MedicaidAdministrativeMedium impact
MSA 17-26
Michigan Medicaid - MDHHS·MI · Family Medicine, General Practice, Internal Medicine +1 more·Provider Bulletin
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Michigan is transitioning from manual health plan detail file submissions to automated encounter data retrieval from CHAMPS system for FQHC, RHC, and Tribal Health Center Medicaid reconciliation reports. Providers must ensure encounter data submitted to health plans is complete and accurate since this data will now be used directly for settlement calculations.
Action Required
Immediately: Ensure all encounter data submitted to Medicaid Health Plans is complete and accurate, as this data from CHAMPS will now be used for settlement calculations instead of manual file submissions. Continue filing required capitation schedules with monthly payment totals. Contact individual health plans to resolve any data discrepancies before they affect settlements.