Providers Must Enroll in Michigan Medicaid Program
Health care providers that serve Medicaid beneficiaries are facing an upcoming enrollment deadline that is necessary for them to continue to receive payments from Medicaid.
While the
For dates of service on or after
Typical providers are health care professionals that provide health care services to beneficiaries. They must meet education and state licensing requirements and have assigned National Provider Identifiers. Examples include, but are not limited to, physicians, physician assistants, certified nurse practitioners, dentists and chiropractors.
At this time, contracted Integrated Care Organizations (ICOs), Prepaipd Inpatient Health Plans (PIHPs) and MI Choice Waiver agencies are exempt from this requirement. CHAMPS enrollment neither requires nor mandates providers in a managed care network to accept Fee-for-Service Medicaid beneficiaries. CHAMPS enrollment is used solely to screen providers participating in Medicaid.
For dates of service on or after
The federal Affordable Care Act and the 21st Century Cures Act require all providers who serve Medicaid beneficiaries to be screened and enrolled in the state Medicaid enrollment system. The purpose of this requirement is to protect beneficiaries by strengthening program integrity and care quality.
For information about the Provider Enrollment process and how to get started, visit www.michigan.gov/MedicaidProviders and click on "Provider Enrollment."
Providers also can learn more details by viewing future Provider Bulletins from MDHHS. Providers who have questions about the enrollment process or require assistance may contact the MDHHS Provider Enrollment Help Desk at 1-800-292-2550.
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