CHAMPS Provider Enrollment is Live!

Medicaid has implemented a new online Provider Enrollment system. The new system is specifically structured to comply with NPI standards. All current HIPAA-Covered* Fee-For-Service** Michigan Medicaid Providers, including Out-of-State Providers but excluding Pharmacy Providers, must access to CHAMPS to enroll in the Michigan Medicaid Program. The CHAMPS Provider Enrollment subsystem allows Providers to enroll and update data quickly and easily in addition to offering improved provider support and services.

CHAMPS online provider enrollment and maintenance replaces the paper enrollment process. New Providers can access the CHAMPS system to track the status of their application. 

For further information on CHAMPS and how to complete the enrollment process, please  visit our CHAMPS website at www.michigan.gov/mdch and click on the CHAMPS logo.

Below is a Checklist of items that are required to submit the online CHAMPS application.

CHAMPS is a NPI based system and all providers, groups and/or facilities (unless otherwise exempt) must obtain and register their NPI with the National Plan and Provider Enumeration System (NPPES)   prior to enrollment in CHAMPS.

CHAMPS Regional Trainings

MDCH has canvassed the State providing CHAMPS user training since April 2008. User training for other phases of CHAMPS, like Beneficiary Eligibility Verification and Claims Submission/Tracking, will be provided as they become active. For the most up-to-date training schedule and online registration please visit the  Medicaid Provider Training Sessions  webpage. Attendance is encouraged; all attendees must register.

Retroactive Enrollment - Because MDCH terminated the paper enrollment process on January 1, 2008 and did not open online enrollments until March 31st, MDCH will automatically assign an effective date of January 1, 2008 to new enrollments entered in CHAMPS unless otherwise specified. Retroactive enrollment prior to January 1, 2008 must be specifically requested within the CHAMPS electronic application. These new enrollments will also be exempt from the one-year billing limitation if billed within 120 days (4 months) of CHAMPS Provider Enrollment System activation.

When requesting retro enrollment within the "Complete Enrollment Checklist" step of an application, you must indicate the date requested in the "Comment" field. If you are requesting a date prior to one year from today's date you must also include a reason for this request.

Billing Agents - Billing Agents are entities that submit Fee-For-Service Medicaid Provider's electronic claims or Medicaid Health Plan's encounter data** via the State of Michigan Data Exchange Gateway. All Medicaid Billing Agents must revalidate or enroll in CHAMPS.

Pharmacy Providers - To enroll in the Medicaid Program as a Pharmacy Provider, contact First Health Services Corporation for enrollment information at 804-965-7916 or 804-965-7748. Pharmacy Providers can also download the enrollment form via Internet at www.michigan.fhsc.com >>Providers>>Forms. Pharmacy Providers who need to enroll as Medical Suppliers (see Medicaid Provider Manual for details) must use the CHAMPS online system.

Electronic Funds Transfer (EFT)

1. Access the Internet and log onto the Contract & Payment Express (C&PE) Web site at   http://www.mi.gov/cpexpress
2. Follow the C&PE steps to request a password. The password will be mailed to you via U.S. mail. 
3. When you receive your password, access the C&PE website again and follow the steps to sign up to receive payments via EFT. 
4. Take the Web site EFT authorization form that you completed and printed to your bank for verification and a signature. Then sign and mail the form to the address on the form. 
5. Within two or three weeks after the form is mailed, you should start to receive payments via EFT.

If you have questions regarding this process, contact the Vendor Payee Help Desk at 1-888-734-9749.

*HIPAA/NPI-exempt Fee-For-Service Michigan Medicaid Providers such as non-emergency transportation and respite service providers will continue their current provider enrollment protocol.  For details, call or email Provider Enrollment at 517-355-4952 or ProviderEnrollment@michigan.gov.

**Medicaid Health Plans will continue to maintain their own provider enrollment, prior authorization, and claims processing systems.