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Provider Enrollment
Medicaid Payments
PO Box 30238
Lansing, MI 48909

Phone: (517) 335-5492

Email: ProviderEnrollment@Michigan.Gov 

Fax: (517) 241-8233


Updates

September 8, 2017 & July 11, 2017: Attention ALL Providers - Please be advised: 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). Please be mindful as there will be no payments and RAs generated on 10/5/2017; pay cycles 40 and 41 payments and RAs from CHAMPS will be combined on pay date 10/12/2017.

In the event issues may arise given the transition from MAIN to SIGMA, MDHHS will immediately notify providers. 

SIGMA Key Dates: 

  • July 31, 2017: Providers converted to SIGMA VSS  
  • 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

Benefits Include: 

  • Manage account information, view invoice and payment information for checks and EFTs 24 hours a day, 7 days a week!
  • Improved communication through automated e-mails 
  • Unique Vendor/Customer ID improves privacy 
  • Provides more detailed spending analysis and robust report options

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

For questions please contact the SIGMA Vendor Customer Support Center (VCSC) at SIGMA-Vendor@Michigan.gov 

 

June 15, 2017:  The State of Michigan is upgrading its financial and business systems to a new system, SIGMA.

SIGMA, Statewide Integrated Governmental Management Application, will improve the way Michigan performs all financial activities, including budgeting, accounting, payments, and business and grant opportunities. SIGMA Vendor Self-Service (VSS) improves how we work with vendors, payees and grantees, replacing Contract & Payment Express (C&PE) and Buy4Michigan.

If you have an active account in the C&PE system on June 30, 2017, you will be converted to the user-friendly SIGMA VSS.

Key Dates:

  • July 31, 2017: Claim your account and verify information       
  • October 2, 2017: C&PE no longer available for update

Benefits Include:

  • Manage account information, view invoice and payment information for checks and EFTs 24 hours a day, 7 days a week!
  • Improved communication through automated e-mails
  • Unique Vendor/Customer ID improves privacy

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

For questions please contact the SIGMA Vendor Customer Support Center (VCSC) at SIGMA-Vendor@Michigan.gov

May 15, 2017- Pharmacist Medication Therapy Management (MTM) Virtual Training

April 15, 2015- Primary Specialty

February 10, 2014- CMS Moratoria on Enrollment of Home Health and Ground Ambulance Supplies for specific Counties in Michigan.

April 19, 2010-  Please view the notice regarding the verification of Taxonomy codes reported in CHAMPS 

April 19, 2010-  Office Manager Social Security Number Frequently Asked Questions Document

April 14, 2010- Letter regarding CHAMPS SED Waiver, Children's Waiver Program (CWP) Payment Implications

February 1, 2010- Instructions on how Domain Administrators can locate users within the Manage Users List Page.

October 26, 2009- Please be advised: Due to CMS Auditing regulations ( click here for CMS letter) all providers are now required to supply the office manager name and social security number within the Location step of each Provider Enrollment application.


 

Accessing the CHAMPS System

To access the CHAMPS system yuo must register for your MILogin user ID and password. For instructions on how to obtain a user ID and password as well as subscribe for CHAMPS see MILogin Instructions. Make sure all users in your organization that will need access to CHAMPS receive a MILogin user ID and password.

MDHHS recommends all organizations keep a list of their user ID's. The MILogin user that submits the application, once approved, will become the Provider Domain Administrator for that application. That user will have to assign rights for all other users within the organization.

Additional Resources:


 CHAMPS Provider Enrollment

Medicaid has implemented an online Provider Enrollment system. The system is specifically structured to comply with NPI standards. All current HIPAA-Covered Fee-For-Service Michigan Medicaid Providers, including Out-of-State Providers, must access CHAMPS to enroll in the Michigan Medicaid Program. The CHAMPS Provider Enrollment subsystem allows Providers to enroll and update data quickly and easily in addition to offering improved provider support and services.

CHAMPS online provider enrollment and maintenance replaces the paper enrollment process. New Providers can access the CHAMPS system to track the status of their application. 

CHAMPS is a NPI based system and all providers, groups and/or facilities (unless otherwise exempt) must obtain and register their NPI with the National Plan and Provider Enumeration System (NPPES)  prior to enrollment in CHAMPS.
 

New Providers

Provider Enrollment no longer accepts any new paper applications (DCH-1625). All new providers will need to complete an enrollment through the online CHAMPS system.

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.

*Effective October 2017: Providers will need to register within SIGMA* 

SIGMA

The State of Michigan is converting its financial systems.  It will be replacing Contract and Payment Express with a new system, SIGMA VSS.

If you were active in Contract and Payment Express, you may claim your account in SIGMA VSS.  By claiming your account you will be able to:

  • Update, add or change your information
  • See all your payments

If you are a new applicant, you will need to enroll in SIGMA VSS to register for payments.

Visit the SIGMA VSS web site, www.Michigan.gov/SIGMAVSS for more information and instructions on how to claim your account or how to register.


Billing Agent Enrollment

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. 

For providers: How to associate a billing agent and authorize the 835


Group Providers

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.

 


Facility/Agency/Organization (FAO) 

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.

 


Individual/Sole Proprietor

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.

 


Retroactive Enrollment

When requesting retro enrollment within the "Complete Enrollment Checklist" step of an application, you must indicate the date requested in the "Comment" field. If you are requesting a date prior to one year from today's date you must also include a reason for this request.


Pharmacy Providers 

Effective immediately, any new pharmacy enrollments or updates to existing pharmacy enrollments must occur in the Michigan Department of Health & Human Services CHAMPS system.  Please review the CHAMPS Pharmacy Provider Enrollment Notice for additional details and resources.  Questions pertaining to pharmacy enrollment should be directed to the Department's Provider Support Line at 1-800-292-2550, option 4.


Out of State Providers (Beyond Borderland)

MDHHS reimburses out of state providers who are beyond the borderland area (defined in the MDHHS Provider Manual) if the service meets one of the following criteria:

  • Emergency services as defined by the federal Emergency Medical Treatment and Active Labor Act (EMTALA) and the Balanced Budget Act of 1997 and its regulations; or
  • Medicare and/or private insurance has paid a portion of the service and the provider is billing MDHHS for the coinsurance and/or deductible amounts; or
  • The service is prior authorized by MDHHS. MDHHS will only prior authorize non-emergency services to out of state/beyond borderland providers if the service is not available within the state of Michigan and borderland areas.

CHAMPS and MedicaidTrainings

MDHHS has canvassed the State providing CHAMPS user training since April 2008. User training for other phases of CHAMPS, like Beneficiary Eligibility Verification and Claims Submission/Tracking, will be provided as they become active. For the most up-to-date training schedule and online registration please visit the  Medicaid Provider Training Sessions webpage. Attendance is encouraged; all attendees must register.


Electronic Funds Transfer (EFT)

Current Registration Process:

  1. Access the Internet and log onto the Contract & Payment Express (C&PE) Web site at   http://www.mi.gov/cpexpress
  2. Follow the C&PE steps to request a password. The password will be mailed to you via U.S. mail. 
  3. When you receive your password, access the C&PE website again and follow the steps to sign up to receive payments via EFT. 
  4. Take the Web site EFT authorization form that you completed and printed to your bank for verification and a signature. Then sign and mail the form to the address on the form. 
  5. Within two or three weeks after the form is mailed, you should start to receive payments via EFT.​

If you have questions regarding this current process, contact the Vendor Payee Help Desk at 1-888-734-9749.

 

*Effective October 2017: Providers will need to register within SIGMA* 

SIGMA

The State of Michigan is converting its financial systems.  It will be replacing Contract and Payment Express with a new system, SIGMA VSS.

If you were active in Contract and Payment Express, you may claim your account in SIGMA VSS.  By claiming your account you will be able to:

  • Update, add or change your information
  • See all your payments

If you are a new applicant, you will need to enroll in SIGMA VSS to register for payments.

Visit the SIGMA VSS web site, www.Michigan.gov/SIGMAVSS for more information and instructions on how to claim your account or how to register.