SMMC Long-term Care Provider Webinar: Medicaid Provider Enrollment
Provider enrollment training guide - Michigan
Transcript of Provider enrollment training guide - Michigan
![Page 1: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/1.jpg)
Add TitleProvider EnrollmentNew Rendering/Servicing Provider
![Page 2: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/2.jpg)
Table of Contents
Register for MILogin and CHAMPS Slides 3-16
New Provider Enrollment Slides 17-48
Track Existing Application Slides 49-53
![Page 3: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/3.jpg)
Register for MILogin and CHAMPS
MILogin is a website that allows a user to enter one ID and password in order to access multiple applications.
CHAMPS (Community Health Automated Medicaid Processing System) is the program where providers enroll, update enrollment information, and report services provided.
![Page 4: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/4.jpg)
Open your web browser (e.g. Internet Explorer, Google Chrome, Mozilla Firefox, etc.)
Enter https://milogintp.Michigan.gov into the search bar
Click Sign Up
![Page 5: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/5.jpg)
Complete all required fields
Check the ‘I agree’ box
Click Next
![Page 6: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/6.jpg)
Create the user ID and password following the listed guidelines
Select the preferred password recovery method(s)
Click Create Account
![Page 7: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/7.jpg)
Your MILogin account has now been created successfully
Click the Login button to return to the login screen
![Page 8: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/8.jpg)
Enter your User ID and Password you just created
Click Login
![Page 9: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/9.jpg)
Your Home Page will not show any applications
Click Request Access
*MILogin resource links are listed at the bottom of the page
![Page 10: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/10.jpg)
Type CHAMPS in the search box
Click the search/magnifying button
![Page 11: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/11.jpg)
Click on CHAMPS
![Page 12: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/12.jpg)
Select the ‘I agree to the terms & conditions’ radio button
Click Request Access
![Page 13: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/13.jpg)
Verify all information is correct
Click Submit
![Page 14: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/14.jpg)
You will be given confirmation that your request has been submitted successfully
Click the Home button to return to the MILogin Home Page
![Page 15: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/15.jpg)
You will be directed back to your MILogin Home Page
Click the CHAMPS hyperlink
![Page 16: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/16.jpg)
Click Acknowledge/Agree button to accept the Terms & Conditions to get into CHAMPS
![Page 17: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/17.jpg)
New Provider Enrollment
Steps on how to complete a new CHAMPS enrollment
for a Rendering/Servicing Provider type
![Page 18: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/18.jpg)
Click New Enrollment
![Page 19: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/19.jpg)
Select Regular Individual/Sole Proprietor or Rendering/Servicing Provider
Click Submit
![Page 20: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/20.jpg)
Select Applicant Type: Rendering/Servicing Only
Basic Information: Complete all fields marked with an asterisk (*)
Home Address: Complete Address Line 1 and Zip Code, click Validate Address (Please Note: you should receive confirmation “Address validation successful”)
Click Finish
![Page 21: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/21.jpg)
Confirmation, Basic Information is complete
Take note of the Application ID, as this is used to track your application status
Click Ok
![Page 22: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/22.jpg)
Individual Provider Enrollment steps are listed (Please Note: some steps are required verses optional)
Step 1 has a status of Complete
Click on Step 2: Add Specialties
![Page 23: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/23.jpg)
Click Add
![Page 24: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/24.jpg)
Choose appropriate Provider Type and Specialty (Please Note: There is no need to fill in an End Date)
Dependent on the Specialty chosen, Available Subspecialties will populate
Select Available Subspecialties click >> to add to Associated Subspecialties list
Click Ok
![Page 25: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/25.jpg)
Once all Specialties/Subspecialties have been added, click Primary Specialty
![Page 26: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/26.jpg)
Choose Primary Specialty/Subspecialty from the drop-down list of already added specialties
Select Yes if Board Certified or Board Eligible
Enter Start Date
Click Save
Click Close
![Page 27: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/27.jpg)
Click Close to return to the enrollment steps
![Page 28: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/28.jpg)
Step 2 is complete
Click on Step 3: Associate Billing Provider
![Page 29: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/29.jpg)
Please Note: This step requires the NPI of the Provider/Facility you are rendering services for. Example, Provider A is working for
Facility B; therefore, Facility B will be the Billing Provider and Provider A will be the Rendering Provider. Do not put your own NPI.
Click Add
![Page 30: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/30.jpg)
Complete all fields marked with an asterisk (*)
Click Confirm Provider; Provider Name will populate
Click Ok
![Page 31: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/31.jpg)
The associated providers information is now listed under the Billing Provider List
Click Close
![Page 32: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/32.jpg)
Step 3 is complete
Click on Step 4: Add License/Certification/Other
![Page 33: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/33.jpg)
Click Add
![Page 34: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/34.jpg)
Complete all fields marked with an asterisk (*)
Click Confirm License/Certification/Other
Click Ok
![Page 35: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/35.jpg)
The License/Certification/Other information will now be displayed
To add additional License/Certification repeat the same process
Click Close
![Page 36: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/36.jpg)
Step 4 is complete
Click on Step 6: Add Taxonomy Details (Please Note: Step 5 is not required)
![Page 37: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/37.jpg)
Click Add
![Page 38: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/38.jpg)
Enter in Taxonomy Code or click on ( ) next to the words, Click here for Taxonomy List, to
look up appropriate taxonomy code
![Page 39: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/39.jpg)
After clicking ( ) the National Uniform Claim Committee webpage will pop-up
Press (CTRL+F) to search for appropriate taxonomy code
![Page 40: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/40.jpg)
Enter Start Date
Click Confirm Taxonomy
Click Ok
![Page 41: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/41.jpg)
The Taxonomy Code information will be displayed
Click Close
![Page 42: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/42.jpg)
Step 6 is complete
Click on Step 9: Complete Enrollment Checklist (Please Note: Steps 7 & 8 are not required)
![Page 43: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/43.jpg)
Answer the questions in the Provider Checklist as appropriate
Add Comments if necessary
Click Save
Click Close
![Page 44: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/44.jpg)
Step 9 is complete
Click on Step 10: Submit Enrollment Application for Approval(Please Note: If you chose not to complete optional steps you can still submit your application)
You must complete this step to finalize your application submission
![Page 45: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/45.jpg)
Final Submission: Click Next
![Page 46: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/46.jpg)
Read through the Terms and Conditions
![Page 47: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/47.jpg)
Check the box at the end to agree to the Terms and Conditions
Click Submit Application
![Page 48: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/48.jpg)
Step 10 is now complete and application has been submitted to the State for review
Take note of your Application ID for further tracking
Click Close(Please Note: Optional steps may show as incomplete if you chose not to complete. This is ok.)
![Page 49: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/49.jpg)
Track Existing Application
Rendering/Servicing Provider
![Page 50: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/50.jpg)
Select Provider tab
Click Track Application
![Page 51: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/51.jpg)
Fill in Application ID
Click Next
![Page 52: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/52.jpg)
Complete all fields marked with an asterisk (*)
Click Submit
![Page 53: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/53.jpg)
Confirmation your Provider Enrollment Application has been submitted and is being
reviewed by the state
Click Close
![Page 54: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/54.jpg)
Provider Enrollment Final Steps
Please allow the State time to review the Provider
Enrollment Application.
After the State has looked over the Provider
Enrollment Application Providers will receive a
letter letting them know whether they have been
approved or denied. Letter for a Rendering/Servicing provider is sent to the
Billing Provider’s Correspondence address provided in the
Provider Enrollment Application.
![Page 55: Provider enrollment training guide - Michigan](https://reader031.fdocuments.net/reader031/viewer/2022020706/61fca0059d50e757a521cc12/html5/thumbnails/55.jpg)
Provider Resources
MDHHS website: www.michigan.gov/medicaidproviders
We continue to update our Provider Resources, just click on the links below: Listserv Instructions
Medicaid Alerts and Biller “B” Aware
Quick Reference Guides
Update Other Insurance NOW!
Medicaid Provider Training Sessions
Provider Enrollment: [email protected] or 1-800-292-2550
Thank you for participating in the Michigan Medicaid Program