Michigan In Lieu of Services

MDHHS is excited to announce that CHAMPS enrollment is NOW OPEN for providers interested in delivering In Lieu of Services (ILOS) through the Comprehensive Health Care Program. Join us in delivering equitable, coordinated, and person-centered care to Medicaid beneficiaries. Checking out the resources linked below for more details.

MDHHS sought public input on a proposed set of nutrition-focused ILOS in Medicaid from March 13 – April 5, 2024. In July, MDHHS released the drafted ILOS Policy Guide, which provided a comprehensive overview of ILOS, additional operational requirements and recommendations to support Medicaid Health Plans (MHP) participating in the Comprehensive Health Care Program and ILOS Providers in administering and delivering approved ILOS. MDHHS hosted a community feedback forum and facilitated an open comment period to seek and incorporate feedback on the draft ILOS Policy Guide from MHPs, community-based organizations, including those that are interested in becoming ILOS Providers and other interested parties. The Final ILOS Policy Guide is now available for your viewing purposes.

• ILOS Public Information Session
  
  • Recording
  • Slides (NEW)
• ILOS Provider Enrollment
  • ILOS Provider Enrollment Introduction Recording
  • ILOS Provider Enrollment Comprehensive Instructions

The ILOS (In Lieu of Services) Implementation Learning Collaborative is designed to bring together Medicaid Health Plans, local service providers, and key stakeholders to foster shared learning and support the effective implementation of ILOS programs. The ILOS Implementation Learning Collaborative sessions will closely follow the content of the MDHHS issued ILOS Policy Guidance. Many sessions will be open to all stakeholders collectively involved in implementing ILOS, while others may be tailored to address the specific needs of one group of stakeholders.

• For more information and registration, please visit the Learning Collaborative page.

The Capacity Connect Initiative (CCI) is designed to empower local, community-based food and nutrition providers who have not traditionally delivered services within the Medicaid system. By offering tailored technical assistance, direct funding, and strategic support, this initiative helps providers overcome barriers to participation in the Medicaid program’s new In-Lieu of Services opportunity.

• For more information, please visit the Capacity Connect Initiative page.

• ILOS Overview (NEW)
• ILOS Request for Information
• ILOS Final Policy Guidance 
• ILOS Evidence Review Summary 
• ILOS Standard Agreement Terms
• ILOS Resource for Clinical Providers
• ILOS Frequently Asked Questions (FAQ) (NEW)
• Medicaid Health Plan ILOS Offerings by Region
• Optional In Lieu of Services (ILOS) Pricing Guidance
• Batch Invoice Template (NEW)
• Enrollee Information File Template 
• Return Transmission File Template
• Produce Prescription Fact Sheet (NEW)
  
   

• MDHHS Medicaid Atypical Provider Enrollment Webpage
• ILOS Atypical Agency Provider Enrollment Checklist
  • This checklist can be utilized if an organization has opted to allow an already enrolled entity to complete the CHAMPS enrollment application on their behalf. The organization completing the enrollment must ensure that all required data fields are filled out in the subsequent steps of this resource. Additionally, by allowing the enrolled entity to complete the CHAMPS enrollment application on the organization’s behalf, the organization agrees that this entity can accept the CHAMPS terms and conditions as well as becoming the domain administrator within CHAMPS for the organization.

• To stay in touch, please join our listserv here.
  • Instructions
• Please email MDHHS-EngageMedicaid@michigan.gov with the subject line “ILOS” with any questions.