Michigan Department of Health & Human Services - Medical Services Administration


Please Note

We are a service company that can help you file with the Michigan Department of Health & Human Services - Medical Services Administration. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Phone: 517-582-4145

Web: Home
Email: RichardsD@Michigan.gov

Licenses

We track the following licenses with the Michigan Department of Health & Human Services - Medical Services Administration in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Michigan Medicaid Provider Enrollment - Atypical

Agency:Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:No
Notes:

The Center for Medicare and Medicaid Services (CMS) defines atypical providers as providers that do not provide health care. Providers who may be enrolled in CHAMPS or Bridges and do not perform medical services (e.g. Home Help, Non-Emergency Medical Transportation (NEMT), Adult Foster Care (AFC)). Atypical providers may submit HIPAA transactions, but they do not meet the HIPAA definition of a health care provider and would not receive an NPI number.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$599

Notes:

Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.

Registration Renewal

Filing Method:

Online

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided.

Michigan Medicaid Provider Enrollment - Billing Agent

Agency:Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$599

Notes:

Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.

Registration Renewal

Filing Method:

Online

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided.

Michigan Medicaid Provider Enrollment - Facility/Agency/Organization (FAO)

Agency:Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:No
Notes:

A Facility / Agency / Organization (FAO) provider is an entity that provides health care services. An FAO includes Hospitals, Nursing Facilities, Laboratories, etc., and have a Type 2 NPI number associated to them. Providers who need to associate to an FAO will need to wait until the FAO enrollment application has been approved in CHAMPS.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$599

Notes:

Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.

How to Apply:
  1. Register with the State Budget Office through SIGMA VSS.
  2. Register for a MILogin account in order to access the CHAMPS system.
  3. Use the CHAMPS system to enroll as a provider.

Registration Renewal

Filing Method:

Online

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided.

Michigan Medicaid Provider Enrollment - Group

Agency:Michigan Department of Health & Human Services - Medical Services Administration
Foreign Qualification is Prerequisite:No
Notes:

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.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$599

How to Apply:
  1. Register with the State Budget Office through SIGMA VSS.
  2. Register for a MILogin account in order to access the CHAMPS system.
  3. Use the CHAMPS system to enroll as a provider.

Registration Renewal

Filing Method:

Online

Agency Fee:

$599

Michigan Medicaid Provider Enrollment - Individual/Sole Proprietor

Agency:Michigan Department of Health & Human Services - Medical Services Administration
Notes:

An 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.

Initial Registration

Filing Method:

Online

Agency Fee:

$0

How to Apply:
  1. Register with the State Budget Office through SIGMA VSS.
  2. Register for a MILogin account in order to access the CHAMPS system.
  3. Use the CHAMPS system to enroll as a provider.

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every 3 or 5 years depending on the type of services provided.

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