCD profile to complete an LOCD.  Please do not recreate online LOCDs in CHAMPS that you created in the legacy LOCD system.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

October 28, 2015: System Outage: Due to a CHAMPS system release, the CHAMPS system will be down between 7:00 PM Friday, October 30th, 2015 and 2:00 AM on Saturday, October 31st, 2015. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this causes.

October 26, 2015: Attention Outpatient Hospital Providers: In alignment with MSA policy bulletin 15-38: Effective for dates of service on and after October 1, 2015, the outpatient hospital non-emergency room visit copayment requirement will no longer apply to outpatient hospital claims billed with Revenue Code 0451 without Revenue Code 0452. CHAMPS system updates to the claim editing will not take place until the December 11, 2015 release. After the December release, MDHHS will adjust any affected claims to allow them to correctly adjudicate and no longer apply a copayment.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov

October 21, 2015: Attention ALL Providers: The Michigan Department of Health and Human Services (MDHHS) Provider Relations Section would like to hear from you. In an effort to plan for upcoming training webinars and provide the best resources to suit your needs, your assistance is needed.  Please participate in a short survey to indicate your topics of interest.  This survey will remain open until Friday, November 6, 2015.

October 21, 2015: Attention ALL Providers: Effective September 25, 2015, a change was made to the CHAMPS system.  This change modified the provider view for the Member Eligibility Inquiry screen.  If a member no longer has an active Medicaid benefit plan, the hyperlink to view “Commercial/Other” Third Party Liability (TPL) information is disabled.  Because TPL does not always maintain TPL/Other Insurance information for members that do not have active Medicaid coverage, this information was disabled to prevent inaccurate information from being reported.

October 20, 2015: Attention ALL Providers: Effective October 26, 2015, the MDHHS Third Party Liability (TPL) Update Other Insurance Now! Online form will be updated. You will now receive a confirmation number when you submit your request. If an email address is added within the Requestor Information section, once TPL completes your request, you will receive an email with the confirmation number and the status of your request. Please allow up to 10 business days for information to be verified and updated in the system. Please check your spam or junk email folders if you do not receive the email after 10 business days. Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

October 19, 2015: Attention Hospice Providers: Effective January 1, 2016, the following billing requirements are being recommended to all Hospice providers: Routine Home Care Hospice for Hospice claims submitted on/after November 1, 2015, Hospice Certification Date (Occurrence Code 27 & Date) must be reported on every Hospice claim.  Hospice claims submitted to MDHHS must be in date sequence order.  Please ensure payment is received for the initial Hospice month prior to submitting claims for subsequent months. When applicable, the date of death must be reported using Occurrence Code 55 and Date.  Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

October 14, 2015Attention ALL Providers: MDHHS would like to remind providers to check CHAMPS or DEG inboxes weekly for 835/ERA files. 835/ERA files are posted weekly and remain posted for a period of ten days. For further questions, please contact AutomatedBilling@michigan.gov.

October 7, 2015Attention All Providers:  In compliance with CMS guidance, any Predictive Modeling Request for documentation letter will now advise providers that the time frame allowance to submit the required medical records has been increased from 30 days to 45 days.

October 7, 2015System Outage:  Due to system maintenance, the CHAMPS system will be down between 6:00 PM Saturday, October 10th, 2015 and 6:00 AM Sunday, October 11th, 2015.  This outage will affect the CHAMPS system access for all functionality.  We apologize for any inconvenience.

October 01, 2015: Attention Hospice Providers: Effective October 1, 2015, four Michigan Core Based Statistical Area (CBSA) codes (24340, 99923, 26100, 47644) will be eliminated. Providers will need to report a new CBSA code assigned by the Centers for Medicare & Medicaid Services (CMS). This is due to changes in the fiscal year (FY) 2016 Hospice Wage Index and a transition to revise geographic area delineations.

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov.

 

 

 

 

 

 

 

 

 2014

 2013

 

 

 

2012

Description: Description: 2011

Description: Description: 2010

 

 


 

 

 

 

 Provider Tips

 

 


 

 

 

Description: All Providers

Description: Description: Ambulance

Description: Description: Clinics

 

 

 

Description: Description: Dental

Description: Description: Home Health

Description: Description: Hospice

 

 

 

Description: Description: Hospital

Description: Description: Nursing Facility

Description: Description: Pharmacy and DME

 

 

 

Description: Description: Physician 

Description: Description: Private Duty Nursing

 

 

 

 


 

 

 

All Providers

 

 

 

June 04, 2015: How to use the CHAMPS Claim Limit List

May 04, 2015: CHAMPS Navigation 

April 08, 2015: CSHCS Provider Information Page

March 19, 2015: ICD-10 Virtual Presentation

March 10, 2015: How to Adjust a claim with OTHER INSURANCE *UPDATED


March 10, 2015: Refund of Payment

March 10, 2015: Benefits Monitoring Program (BMP):

Benefits Monitoring Program

Verifying BMP Eligibility

Beneficiary Notification Letter Example

Beneficiary Final Notification Letter Example

 

MSA 1302 for Specialty Referrals


October 01, 2013: MDCH-ICD10 Virtual Training

 

June 14, 2013: Upper Peninsula Professional Presentation 

 

March 22, 2013: Medicaid 101 Training Sessions PowerPoint Presentation 

 

March 07, 2013ICD-10 Virtual Training 

 

December 11, 2012: ICD-10 Presentation 

 

December 3, 2012: Medicare Part D Coverage of Benzodiazepines and Barbiturates 1/1/2013.

As of January 1, 2013, Medicare Part D plans will begin covering benzodiazepines and barbiturates (i.e. barbiturates used in the treatment of epilepsy, cancer, or a chronic mental health disorder). For additional information on the Part D coverage changes, please visit the Michigan Medicaid website https://michigan.fhsc.com 

 


April 16, 2012:  CHAMPS Navigational Presentation 

March 21, 2012:  CHAMPS Navigational Presentation (billing/claims specific)

 

October 26, 2011:  5010 Professional DDE

October 26, 2011:  5010 Institutional DDE

October 3, 2011:  Local CSHCS Office Contact Info

January 15, 2010:  PERM Audit Information


August 27, 2008:  CMS 1500 Claim Completion Instructions 

June 14, 2005:  Listserv Instructions- Updated 09.22.2009 

 

 

 


 

 

 

 

Ambulance

 

 

 

 

The Ambulance section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience.  

 

 

 

 

 

 

 

 

 


 

 

 

 

Clinics

 

 

 

 

February 24, 2015: Clinic Billing Tips 

 

 

 

 

 

 

 

 

 


 

 

 

 

Dental

 

 

 

 

January 29, 2016: Claims being submitted for beneficiaries residing in a Nursing Home, a referring NPI is mandatory on the claim. The referring NPI can be obtained from the Nursing Home.

 

 

 

 

 

 

 

 

 


 

 

 

 

Home Health

 

 

 

 

The Home Health section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 

 

 

 

 

 

 


 

 

 

 

Hospice

 

 

 

 

The Hospice section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 


 

 

 

 

Hospital

 

 

 

 

June 04, 2015: How to use the CHAMPS Claim Limit List

March 10, 2015: Inpatient Surgical/ ICD 9 Procedure code documentation requirements

April 08, 2013
: How to Find Professional REV Codes
 

  

June 20, 2011: Hysterectomy- When billing for a hysterectomy performed during a beneficiary's period of retroactive eligibility, please indicate in the Remarks section: "No consent not eligible on DOS, Retro MA. PT told prior to HYST unable to reproduce." 

  

June 2, 2011: Inpatient Hospital Rehab- Providers should report appropriate taxonomy code 273Y00000X, 283X00000X, or 283XC2000X ( not 282N00000X). 

 

 

 


 

 

 

 

Nursing Facility

  

 

 

 

November 06, 2015: Level of Care Determination (LOCD) Tool within CHAMPS

Nursing Facility Historical Provider Tips

 

 

 


 

 

 

 

Pharmacy/DME

 

 

 

 

The Pharmacy/DME section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 


 

 

 

 

Physician

 

 

 

 

March 10, 2015Immunizations Administration and Preventive Medicine Services. 

 

 

 


 

 

 

 

Private Duty Nursing

 

 

 

 

The PDN section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience.