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Facility/Agency/Organization (FAO)
A Facility / Agency / Organization (FAO) provider is an entity that provides health care services. An FAO includes Hospitals, Nursing Facilities, Laboratories, etc., and have a Type 2 NPI number associated to them. Providers who need to associate to an FAO will need to wait until the FAO enrollment application has been approved in CHAMPS.
- CHAMPS Enrollment Application: FAO User Guide - PDF
- Provider Controlling Interest/Ownership Tip - PDF
- Quick Reference Guide - PDF
- Track Application - PDF
- Revalidation Instructions - PDF
MDHHS utilizes provider email address information entered in the CHAMPS provider enrollment application to communicate with providers. Providers are responsible for maintaining accurate and valid email address information within their CHAMPS provider enrollment information. If the email address information is out of date or incorrect, enrolled providers will want to modify their enrollment information and submit it for approval.
Electronic Visit Verification (EVV)
As outlined in MMP 24-11 for dates of service on and after April 1, 2024, MDHHS will require the submission of EVV data for certain home health care services (HHCS). For Home Health Agency providers who complete the CHAMPS enrollment they should move on to the next step and complete the HHAeXchange provider onboarding form. This will allow HHAeXchange to create the EVV provider portal and work with the Agency to begin the EVV process. The onboarding form must be completed even if the Home Health Agency plans to continue to use their existing EVV vendor.
To learn more about EVV visit www.Michigan.gov/EVV.
835/Electronic Remittance Advice (ERA)
- How to associate a billing agent and authorize the 835/ERA - PDF
- Authorize a billing agent to receive the 835/ERA - PDF
- End date the 835/ERA authorization - PDF
Domain Administrator Resources
- Domain Administrator Functions -PDF
- Electronic Signature Agreement Cover Sheet MDHHS-5405
- Electronic Signature Agreement DCH-1401
Certified Community Behavioral Health Clinics (CCBHC) Demonstration Program
CCBHCs are required to be certified as a CCBHC Demonstration Site by the Michigan Department of Health and Human Services (MDHHS) and must be Medicaid-enrolled to serve Medicaid beneficiaries and seek reimbursement. Before being able to bill for services providers will need to enroll in CHAMPS.
To enroll as a CCBHC Provider Type, a CCBHC must:
- Obtain a Type 2 (Group) National Provider Identifier (NPI) specific to CCBHC services. visit the National Plan and Provider Enumeration System (NPPES) website: nppes.cms.hhs.gov/#/
- How to apply for an NPI: nppes.cms.hhs.gov/assets/How_to_apply_for_an_NPI_online.pdf
- Register with SIGMA VSS: Visit www.Michigan.gov/SIGMAVSS to learn more.
- Providers already registered with SIGMA can use the same vendor ID when completing the CCBHC provider enrollment application. Multiple SIGMA Vendor IDs are not required.
- Complete an FAO provider enrollment application in CHAMPS starting on October 1, 2025.
- CCBHCs must have received certification documentation from MDHHS prior to enrolling in CHAMPS with CCBHC specialty.
Barring a federal extension of the demonstration or MDHHS policy changes, the demonstration is set to end in September 2027.
Resources
- Provider Information
- For more information, visit the CCBHC Demonstration Handbook. Or contact mdhhs-ccbhc@michigan.gov.