Medicaid

How to Get Credentialed with Michigan Medicaid in Michigan

Network: Open
30-90 Days

Quick Overview

Timeline

30 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Michigan-Specific Requirements

Michigan Medicaid (Healthy Michigan Plan) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the MDHHS (Michigan Department of Health and Human Services) CHAMPS (Community Health Automated Medicaid Processing System) portal. (3) Submit application with MI state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Michigan operates managed care through 7 Medicaid Health Plans statewide. Behavioral health providers accepted include LPC, LMSW (Licensed Master Social Worker), LMFT, and Limited Licensed Psychologist with active Michigan licensure. Revalidation is required every 5 years.

Medicaid Information: Michigan

Agency: Michigan DHHS

Program: Healthy Michigan Plan

Portal: https://milogintp.michigan.gov

Phone: 1-800-292-2550

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Michigan.

2

Prepare Your Application

Complete Michigan Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Michigan Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-90 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Michigan Medicaid?

Our specialists handle the entire Michigan Medicaid enrollment process: applications, follow-ups, and approvals in Michigan.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Michigan Medicaid Provider Enrollment (CHAMPS)

Required
Online Open →

Key Credentialing Terms

Capitation
A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Managed Care
A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
Network Adequacy
The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Michigan Medicaid.

View Physician Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-800-292-2550

Mon-Fri 8am-5pm

Provider Services

National

1-800-292-2550

Claims & Billing

National

1-800-292-2550

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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