CHAMPS Enrollment Overview - WordPress.com

Medicaid: CHAMPS Enrollment Overview MIPCT Webinar December 14, 2011

CHAMPS CHAMPS = Medicaid Claims Processing and Payment System  You must be an enrolled provider to receive a Medicaid payment  Care Coordination and incentive payments paid to POs  Practice Transformation Payments paid to Provider 

PO Enrollment Medicaid will enroll the POs as a Managed Care Organization (MCO) provider type for purposes of MIPCT  MCO provider type allows us to make the care coordination and incentive capitation payments  POs will receive a letter from MDCH requesting information needed to complete their enrollment 

Provider Enrollment 400 Providers currently affiliated as part of a MIPCT affiliated PO  Provider will need to enroll in the CHAMPS system  Go to www.michigan.gov/medicaidproviders  Call Provider Helpline at (800) 292-2550  CHAMPS enrollment does not mean you have to take new Medicaid patients  POs will receive the list of unenrolled providers affiliated with your PO 

Medicaid Payment Process Medicaid managed care enrollee attribution calculated monthly based on enrollee’s assigned PCP  Enrollees “rolled up” to affiliated PO  Care Coordination capitation payments will be sent quarterly to PO: 

◦ March, June, September 2012

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Practice transformation capitation payments will sent to quarterly to Provider: ◦ March, June, September 2012

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Incentive Payments to PO q 6 months