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Eligibility and Enrollment (Member Tab)
A person eligible for and/or who receives services under the MI Medicaid Program can be verified by using the member search function. The Member tab or function in CHAMPS allows access for users to verify eligibility for a member via the web-based screens or by submitting a 270-electronic request. Providers need to utilize the Benefit Plan ID(s) indicated in the eligibility response to determine coverage for a specific date of service.
One of the following profiles is needed to access the Member tab: CHAMPS Full Access, CHAMPS Limited Access, Eligibility Inquiry, Hospital Admission, Hospice Admission, NF Admission, or SPF Admin.
To access a resource click on the preferred file hyperlink.
Overview
102 Resources
- Member Eligibility - Video
Quick Reference Guides
Additional Resources
- Adding, Removing, and Updating TPL Files Instructions
- Beginner Guide
- Benefit Plan & Service Type Codes Table
- CHAMPS FAQs
- CHAMPS Navigation Tutorial– PDF, Recording
- April 2023 Medicaid Health Plan Dental Vendor Contact Resource
- Dental Responsibilities at a Glace as of April 2023 (for dates of service on or after April 1,2023)
- Dental Responsibilities at a Glance (for dates of service prior to April 1, 2023)
- How to Locate Payer ID and Other Health Insurance Information
- List of Medicaid Health Plans (MHP) Contact and Service Listing
- LOC to PET Crosswalk
- Medicaid Health Plans (michigan.gov)
- Other Insurance Coverage Type Codes
- Other Insurance Reporting Requirements
- Provider Instructions for Completing the Health Risk Assessment
- Third Party Liability