UHC Community Plan Requires CHAMPS Enrollment

September 16, 2016

In case you haven't heard, UnitedHealthcare Community Plan (Medicaid) is now requiring all new providers to be enrolled in CHAMPS, due to State policy changes. They warn that failure to enroll could cause unnecessary delays in payment. This applies to both rendering and ordering/referring providers that are servicing Medicaid members.  As they receive rosters from Lakeland Care, they will validate each new provider to ensure they are enrolled in CHAMPS.  If the provider is not found in CHAMPS, Lakeland Care will notify your office.  If you have questions in regards to this requirement for CHAMPS enrollment, please contact your United HealthcareProvider Advocate.

If you are not sure if you are registered in CHAMPS, a CHAMPS Provider Verification screen is available for validation. Select the My Inbox tab within CHAMPS and choose the Provider Verification option in the drop-box menu. Enter your NPI number and select Verify.

Additional guidance from the State can be found in the links below.

http://www.michigan.gov/documents/mdch/MSA_12-55_402631_7.pdf
http://www.michigan.gov/documents/mdch/MSA_13-17_423003_7.pdf