Mich. Medicaid Provider Manual, Hospice § 3.2

Hospice providers are responsible for admitting beneficiaries for hospice services in the Admission

Information Section in CHAMPS. The admission process must be electronically completed in CHAMPS. A

downloaded copy of the beneficiary’s admission must be signed by the beneficiary and/or authorized

representative, with a copy given to the beneficiary and/or authorized representative and the original

copy retained in the beneficiary’s record. Completion of the hospice beneficiary’s admission in CHAMPS

will result in real-time changes to the National Provider Identification (NPI) and the beneficiary’s Program

Enrollment Type (PET).

Hospice providers have the ability to track their current beneficiaries in CHAMPS via the Member

Enrollment/Admission List screen. This roster screen will allow the provider to view beneficiary admission

information and Medicaid status. Hospice providers must complete the hospice admission in a timely

manner in CHAMPS in order to maintain an accurate roster, and to ensure the beneficiary has the correct

PET and benefit plan assigned for correct payment.

A copy of the following information must be retained in the beneficiary’s record:

• The original, signed copy of the Admission Certification.

• Hospice identification card (if the hospice chooses to issue one to their beneficiaries).