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The mihealth card does not contain eligibility information and does not guarantee eligibility. The provider can use the mihealth card to access a beneficiary's eligibility information using the CHAMPS Eligibility Inquiry and/or vendor that receives eligibility data from CHAMPS prior to rendering services.
Beneficiary information is confidential under federal guidelines and must be used only for verifying beneficiary eligibility. If the beneficiary is eligible, the following information is available from the eligibility response:
Beneficiary eligibility may be queried using the beneficiary ID number or the Client Identification Number (CIN) (for MIChild inquiries only); or, if the ID number is not available, by using one of the following additional search options:
Additional search options (use if needed with one of the search options above to obtain a unique member match) include:
Date of Service criteria includes the following:
Providers must be enrolled for the DOS in order to receive the eligibility response.
CHAMPS Eligibility Inquiry
MDHHS Provider Inquiry Helpline 1-800-292-2550 for questions/ issues related to the eligibility response, and for providers without internet access to verify eligibility.
Website: Log into CHAMPS using MILogin at https://milogintp.michigan.gov
Go to the Eligibility Inquiry hyperlink located on the 'Provider Portal' page under the 'Member' section.
Benefit Plan Information: www.michigan.gov/mdhhs
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Benefit Plan ID table
For Medicaid providers to verify eligibility for the Medicaid, CSHCS, MOMS, and MIChild programs. Refer to the Benefit Plan ID table in the Beneficiary Eligibility Chapter for a complete list of Benefit Plan IDs that are provided in the eligibility response. Providers need to utilize the Benefit Plan ID(s) indicated in the eligibility response to determine coverage for a specific DOS.