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CHAMPS - The NEW Medicaid Processing System

       

A Better Way to MEDICAID! 

CHAMPS is Live as of September 18, 2009 

  Log onto    https://sso.state.mi.us  to access CHAMPS


CHAMPS Helpline
1-888-643-2408
(Out of State Providers Please use Email)

CHAMPS@michigan.gov


Updates
Accessing the CHAMPS System
CHAMPS Subsystems
CHAMPS Training
Resources


UPDATES

November 25, 2009 - MDCH Pay Cycle Calendar

November 23, 2009 - General Procedure Code Corrections

November 23, 2009 - Dental Procedure Code Correction

November 23, 2009 - Urgent/Emergent Adult Dental Claims Denying with CARC 17 and RARC N379

November 20, 2009 -  Update on Medicare Crossover Claims

November 20, 2009 - CHAMPS Maintenance scheduled for November 22, 2009

November 6, 2009 - Update on Capitated Payments

November 5, 2009 - Paper Remittance Advices in CHAMPS

November 4, 2009 - Prior Authorization Numbers in CHAMPS

November 4, 2009 - Evaluation and Management CPT Codes - OPPS Claims - Updated 11/13/09

November 4, 2009 - Executive Order 2009-22 - Elimination of Certain Medicaid Benefits for Adults 21 years & older Update

November 4, 2009 - CMH Psychotropic injectables billing update

October 26, 2009 - CHAMPS Claims Editing- Level of Care Determination (LOCD)

October 19, 2009 - Secondary Claims denying/paying zero in error

October 14, 2009 - Pay Cycle 39 and 40 Remittance Advice Update

October 13, 2009 - Remittance Advice Reason and Remark Codes Update

October 8, 2009 -    CHAMPS National Provider Identifier (NPI) Editing for Fee-for-Service (FFS) Billing and Rendering/Servicing Providers

October 6, 2009 -  Hospice Room and Board Claims

October 5, 2009 - Pay Cycle 39 Remittance Advice

October 5, 2009 - Medicaid Interim Payments (MIP) reporting

September 30, 2009 -  Attention Professional Billers - Claims denying in error

September 24, 2009 - Attention Private Duty Nurse (PDN) Providers

September 24, 2009 -  Mode of Claim Submission and CHAMPS Eligibility Reminders

September 23, 2009 -   CHAMPS Prior Authorization Reminder

September 17, 2009 -  Notice regarding Medicaid Interim Payment (MIP) indicators

September 17, 2009 - Important Reminder to All Trading Partners/Billing Agents

September 16, 2009 - Void Claims in CHAMPS Notice

September 14, 2009 - Trading Partner 997 Acknowledgment Announcement

September 10, 2009 - CHAMPS HIPAA File Submission Update

September 10, 2009  - Migration of Legacy Suspended Claims into CHAMPS Reminder

September 10, 2009  - CHAMPS Go-Live Announcement

August 18, 2009 - CHAMPS Implementation Update

August 17, 2009  - CHAMPS Specialties/Subspecialties Reminder 

August 11, 2009 - No Medical Services Administration (MSA) payments made on pay cycle 38

August 11, 2009   - Migration of Legacy Suspended Claims into CHAMPS

July 9, 2009 - For information on Treatment Episode Data Sets (TEDS), Quality Improvement (QI) and Encounters in CHAMPS for Community Mental Health, Provider Inpatient Health Plans, and Coordinating Agencies please view this informational webinar presentation.

For a  list of resolved issues please view the  CHAMPS Archives

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ACCESSING THE CHAMPS SYSTEM

To access the CHAMPS system you must log onto https://sso.state.mi.us  to register for your Single Sign On (SSO) user ID and password. For instructions on how to obtain a user ID/password and to subscribe to CHAMPS please click here ( SSO Instructions ). Make sure all users within your organization that will need to access the information in CHAMPS (Provider Enrollment, Claims, Prior Authorization, etc.) receive a Single Sign-On (SSO) user ID and password. 

MDCH recommends that all organizations keep a list of each user ID. The SSO user that submits the application as is approved will become the Provider Domain Administrator for that application.  That user will have to assign rights for all other users within the organization to access the Provider's file. 

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CHAMPS SUBSYSTEMS

The Michigan Department of Community Health, Department of Information Technology and other key members are working together throughout the design process to create the new CHAMPS system.  The CHAMPS System has been divided into multiple subsystems.  The subsystems for Providers include:

Provider Enrollment (PE) - The PE subsystem allows Providers to enroll and update provider enrollment data quickly and easily in addition to offering improved provider support and services. Provider Enrollment was released on March 31, 2008. For complete instructions and further information on how to enroll as a Michigan Medicaid Provider please visit the  Provider Enrollment website .

My Inbox - The My Inbox subsystem allows users to retrieve system alerts, change selected domain and profile, view archived documents including remittance advices, and upload HIPAA Compliant files directly in CHAMPS. For complete instructions and further information on this subsystem please visit the Resource table below.

Admin - The Admin subsystem allows the Domain Administrator to add and maintain user access. For complete instructions and further information on this subsystem please visit the Resource table below.

Prior Authorization (PA) - The PA subsystem will allow users to initiate new and modify existing PA requests through the online web portal or through a 278 HIPAA Transaction.   Prior Authorization was released on September 18, 2009. For complete instructions and further information on this subsystem please visit the Resource table below.

Claims and Encounters (CE)  - The CE subsystem will allow Providers to submit claims directly online through a batch upload process or through Direct Data Entry.  CE will also provide users with a method to view claims within the subsystem and complete online claim replacements.  Claims and Encounters was released on September 18, 2009. For complete instructions and further information on this subsystem please visit the Resource table below.

Member - The Member subsystem will allow users to check beneficiary eligibility through the online webportal in CHAMPS. Eligibility was released on September 18, 2009. For complete instructions and further information on this subsystem please visit the Resource table below.

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CHAMPS TRAINING 

Please visit our   Medicaid Provider Training Sessions website  for a complete listing of sessions in your area.  Billing information will NOT be available during these sessions. The CHAMPS sessions will cover topics such as: domain issues, managing your Provider Enrollment applications, instructions on how to use the Eligibility, Prior Authorization, and Claims subsystems.

Single Sign-On (SSO) ID will be required on the registration form.  If you do not have an SSO ID, please see the SSO Instructions in the Resources section of this website for more information. 

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NEW Web-Based Trainings

MDCH is excited to announce that Web Based Trainings (WBT) are now available for Providers. These trainings will allow providers to 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 on 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.


RESOURCES

Contact Information

CHAMPS Helpline
1.888.643.2408

  E-mail
CHAMPS@michigan.gov

Single Sign On (SSO)

  https://sso.state.mi.us

  SSO Instructions

Provider  Quick Reference Guides

Manage Enrollment

Billing Agent

  Group

  FAO

Individual Rendering/ Servicing  

Individual/Sole Proprietor

Claims Quick Reference Guides

Claim Inquiry

Dental DDE

Professional DDE  

Institutional DDE

Claim Adjustment

Void Claim

Additional Quick Reference Guides

Eligibility Inquiry

Prior Authorization Request

Prior Authorization Inquiry

My Inbox Functions

Domain Administrator Functions

Webcasts

   Claims DDE Template

SSO/Domain

Domain Administrator Functions  

Claim Adjustment

Void Claim

Provider Enrollment

Frequently Asked Questions

General System

Accessing CHAMPS

Provider Enrollment

Eligibility

Prior Authorization

Claims

CHAMPS HIPAA Companion Guides

270/271 Companion Guide

277U Companion Guide

  837 Institutional Companion Guide

  837 Professional Companion Guide

  837 Dental Companion Guide

  835 Companion Guide

CHAMPS HIPAA Companion Guides

834 PIHP & HSW Companion Guide

276/277 Companion Guide

834 HK Dental Benefit Enrollment and Maintenence Guide

834 MHPs, CHPs, & PACE Companion Guide

834 MICHILD Companion Guide

834 CMHSP & SA Companion Guide

820 Companion Guide

Additional Resources

Web-Based Training Link

http://learning.mihealth.org/SOLO/

How to Use Claim Inquiry to compare to paper RA  

How to Assign 835 in CHAMPS

How to find claims "Inprocess" (pending) in CHAMPS

How to convert Text to Numbers in Excel

Additional Resources

  Benefit Plan Handout

Paper Remittance Advice Explanation  

TCN Composition Worksheet

Other Insurance Coverage Type Codes

System Settings and Configuration

  Electronic Signature (DCH-1401)

Third Party Liability Carrier/Payer ID's

Reason & Remark Codes WPC website

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