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Credentialing

AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan) is responsible for the credentialing and re-credentialing of its provider network. All providers credentialed by AmeriHealth Caritas VIP Care Plus must also be enrolled with the Medicare program and, as such, must agree to comply with all pertinent Medicare regulations.

All providers must also be registered with Michigan’s web-based Medicaid claims payment system, known as CHAMPS (Community Health Automated Medicaid Processing System). Effective January 1, 2018, Medicaid claims submitted by providers who have not fully completed provider enrollment in CHAMPS will deny or not appear on a remittance advice. For more information on how to enroll in CHAMPS, go to: milogintp.Michigan.gov.

Getting credentialed

AmeriHealth Caritas VIP Care Plus works with the Council for Affordable Quality Healthcare (CAQH) to offer providers a Universal Provider Data source that simplifies and streamlines the data collection process for credentialing and re-credentialing.

To access information for all the required credentialing documents, in addition to those found in a provider's CAQH record—or for providers who prefer a paper credentialing process—please visit the join our provider network section of this website, or contact AmeriHealth Caritas VIP Care Plus Provider Services for assistance at 1-888-667-0318, or your local Account Executive.

Additional credentialing information

For a complete list of the types of practitioners and facilities that AmeriHealth VIP Care Plus, MI Health Link Medicare-Medicaid Plan (MMP) is responsible for credentialing, see the Provider Manual (PDF).

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