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Description: Medicaid Alerts

 

 

 

 

 

 

 


 

 

 

Description: Description: Biller B Aware

Description: Description: Provider Tips

Description: Description: Medicaid Providers

 

 

 

Description: Description: Provider Manual

Description: Description: Provider Fee Schedule

Description: Description: Forms

 

 

 

Description: Description: Documentation E Z Link

Description: Description: Policy Bulletins

Description: Description: ICD10

 

 

 

Description: Description: Email Provider Support

Description: Description: CHAMPS

Description: Description: Phone Menu for Provider Support

 

 

 

 

 

 

 

 

 


 

 

 

Description: Description: Biller B Aware

 

 

 

 

 

 

 

 

 

October 28, 2014: System Outage: Due to system maintenance, CHAMPS will be down between 7:00 PM through 11:00 PM Friday, October 31st, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

October 09, 2014
: Attention ALL Providers:  A CHAMPS defect has been identified within Archived Documents for providers working in Internet Explorer (IE) Version 9. Providers are encouraged to click here for Adobe setting instructions to allow the CHAMPS Archived Documents to function properly while working in IE9 as well as multiple web browser platforms. 

Providers with further questions can contact Provider Support by phone at 1-800-292-2550 or email to ProviderSupport@michigan.gov

October 08, 2014
: System Outage: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, October 11th, 2014 through 6:00 AM Sunday, October 12th, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

October 02, 2014: Attention ALL Providers: A defect has been identified within the new CHAMPS Eligibility Inquire screen. When users attempt to print eligibility information using the Print Member Summary hyperlink, the page does not print all displayed information.  As a work around, users are encouraged to use the Print tool in the blue ribbon across the top of CHAMPS. 
print blue button for champs


October 01, 2014
: Attention ALL Providers: The new look of CHAMPS has encountered problems when users are working in Internet Explorer version 8 through 11. Providers using these versions of Internet Explorer are encouraged to clear the cache which should allow the screens to function properly. Click here for instructions.  

Providers with further questions can contact Provider Support by phone 1-800-292-2550 or email ProviderSupport@michigan.gov 

October 01, 2014
: Attention ALL Providers: Due to a system issue with the CHAMPS interface file to MAIN during the current Pay Cycle 40, EFT’s will be delayed by one day and issued on Friday October 3, 2014. Checks will be issued on schedule on Thursday October 2, 2014.

Providers with further questions can contact Provider Support at 1-800-292-2550 or by email ProviderSupport@michigan.gov

October 01, 2014
: Attention ALL Providers: Due to a system issue, some Fee-for-Service Healthy Michigan Plan (HMP) beneficiaries were incorrectly enrolled retroactively (instead of prospectively) into Health Plans for the months of April, May and June 2014. Claim voids will be initiated by MDCH and should appear on pay cycle 42 (10/16/2014). Providers will need to verify eligibility for these dates of service to determine which HMP Health Plan these beneficiaries are enrolled and submit the claim to that Health Plan within 60 days from the MDCH take back Remittance Advice date. Please note MSA L-letter 14-28 was only mailed to affected providers.

Providers with further questions can contact Provider Support at 1-800-292-2550 or by email ProviderSupport@michigan.gov

September 30, 2014
: Attention ALL Providers:  Effective October 2, 2014, MDCH Third Party Liability (TPL) Update Other Insurance Now! Online form will be updated. While the look and feel of the form will be different, the information the requestor will submit on the form will remain the same. Some new added features include allowing the submission of information for multiple individuals and a drop-down menu of options for who is submitting the form. The form can be accessed at www.michigan.gov/ReportTPL

September 26, 2014
: Attention ALL Providers: Effective Monday September 29th, 2014 the CHAMPS system will receive an update to screens which will change the look and feel. CHAMPS training is offered by MDCH and is posted on the MDCH Provider Training website. Providers are encouraged to visit the website to register for upcoming trainings or schedule a one on one appointment.

September 23, 2014
: Attention ALL Providers:  Effective September 21, 2014, coverage that is received from Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) will be loaded directly into the CHAMPS TPL Coverage File. MDCH Third Party Liability (TPL) will no longer update these records unless changes are available in web-DENIS after the last load date of eligibility from the National Roster File. Providers are asked to please contact BCBSM/BCN for any questions related to loaded coverage.

September 23, 2014
: System Outage: Due to CHAMPS major release, the CHAMPS system will be down between 7:00 PM on Friday, September 26th through 2:00 AM Saturday September 27th, 2014. This outage will affect the CHAMPS system access for all functionality.  We apologize for any inconvenience this may cause.

September 15, 2014
: Attention ALL Providers: Michigan Medicaid would like to remind providers of the opportunity to register your email-address or update your listserv subscriber preferences to access newly added topics for immediate updates. This is a great way to receive direct, immediate communication, including information specific to your provider specialty. Common updates include:  training opportunities, CHAMPS system updates and outages, policy changes, and other important specialty specific alerts. Click here to subscribe or update your listserv subscription and receive updates and announcements delivered to you registered email address. You may unsubscribe at any time. 

UPDATE:
Attention FQHC Providers:  In regards to the message posted on August 27, 2014 related to dental claims where the beneficiary does not have commercial dental insurance coverage on the claims date of service that were voided in error -  MDCH will be unable to resurrect these claims on a future pay cycle. Provider must resubmit claims voided in error and enter the comment “TPL take back done in error.” 

September 09, 2014:
Attention ALL Providers:  Due to a Champs system issue, there is a delay in the posting of the acknowledgements (999).  Any files that were submitted after 1:00 p.m. on September 9, 2014 were affected.  MDCH is working to resolve this issue as soon as possible. Please email AutomatedBilling@michigan.gov with any questions.

September 09, 2014: System Outage: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, September 13, 2014 thru 6:00 AM Sunday, September 14, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

September 09, 2014:
Attention ALL Providers: Effective December 12, 2014, the EZ Link portal will no longer be an available option to submit claim documentation for the following: Consent Forms, Medical Documentation and Predictive Modeling.  Please refer to MSA policy bulletin 14-06 for more information and instructions about the Documental Management Portal (DMP) tool within CHAMPS for electronically submitting supporting documentation to Medicaid electronic claims.

August 27, 2014
:
Attention FQHC Providers: MDCH has identified dental claims reported on the Michigan Department of Community Health Pending TPL Void Reports where the beneficiary does not have commercial dental insurance coverage on the claim date of service. MDCH has canceled the dental claims on the pending TPL void reports affected by this error with report date of August 6, 2014. In addition, dental claims that were previously voided in error will be resurrected on a future pay cycle.

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov

August 14, 2014
:  
System Outage: Due to system maintenance the CHAMPS system will be down between 7:00 PM through 11:00 PM on Friday, August 15, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

August 04, 2014:
System Outage: Due to system maintenance the CHAMPS system will be down between 6:00 PM Saturday, August 9, 2014 through 6:00 AM Sunday, August 10, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 24, 2014:
System Outage: Due to system maintenance, the CHAMPS system will be down between 7:00 PM and 11:00 PM on Friday, July 25th 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 21, 2014:
Attention ALL Providers: The latest batch of MDCH Quarterly Newborn Recoveries is currently being processed.  This batch includes fee for service claims for newborns that were retroactively enrolled into a Medicaid Health Plan. Please note, as with previous quarterly newborn take backs, claims must be submitted to the Medicaid Health Plans within 60 days from the Medicaid Remittance Advice date. Please review the following for information on how to verify the Adjustment Source of your claim.

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov.

July 16, 2014:
Attention Hospital Providers: In compliance with MSA policy bulletin 10-60 and L-Letter 14-25, MDCH has initiated void claims for 2013 and 2014 dates of service for Outpatient Hospital claims which were billed within 3 days of the Inpatient claim. These void claims will begin to process on pay cycle 31 (07/31/14) and can be identified by claim note “OPH within 3 days of IPH”.


Providers with further questions can contact provider support by phone# 1-800-292-2550 or by email: ProviderSupport@michigan.gov

July 09, 2014
: Attention ALL Providers: Effective August 1, 2014, the prior informational edits for providers who do not have their billing agent associated to their NPI within CHAMPS will be set to deny and denial of claims may occur. The claim adjustment reason code used to communicate this issue was non-covered charges (CARC 96) and remittance advice remark code procedure for billing with group/referring/performing providers were not followed (RARC N55). Providers that receive this denial will need to update their Associated Billing Agent step within their Champs Enrollment. 

July 09, 2014
: Attention ALL Providers: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, July 12, 2014 thru 6:00 AM Sunday, July 13, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 08, 2014:
Attention ALL Providers:The 2012 PERM error results have been updated and posted on the MDCH website. Please visit the Medicaid Provider Support website at www.michigan.gov/medicaidproviders and select the PERM PROVIDER EDUCATION hyperlink.

July 01, 2014
System Outage: Due to system maintenance, the CHAMPS system will be down between 5:00 PM and 9:00 PM Sunday, July 6th, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

June 20, 2014
:
Attention  ALL Providers: Due to a system issue the Medicaid Health Plan Primary Care Physician (MHP PCP) information is not being returned on the 271 eligibility response file for individuals enrolled with MME-MC, MA-HMP-MC and CSHCS-MC benefit plans. Until this is resolved please verify eligibility via CHAMPS when verifying MHP PCP information for a beneficiary in one of the above-mentioned plans. If there is no PCP currently listed for the beneficiary then the hyperlink for the MHP PCP will be N and not display any PCP information.

The MHP PCP information for individuals with MA-MC benefit plan is returning on the 271 correctly.

We apologize for any inconvenience that this may cause and we are working to get this corrected.
 
Please email AutomatedBilling@michigan.gov with any questions.


June 17, 2014
: System Outage: Attention ALL Providers: Due to MDCH Single Sign-On (SSO) maintenance, the CHAMPS application will not be accessible Wednesday June 18th, 2014, Thursday June 19th, 2014 and Friday June 20th, 2014 between the times of 2:00am and 5:00am. This Outage will affect CHAMPS front end systems access via the MDCH Single Sign-On. We apologize for any inconvenience this may cause.

June 11, 2014: Attention Outpatient Hospital Providers: All paid claims with dates of service on or after 4/01/2014 will be adjusted with the newly loaded April APC software updates and will appear on pay cycle 26 (6/26/14). Adjusted claims can be identified by the claim note “APC April 2014 quarterly updates.”

For further information, please review how to verify the Adjustment Source of your claim

June 11, 2014: Attention Inpatient & Outpatient Hospital Providers: As part of the most recent CHAMPS update, claims are now processing in alignment with current MSA policy bulletin 10-60. Effective for DOS on and after January 1, 2011, MDCH will follow Medicare’s policy for all preadmission diagnostic services and other preadmission services. All non-diagnostic services rendered in the three day window prior to the inpatient hospital admission may not be billed separately and must be bundled into the inpatient stay, unless the hospital can document they are unrelated services. MDCH may initiate outpatient hospital claim voids to recover paid claims that were not processed in compliance with Bulletin MSA 10-60.


Claims can be identified with Claim Adjustment Reason Code (CARC) 96 and Remittance Advice Remark Code (RARC) M2.


June 10, 2014
: System Outage: Due to system maintenance, the CHAMPS system will be down between 6:00 PM Saturday, June 14th through 6:00 AM Sunday, June 15th, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

June 06, 2014
: Attention ALL Providers: Due to a system update and the MDCH Other Insurance Claims Unit (formerly Third Party Liability Claims Processing Unit) claims review process, some providers may experience a delay in payment.

June 03, 2014:
System Outage: Due to system maintenance, CHAMPS will be down between 5:00 PM Saturday, June 7, 2014 thru 1:00 AM Sunday, June 8, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause. 


Previous 2014 Biller "B" Aware Alerts

 

 

 

 

 

 

 

 

2013 

 

 

 

 

2012

Description: Description: 2011

Description: Description: 2010

 

 


 

 

 

Description: Description: Provider Tips

 

 

 

 

 

 

 

 

 


 

 

 

Description: All Providers

Description: Description: Ambulance

Description: Description: Clinics

 

 

 

Description: Description: Dental

Description: Description: Home Health

Description: Description: Hospice

 

 

 

Description: Description: Hospital

Description: Description: Nursing Facility

Description: Description: Pharmacy and DME

 

 

 

Description: Description: Physician 

Description: Description: Private Duty Nursing

 

 

 

 


 

 

 

All Providers

 

 

 

October 17, 2013: Refund of Payment

October 10, 2013: Benefits Monitoring Program (BMP):

Benefits Monitoring Program

Verifying BMP Eligibility

Beneficiary Notification Letter Example

Beneficiary Final Notification Letter Example

 

MSA 1302 for Specialty Referrals


October 01, 2013:
MDCH-ICD10 Virtual Training *NEW

June 14, 2013: Upper Peninsula Professional Presentation 

 
May 29, 2013:  Spendown Information 

March 22, 2013: Medicaid 101 Training Sessions PowerPoint Presentation 

 

March 07, 2013ICD-10 Virtual Training 

 

December 11, 2012: ICD-10 Presentation 

 

December 3, 2012: Medicare Part D Coverage of Benzodiazepines and Barbiturates 1/1/2013.

As of January 1, 2013, Medicare Part D plans will begin covering benzodiazepines and barbiturates (i.e. barbiturates used in the treatment of epilepsy, cancer, or a chronic mental health disorder). For additional information on the Part D coverage changes, please visit the Michigan Medicaid website https://michigan.fhsc.com 

 

October 8, 2012: How to Adjust a claim with OTHER INSURANCE 


April 16, 2012:
  CHAMPS Navigational Presentation 

March 21, 2012:  CHAMPS Navigational Presentation (billing/claims specific)

 

October 26, 2011:  5010 Professional DDE

October 26, 2011:  5010 Institutional DDE

October 3, 2011:  Local CSHCS Office Contact Info

December 1, 2010:  Incorrect Reporting of OI and Medicare on Medicaid Claims

January 15, 2010:  PERM Audit Information


August 27, 2008:
  CMS 1500 Claim Completion Instructions 

June 14, 2005:  Listserv Instructions- Updated 09.22.2009 

 

 

 


 

 

 

 

Ambulance

 

 

 

 

June 23, 2011:  Multiple Transports (Word)          Multiple Transports (PDF) 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

Clinics

 

 

 

 

May 8, 2012: Clinic Billing Tips 

 

 

 

 

 

 

 

 

 


 

 

 

 

Dental

 

 

 

 

The Dental section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 

 

 

 

 

 

 


 

 

 

 

Home Health

 

 

 

 

The Home Health section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 

 

 

 

 

 

 


 

 

 

 

Hospice

 

 

 

 

 June 28, 2010:  General Hospice Tips         

 

 

 


 

 

 

 

Hospital

 

 

 

 

April 08, 2013: How to Find Professional REV Codes 

 

August 5, 2011: Inpatient Surgical/ ICD 9 Procedure code documentation requirements 

 

June 20, 2011: Hysterectomy- When billing for a hysterectomy performed during a beneficiary's period of retroactive eligibility, please indicate in the Remarks section: "No consent not eligible on DOS, Retro MA. PT told prior to HYST unable to reproduce." 

  

June 2, 2011: Inpatient Hospital Rehab- Providers should report appropriate taxonomy code 273Y00000X, 283X00000X, or 283XC2000X ( not 282N00000X). 

 

 

 


 

 

 

 

Nursing Facility

 

 

 

 

July 18, 2011: Hospital Swing Beds are to report Type of Bill (TOB) as 018x

 

July 1, 2011: All Nursing facility providers must report Medicare information if the beneficiary has active Medicare on file, even if Medicare benefit exhausted (billing after 100-day benefit period) or billing for non-skilled level of care. 

 

June 30, 2011: Outpatient County Medical Care Facilities- Report Type of Bill (TOB) as 23X when billing for therapies.

 

June 23, 2011: Report Covered, Non-Covered and Co-Ins Days based on Primary insurance with Value code 80, 81 and 82

 

June 23, 2011: Exhausted Medicare Part A Benefits - Report Occurrence Code A3 and the last date patient had Medicare Part A and report Medicare information with appropriate CARC/Reason Code 119 or 96 and reason why it was not covered by Medicare.

 

June 23, 2011: Total of units for Room and Board and Leave Days on line level should be equal with number of days reported on FROM and TO Date (UB04 - Form Locator 6).

 

May 25, 2011: Reporting Leave Days - When billing leave days, FROM/ TO Dates and quantity must be reported on service line.

 

May 25, 2011: All Nursing facility providers should report Medicare information if the beneficiary has active Medicare on file, even if they are Medicaid only (non Medicare certified bed) facilities.

 

 

 


 

 

 

 

Pharmacy/DME

 

 

 

 

The Pharmacy/DME section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 


 

 

 

 

Physician

 

 

 

 

February 25, 2013Immunizations Administration and Preventive Medicine Services. 

 

 

 


 

 

 

 

Private Duty Nursing

 

 

 

 

The PDN section is in the process of being updated. Please email ProviderOutreach@michigan.gov if you have suggestions! Thank you for your patience. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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