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Enroll as a Dental Provider

Enroll as a Dental Provider

This page outlines the process for dental providers to begin the provider enrollment process for both Michigan Medicaid and Medicaid Health Plan(s)(MHP). All providers who serve Michigan Medicaid beneficiaries, including providers participating in Medicaid Health Plans (MHP) and Dental Health Plans provider networks, are required to be screened and enrolled in CHAMPS.

To access a resource click on the preferred file hyperlink.

Getting Started

Determine Enrollment Type

There are different CHAMPS Enrollment Types, read through the definitions below to determine which is the appropriate Dental Enrollment Type.

Individual/Sole Proprietor:

  • Individual/Sole Proprietor: A Individual/Sole Proprietor is a provider that owns his/her own practice. This provider will receive payments directly from MDHHS for services rendered at their practice. An Individual/Sole Proprietor may associate to other entities and Rendering/Servicing providers may associate to an Individual/Sole Proprietor.
  • Rendering/Servicing: A Rendering/Servicing provider is one who provides services through a Group, Facility, Agency, Organization, or Individual/Sole Proprietor. A Rendering/Servicing provider does not bill directly to Michigan Medicaid. The Billing Provider that is associated to this applicant type, submits claims and receives payments for the Rendering/Servicing provider. This Billing Provider must be approved in CHAMPS prior to the submission of a new enrollment application for a Rendering/Servicing provider.

Group: A Group provider is an organization of individual providers that provide medical or dental services. A Group provider would receive a Type 2 NPI and rendering/servicing providers would associate to the Group provider. All new Group enrollments must be completed utilizing the CHAMPS system. All providers who are associated to a Group will not be able to complete a new enrollment until the Group has been approved in CHAMPS.

Register for SIGMA

The Individual/Sole Proprietor and Group Enrollment Types must have their Social Security Number (SSN) or Employer Identification Number (EIN)/Tax Identification Number (TIN) enrolled with SIGMA Vendor Self Service (VSS) prior to starting the enrollment process in CHAMPS. www.Michigan.gov/SIGMAVSS.  Rendering/Servicing only Enrollment Type applications do not have to register with SIGMA.

Register for MiLogin and Request CHAMPS Access 

Providers must register for a MiLogin account to access the CHAMPS system. All users within a provider's organization who need access to the information within CHAMPS (Provider Enrollment, Claims, Prior Authorization, etc.) must obtain a MiLogin user ID and password. For instructions on how to obtain a MiLogin user ID and password as well as subscribe to CHAMPS see MiLogin Instructions.

The MiLogin user who submits the Provider Enrollment application becomes the Provider Domain Administrator for that application. The Provider Domain Administrator has the responsibility of assigning rights for all users within the organization to access the provider's file. Multiple Provider Domain Administrators may be established for a single organization, but a separate application must be completed and approved for each administrator. Domain Administrator Functions

One of the following profiles is needed to access the Provider tab: CHAMPS Full Access, CHAMPS Limited Access, Provider Enrollment View Access, or Provider Enrollment Access.

Step-By-Step CHAMPS Enrollment Guides

All providers who serve Michigan Medicaid beneficiaries are required to be screened and enrolled in the Community Health Automated Medicaid Processing System (CHAMPS). The CHAMPS provider enrollment subsystem allows providers to easily update their information at any time or submit a new provider enrollment application. Visit any of the below links to review CHAMPS provider enrollment instructions and user guides.

For further information on how to enroll as a Michigan Medicaid Provider visit our Provider Enrollment website.

Contact a Managed Care Organization (MCO)

Providers wanting to treat patients who are enrolled in a Medicaid Health Plan (MHP) and Integrated Care Organizations (ICOs) will need to contact the MHP in their county. Medicaid beneficiaries ages 21 years and older, including Healthy Michigan Plan beneficiaries and pregnant women who are enrolled in an MHP, ICO, or PACE, will receive dental benefits through the health plan. 

 

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