Behavioral Health, MI Choice Waiver, MI Health Link, and Medicaid Managed Care Home Health Care Service

As of September 3, 2024, MDHHS requires the use of Electronic Visit Verification (EVV) for Behavioral Health, MI Choice Waiver, MI Health Link, and Medicaid Managed Care Home Health Care Services will require EVV. 

New agency providers will need to complete a CHAMPS Provider Enrollment application, EVV Atypical Enrollment Instructions. This step should be completed before completing the EVV onboarding form.

Policy and Updates

• EVV Update: Self-Directed Arrangements
• Update: EVV Implementation: Behavioral Health, MI Choice, and MI Health Link Personal Care Services
• Update: EVV Implementation: Medicaid Managed Care Home Health Care Services (Medicaid Health Plan MHPs)

• MMP 24-34 EVV Personal Care Services Updates 
• MMP 24-21
• L Letter 24-14
• 2401-EVV
• MMP 23-76
• MMP 23-42 

For questions regarding the HHAeXchange system visit the Michigan Information Center website at www.hhaexchange.com/info-hub/Michigan.   

Timeline

Action Required

Behavioral Health, MI Choice Waiver, MI Health Link, and Medicaid Managed Care Home Health Care Service providers should:

1. Complete the Provider Onboarding Form Complete Provider Onboarding Form Now
2. Review the recording and slide deck of the HHAeXchange webinars if you were not able to attend:
   • Get Ready for EVV webinar Recording | Deck
   • Information Session webinar Recording| Deck

Training Sessions designed to assist providers with portal configuration, contract management, caregiver set-up and scheduling, and open hours for questions. These sessions are for providers who have filled out a Provider Onboarding form and have an HHAeXchange Portal.

What services require EVV?

If you provide Medicaid-funded personal care or home health care services such as assistance with ambulation, bathing, dressing, grooming, personal hygiene, meals, and homemaker services through any of the five programs listed above, then you must validate those services through an EVV system. 

The Michigan Medicaid program covers PCS that are provided under the State Plan and waivers of the plan. The following services and their procedure codes listed by program encompass PCS. 

     **Behavioral Health services that start and/or stop in the home (POS/Location code 12) require EVV. 

     +All Home Help services require EVV.

CHAMPS Provider Enrollment Requirements

To standardize billing provider data in preparation for the launch of an EVV system in Michigan, the Michigan Department of Health and Human Services (MDHHS) is updating its provider enrollment requirements for those providing Personal Care Services (PCS) that require EVV. Agencies and fiscal intermediaries (FIs) that pay direct care workers who provide PCS must obtain a National Provider Identifier (NPI) and enroll in the Community Health Automated Medicaid Processing System (CHAMPS). 

MMP 23-76  Update to Provider Enrollment of Electronic Visit Verification (EVV)- Required Personal Care Services Providers.

• Providers who need to apply for a National Provider Identifier (NPI) visit the National Plan and Provider Enumeration System (NPPES) website: nppes.cms.hhs.gov/#/
  • How to apply for an NPI: nppes.cms.hhs.gov/assets/How_to_apply_for_an_NPI_online.pdf

• Complete a CHAMPS Provider Enrollment Atypical application. EVV Atypical Enrollment Instructions

• Once the CHAMPS Application has been submitted, complete the HHAeXchange provider onboarding form 

By completing the onboarding form allows HHAeXchange to create the EVV provider portal and work with the Agency to begin the EVV process. The provider onboarding form must be completed regardless of if the Agency will continue to use their existing EVV vendor or the state sponsored vendor, HHAeXchange. 

Provider Contact Information

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.

For instructions on how to update or modify email addresses reference the Provider Enrollment webpage step-by-step enrollment guide resources.