CHAMPS. Community Health Automated Medicaid Processing System

 

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Previously Single-Sign-On (SSO)
*Please use existing SSO login credentials


 Quick Links 


 Description: Provider Manual

Description: Provider Fee Schedule

Description: Medicaid Alerts

Description: Forms

Description: Documentation EZ Link

Description: Policy Bulletins

Description: Accessing CHAMPS

Description: CHAMPS Subsystems

Description: CHAMPS Training

Description: FAQs

Description: Quick References

Description: Resources

Description: Email Provider Support

Description: Medicaid Providers Page

Predictive Modeling

 Description: Phone Menu for Provider Support

 

Description: ICD10

 

Document Management Portal

 


 

Accessing the CHAMPS System

To access the CHAMPS system you 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 IDs. The MILogin 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.

Additional Resources:

Internet Compatibility Settings for CHAMPS

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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

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:

Billing Agent QR Guide 

FAO QR Guide 

Group QR Guide 

Individual/Rendering/Servicing QR Guide 

Individual/Sole Proprietor QR Guide 

Manage Enrollment QR Guide 

Associate a Billing Agent & Authorize the 835

PE FAQs 

 Primary Specialty

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:

My Inbox Functions QR Guide 

 

 

Admin: Domain Administrators can add and maintain user access.

Additional Admin Resources:

Admin QR Guide 

 

 

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:

PA Inquiry QR Guide 

PA Request QR Guide 

PA FAQs 

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:

Claim Adjustment QR Guide 

Claim Inquiry QR Guide 

Claim Void QR Guide 

DDE Dental QR Guide 

DDE Institutional QR Guide 

DDE Professional QR Guide 

Member: Users can check beneficiary eligibility through an online web portal in CHAMPS.

Additional Member Resources:

Eligibility Inquiry QR Guide 

   

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CHAMPS Training

For a complete list of Medicaid CHAMPS trainings we offer please visit our training website. To inquire about training please email ProviderOutreach@michigan.gov

Below are the recorded trainings of the virtual presentations conducted in 2016. The virtual trainings are presented by our Consultants who specialize in the topic.

CHAMPS Navigation Medicaid Code and Rate Reference Tool New Billing Agent Enrollment Application Process
Dental Training Outpatient Hospital Updates Institutional Level of Care and Patient Pay
Billing Beneficiary and Spend-down Professional Updates Third Party Liability (TPL)
Ramp Manager and Connection Testing Medicare Buy-In How to Adjust/Void Institutional Claim
Nursing Facility EDI Production Hearing Aid Dealer/Center 101

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Quick Reference Guides

Claims:

Claim: Adjustment 

Claim: Inquiry 

Claim: Void 

Dental DDE 

Institutional DDE 

Professional DDE 

Provider Enrollment:

Billing Agent 

Facility/Agency/Organization

Group 

Individual /Rendering/Servicing 

Individual/Sole Proprietor  

Manage Enrollment 

Additional QR Guides:

Domain Administrator Functions 

Eligibility Inquiry 

My Inbox Functions 

Prior Authorization: Inquiry 

Prior Authorization: Request 

 

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Frequently Asked Questions (FAQs)

General Systems 

Accessing CHAMPS 

Provider Enrollment 

Office Manager SSN 

Prior Authorization Claims

 

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Resources

Select from the list below for additional CHAMPS related resources.

Administrator Functions:

Electronic Signature (DCH1401) 

Manage User List Page for Domain Administrators 

 

Claims:

Claim Limit List 

Other Insurance Suspended Claims & Billing Information

 

Other Insurance Coverage Type Codes 

Paper RA Explanation 

Reason & Remark Codes WPC Website 

TCN Composition Worksheet 

How to Locate Payer ID and Other Health Insurance Information

Third Party Liability

Verifying Claim Adjustment Source 

2016 MDCH Pay Cycle Calendar

How to Adjust a Claim with Other Insurance 

Eligibility:

Benefit Plan Handout & Service Type Codes 

Cost-Sharing Examples

 

Provider Enrollment: 

How to Assign 835 in CHAMPS 

  Primary Specialty 

 

Additional: 

CHAMPS Navigation

Level of Care Determination (LOCD) Tool within CHAMPS

 

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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.

Resources: Select from the list below to learn more.

Bulletin: MSA 12-65 

Predictive Modeling FAQs  

 

Medical Request Letter (Sample) 

Document Management Portal (DMP)
Predictive Modeling Messaging

 

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Document Management Portal (DMP)


MDHHS launched a new enhancement to CHAMPS.  This implementation introduced Phase I of the Document Management Portal (DMP) for CHAMPS users to now access.  This tool will enable providers to electronically submit supporting documentation for Medicaid claims filed electronically through CHAMPS, software vendor or DEG, submit consent forms, and submit records requested for Predictive Modeling requirements.  Users will notice changes on the CHAMPS screens.

Highlight of new features include:
  1.  A new UPLOAD/VIEW document button is located in PROVIDER PORTAL
  2.  New Icons are displayed when viewing the claim detail in CLAIM INQUIRY
  3.  When adjusting a claim an UPLOAD/VIEW document button is displayed on the claim header pages
  4.  When submitting a claim through CHAMPS Direct Data Entry, there will be an UPLOAD DOCUMENTS button displayed after the claim has been submitted.
 

Document Management Portal (DMP)
Predictive Modeling Messaging
DMP for Children’s Special Health Care Services (CSHCS)
DMP Announcement
DMP Tutorial 
DMP Frequently Asked Questions
Compatibility Settings