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CHAMPS. Community Health Automated Medicaid Processing System

 

Description: Single Sign-On (SSO)


 Quick Links 


 Description: Provider Manual

Description: Provider Fee Schedule

Description: Medicaid Alerts

Description: Forms

Description: Documentation EZ Link

Description: Policy Bulletins

Description: Accessing CHAMPS

Description: CHAMPS Subsystems

Description: CHAMPS Training

Description: FAQs

Description: Quick References

Description: Resources

Description: Email Provider Support

Description: Medicaid Providers Page

Predictive Modeling 

 Description: Phone Menu for Provider Support

 

Description: ICD10

 

Document Management Portal 

 


 

 

Accessing the CHAMPS System

To access the CHAMPS system you must register for your Single-Sign-On (SSO) user ID and password. For instructions on how to obtain a user ID and password as well as subscribe for CHAMPS see

SSO Instructions. Make sure all users in your organization that will need access to CHAMPS receive a SSO user ID and password.

MDCH recommends all organizations keep a list of their user IDs. The SSO user that submits the application, once approved, will become the Provider Domain Administrator for that application. That user will have to assist rights for all other users within the organization.

Additional Resources:

SSO/Domain Webcast 

System Settings and Configurations 

SSO Password Change Instructions & Rules 

Internet Explorer 10 Instructions

   

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CHAMPS Subsystems

The CHAMPS System has been divided into multiple subsystems. See below for a description of the subsystems available to Providers

Provider Enrollment (PE):Users can enroll and update provider enrollment data quickly and easily. For complete instructions and further information on how to enroll as a MI Medicaid Provider please visit our Provider Enrollment website.

Additional PE Resources:

Billing Agent QR Guide 

FAQ QR Guide 

Group QR Guide 

Individual/Rendering/Servicing QR Guide 

Individual/Sole Proprietor QR Guide 

Manage Enrollment QR Guide 

PE Webcast 

PE FAQs 

 Primary Specialty

My Inbox: Users can retrieve system alerts, change selected domain and profile, view archived documents, (including remittance advices), and upload HIPAA Compliant files directly in CHAMPS.

Additional My Inbox Resources:

My Inbox Functions QR Guide 

 

 

Admin: Domain Administrators can add and maintain user access.

Additional Admin Resources:

Admin QR Guide 

Admin Webcast 

 

Prior Authorization (PA): Users can initiate new and modify existing PA requests through our online web portal or through a 278 HIPAA Transaction.

Additional PA Resources:

PA Inquiry QR Guide 

PA Request QR Guide 

PA FAQs 

Claims and Encounters (CE): Users can submit claims directly online through a batch upload process or through Direct Data Entry (DDE). Users can also view claims online and complete claim adjustments or replacements.

Additional CE Resources:

Claim Adjustment QR Guide 

Claim Inquiry QR Guide 

Claim Void QR Guide 

DDE Dental QR Guide 

DDE Institutional QR Guide 

DDE Professional QR Guide 

Claim Adjustment Webcast 

Claim Void Webcast 

 

Claims DDE Template Webcast 

 

 

Member: Users can check beneficiary eligibility through an online web portal in CHAMPS.

Additional Member Resources:

Eligibility Inquiry QR Guide 

   

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CHAMPS Training

For a complete list of trainings in your area please visit our Medicaid Providers Training Sessions website.

A SSO ID will be required on the registration form. If you do not have a SSO ID click here for SSO Instructions.  

Web Based Trainings (WBT): Individuals can use interactive learning tools to complete CHAMPS training courses. These courses are not required; however they are an excellent resource for gaining knowledge and understanding in the use of CHAMPS. To access these courses you must have access to Internet Explorer and follow the steps outlined in the Web-Based Training Instructional Guide to register. Once registered go to http://learning.mihealth.org/SOLO to begin.

Webcasts: Select from the list below to learn more.

Billing Agent Training 

Billing Agent FAQs 

Claims: Adjustments

Claims: DDE Template 

Claims: Void 

Domain Administrator Functions 

Provider Enrollment 

SSO/Domain 

 

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Quick Reference Guides

Claims:

Claim: Adjustment 

Claim: Inquiry 

Claim: Void 

Dental DDE 

Institutional DDE 

Professional DDE 

Provider Enrollment:

Billing Agent 

FAO 

Group 

Individual /Rendering/Servicing 

Individual/Sole Proprietor  

Manage Enrollment 

Additional QR Guides:

Domain Administrator Functions 

Eligibility Inquiry 

My Inbox Functions 

Prior Authorization: Inquiry 

Prior Authorization: Request 

 

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Frequently Asked Questions (FAQs)

General Systems 

Accessing CHAMPS 

Provider Enrollment 

Eligibility 

Prior Authorization Claims

Claims 

Office Manager SSN 

 

 

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Resources

Select from the list below for additional CHAMPS related resources.

Administrator Functions:

Electronic Signature (DCH1401) 

Manage User List Page for Domain Administrators 

System Settings and Configuration 

Claims:

Claim Limit List 

 

How to convert Text to Numbers in Excel 

CHAMPS Archives: List of resolved issues

 

 

Other Insurance Coverage Type Codes 

Paper RA Explanation 

Reason & Remark Codes WPC Website 

TCN Composition Worksheet 

Third Party Liability Carrier/Payer IDs 

Third Party Liability Top 25 Insurance Carriers 

Verifying Adjustments 

2015 MDCH Pay Cycle Calendar

How to Adjust a Claim with Other Insurance 

Eligibility:

Benefit Plan Handout & Service Type Codes 

   

Provider Enrollment: 

How to Assign 835 in CHAMPS 

  Primary Specialty 

 

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Predictive Modeling

Predictive Modeling, a pre-payment claims process in CHAMPS, uses advanced screening technology to identify Medicaid claims in which there are billing irregularities.  Claims flagged by the predictive modeling process will undergo a detailed analysis to determine the next step(s) to be taken.  This may include a review of medical records and/or past claims.  Providers must submit the requested records in a timely manner to avoid denials for lack of documentation.

Resources: Select from the list below to learn more.

Bulletin: MSA 12-65 

Predictive Modeling FAQs  

Documentation Fax Cover Letters  

Medical Request Letter (Sample) 

 

 

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Document Management Portal (DMP)


MDCH launched a new enhancement to CHAMPS.  This implementation introduced Phase I of the Document Management Portal (DMP) for CHAMPS users to now access.  This tool will enable providers to electronically submit supporting documentation for Medicaid claims filed electronically through CHAMPS, software vendor or DEG, submit consent forms, and submit records requested for Predictive Modeling requirements.  Users will notice changes on the CHAMPS screens.

Highlight of new features include:
  1.  A new UPLOAD/VIEW document button is located in PROVIDER PORTAL
  2.  New Icons are displayed when viewing the claim detail in CLAIM INQUIRY
  3.  When adjusting a claim an UPLOAD/VIEW document button is displayed on the claim header pages
  4.  When submitting a claim through CHAMPS Direct Data Entry, there will be an UPLOAD DOCUMENTS button displayed after the claim has been submitted.
  
 
DMP Announcement
DMP Tutorial 
DMP Frequently Asked Questions

 

 

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