Medicaid needs your supervisor’s NPI in CHAMPS by November 1.

What is happening

Michigan Medicaid now requires every limited licensed clinician who bills Medicaid to be linked in CHAMPS, the state’s online Medicaid system, to a named supervisor. That supervisor must be fully licensed in your profession and enrolled in Medicaid themselves. The link is due by Sunday, November 1, 2026. Sunday counts. It is a date, not a business day. This is an enrollment-record fix for people already in the system. Nothing else in the Framework is dated November 1: no new modifier, claim form or billing code, and LOCUS, MichiCANS and BH-COVER have no November date.

Who it affects

LLPCs, LLMSWs, educational limited licensed MFTs and master’s-level TLLPs who see Medicaid clients and were enrolled in CHAMPS before September 1. It does not apply to students in practicum or internship, who do not hold a limited license. It does not apply to clinicians employed by or contracted with a PIHP or CMH; section I.F says the instructions are not for PIHP providers. If you hold a limited license and were not enrolled at all before September 1, there is no November 1 catch-up for you: you have had to enroll as “Rendering Only” before billing since September 1, so enroll now. Fully licensed clinicians are affected only as supervisors: your Medicaid enrollment must be active, and expect requests for your individual NPI.

What happens if it is missed

The bulletin’s own words: the link is required “to avoid disenrollment and claim denials.” Disenrollment means Medicaid removes you from its provider list. Claim denials means Medicaid stops paying for your visits. The bulletin does not say disenrollment happens at midnight or that it is permanent, and it describes no grace period. Section I.A adds that if your supervisor is disenrolled, that “may prompt” your disenrollment too. A delay was requested by the hospital association on September 23. None has been granted.

About the bulletin

It is Medicaid bulletin MMP 26-30-BH, from MDHHS, five pages long. Section I.B says enrolled providers “will not need to re-enroll, but will need to report their Medicaid enrolled fully licensed behavioral health provider’s NPI within the CHAMPS provider enrollment checklist and associate themselves with their supervisor” by November 1, 2026. Section I.A sets the supervisor tests. Section I.C says supervision is defined by MCL 333.16109 of the Public Health Code.

Read the bulletin (PDF, michigan.gov) · MCL 333.16109 · MMHCA’s full Framework guide

Which one goes in CHAMPS

The bulletin says you must “perform services under the supervision of” the person you name, and the statute it points to describes overseeing the actual work: reachable at all times, reviewing records, setting procedures. That describes the person responsible for the clinical work being billed, usually the practice supervisor, not someone who meets you an hour a week and has not seen the chart. If your outside hours supervisor also meets those tests for your Medicaid caseload and is enrolled in Medicaid, they could qualify. If not, they are your licensure supervisor and not your CHAMPS supervisor. The bulletin does not address this case in so many words. MMHCA has asked MDHHS. Until they answer, this is our reading, not theirs.

Three things the bulletin does not say. It does not require the supervisor to be in your practice; the group requirement attaches to the billing provider. It does not say whether one supervisor can carry many clinicians or whether you can list two; it says “supervising provider,” singular. And it does not make the supervisor your billing provider: on professional claims your own NPI is the rendering provider and the supervisor’s NPI does not appear. Confirm your supervisor’s CHAMPS enrollment is active, not just that they are licensed.