Provider Deadline Nears for Enrollment in CHAMPS for Medicaid Payment of Drug Claims

Posted on August 15, 2019

Providers who prescribe medications to Medicaid beneficiaries are urged to enroll in the Michigan Department of Health and Human Services (MDHHS) Community Health Automated Medicaid Processing System (CHAMPS) by the Oct. 1 deadline to avoid pharmacy claim denials or medicines not being issued for patients when the prescription is presented at the pharmacy.

Earlier this year, it was reported that providers who had not enrolled would begin experiencing pharmacy claim denials, resulting in delays in obtaining medications for patients.

This requirement applies to all providers, including residents, who prescribe drugs to Medicaid fee-for-service and managed care organization beneficiaries, including Healthy Michigan Plan, Children’s Special Health Care Services and the Maternity Outpatient Medical Services programs.

Hospitals are urged to share this information with clinical staff. Instructions are available on the MDHHS website and additional information is available in a recent bulletin.

Organizations interested in having an MDHHS Provider Enrollment Representative speak with their staff about enrolling in the Michigan Medicaid program should complete the online Provider Enrollment Request form to have a representative make arrangements to assist in that process.

Providers with questions regarding enrollment can visit the Provider Enrollment webpage or call Provider Support at (800) 292-2550. For more information, contact Vickie Kunz at the MHA.

Tags: Medicaid, prescription drugs, MDHHS, CHAMPS

Posted in: Member News

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