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Existing Individual Provider Enrollment

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Page 1: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Add TitleExisting Individual Provider Enrollment

Existing Individual Provider Enrollment

For anyone who became a provider before June 1, 2015

Call the Provider Support Helpline if you need assistance: 1-800-979-4662

Page 3: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Register for MILogin and CHAMPSMILogin is a website that allows a user to enter one name and password in order to access multiple applications.

CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and report services performed in this system.

Page 4: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Open your web browser (e.g. Internet Explorer, Google Chrome, Mozilla Firefox, etc.) and type https://milogintp.Michigan.gov into the search bar.

Page 5: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Providers must register a MILogin User ID before gaining access to the site.Select the Create New Account button from the MILogin page.

Page 6: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Fill in the required information, indicated by the star (*): First Name, Last Name, Email Address, Work Phone Number, and Answer Verification Question. Click I agree to the terms & conditions box.Click Next.

Page 7: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Enter a User ID and Password. (make sure to follow the guidelines in the green box)Select 4 Secret Questions and Answer them.Click Create Account.

Page 8: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

You will receive a confirmation that your account has been successfully created.Click Login to your account

Page 9: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Enter the User ID and Password you just created.Click Login.

Page 10: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Your Home Page will not show any applications.Click Request Access.

Type CHAMPS in the Step 1: Search for an application box and click the search button.

CHAMPS

Click on CHAMPS - ????? From the Step 2: Choose an application box.

Page 13: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Confirm Step 3: Application ready to be requested says CHAMPS - ????.Click Request Access.

Page 14: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Confirm the App Name: is CHAMPS - ????.Read the Terms & Conditions.Click I Accept.

Page 15: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Confirm your phone number.Click the Provider/Other button.Click Submit.

517-555-5555

[email protected]

Page 16: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Your request to CHAMPS has been successfully submitted.Click Return to home page.

Page 17: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Verify Provider InformationThis step completes the registration for CHAMPS.

Page 18: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Sign into MILogin by going to https://milogintp.Michigan.gov and entering your User ID and Password.This will take you to the MILogin Application Portal.

Page 19: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

You will be directed back to your MILogin home page.From here, you can go into CHAMPS.

Page 20: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

You will need to click Acknowledge/Agree to accept the Terms & Conditions to get into CHAMPS.From there, you can access the Electronic Service Verification (See ESV Instructions or ESV Quick Reference Guide).

Page 21: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Below is the display of the CHAMPS home page for an existing provider.Click on the Track Application hyperlink.

Page 22: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

In the Request Domain Access section, click on the Home Help Providers requesting access to their information hyperlink.

Page 23: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Choose Individual.Enter the required information indicated by the asterisk (*).Check the box verifying that you have read and agree with the Terms and Conditions.Click Submit.Click OK on the text box that pops up.

***NOTE: The information you enter must be exactly the same as it was entered by the Adult Services Worker. If you are unsure how your information was entered or you receive a message saying the information you provided did not match what was in our system, please contact your Adult Services Worker, or call the Home Help Hotline for assistance: 1-800-979-4662.

Page 24: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

You are now enrolled to access Electronic Service Verification.Click Logout to completely exit the system.

Page 25: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

You will be directed back to your MILogin home page.From here, you can go into CHAMPS.

Page 26: Existing Individual Provider Enrollment Add Title · CHAMPS is the Community Health Automated Medicaid Processing System. Providers will enroll, update enrollment information, and

Provider Resources

• Home Help Provider Support Hotline: 1-800-979-4662

• Home Help Provider Support Email: [email protected]

• Home Help Provider FAQ document: Go to www.Michigan.gov/homehelp and click on the Home Help Frequently Asked Questions (FAQs) link under the Additional Home Help Resources heading

mailto:[email protected]

http://www.michigan.gov/homehelp

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