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The Center for Medicare and Medicaid Services (CMS) defines atypical providers as providers that do not provide health care. Providers who may be enrolled in CHAMPS or Bridges and do not perform medical services (e.g. Home Help, Non-Emergency Medical Transportation (NEMT), Adult Foster Care (AFC)). Atypical providers may submit HIPAA transactions, but they do not meet the HIPAA definition of a health care provider and would not receive an NPI number. (1)
Domain Administrator Resources
Non-Emergency Medical Transportation (NEMT)
Local Education Agency (LEA)
- CHAMPS Enrollment Instructions - PDF
Community Transition Services (CTS)
As outlined in the policy bulletin, MSA 21-11, CTS Agencies will be screened and enrolled in CHAMPS.
- Facility/Agency/Organization (FAO) Enrollment Instructions: PDF
- Rendering/Servicing Enrollment Instructions: PDF
- Currently enrolled atypical providers needing to add the CTS specialty can submit a modification.
Other Atypical Provider Resources
(1) A health care provider is defined under HIPAA in federal regulations at 45 CFR 160.103