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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
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 If the email address information is out of date or incorrect, enrolled providers will want to modify their enrollment information and submit it for approval.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
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