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    CHAMPS. Community Health Automated Medicaid Processing System

     

    Description: Single Sign-On (SSO)


     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 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.

    Additional Resources:

    SSO/Domain Webcast 

    System Settings and Configurations 

    SSO Password Change Instructions & Rules 

    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

    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 

    FAQ QR Guide 

    Group QR Guide 

    Individual/Rendering/Servicing QR Guide 

    Individual/Sole Proprietor QR Guide 

    Manage Enrollment QR Guide 

    PE Webcast 

    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 

    Admin Webcast 

     

    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 

    Claim Adjustment Webcast 

    Claim Void Webcast 

    Claims FAQs 

    Claims DDE Template Webcast 

     

     

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

    Additional Member Resources:

    Eligibility Inquiry QR Guide 

    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.

    Billing Agent Training 

    Billing Agent FAQs 

    Claims: Adjustments

    Claims: DDE Template 

    Claims: Void 

    Domain Administrator Functions 

    Provider Enrollment 

    SSO/Domain 

     

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    Quick Reference Guides

    Claims:

    Claim: Adjustment 

    Claim: Inquiry 

    Claim: Void 

    Dental DDE 

    Institutional DDE 

    Professional DDE 

    Provider Enrollment:

    Billing Agent 

    FAO 

    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 

    Eligibility 

    Prior Authorization Claims

    Claims 

    Office Manager SSN 

     

     

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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 

    System Settings and Configuration 

    Claims:

    Claim Limit List 

    Common Reason & Remark Codes Crosswalk by Provider Types 

    How to convert Text to Numbers in Excel 

    CHAMPS Provider Update Table
    2011 

    CHAMPS Archives:
    List of resolved issues

    How to use Claim Inquiry to compare to paper RA 

    Most Common Provider Rejection List 

    Other Insurance Coverage Type Codes 

    Paper RA Explanation 

    Reason & Remark Codes WPC Website 

    TCN Composition Worksheet 

    Third Party Liability Carrier/Payer IDs 

    Third Party Liability Top 25 Insurance Carriers 

    Verifying Adjustments 

    2014 MDCH Pay Cycle Calendar

    How to Adjust a Claim with Other Insurance 

    Eligibility:

    Benefit Plan Handout & Service Type Codes 

       

    Provider Enrollment: 

    How to Assign 835 in CHAMPS 

      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.

    Resources: Select from the list below to learn more.

    Bulletin: MSA 12-65 

    Predictive Modeling FAQs  

    Documentation Fax Cover Letters  

    Medical Request Letter (Sample) 

     

     

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    Document Management Portal (DMP)


    MDCH 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.
      
     
    DMP Announcement
    DMP Tutorial
    DMP Frequently Asked Questions  Coming Soon!

     

     

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