Michigan health providers must enroll by Oct. 1

Beginning October 1, 2019, Medicaid beneficiaries with prescriptions written by healthcare providers who are not enrolled with the Medicaid program will not be able to have the prescription filled.

Federal requirements require providers who prescribe medications to Medicaid beneficiaries must enroll by Oct. 1 in the Community Health Automated Medicaid Processing System (CHAMPS) – the state’s online Medicaid enrollment system. Under federal requirements, the Michigan Department of Health and Human Services (MDHHS) will prohibit payment for prescription drug claims written by any provider who is not enrolled in CHAMPS.

The federal Affordable Care Act and the 21st Century Cures Act require prescribers to enroll. The purpose of this requirement is to protect beneficiaries by strengthening program integrity and care quality. The requirement applies to all providers who prescribe drugs – including medical residents.

Providers who want information about the enrollment process and how to get started can visit Michigan.gov/MedicaidProviders and click on the “Provider Enrollment” box. Providers who have questions on the process can call MDHHS Provider Support at 800-292-2550.