Becoming a Medicaid Respite Provider in Michigan: Enrollment and Codes

In Michigan, becoming a Medicaid respite provider comes down to enrolling in CHAMPS and contracting with your PIHP and CMHSP.

If you want to deliver Medicaid respite in Michigan, here's how you qualify and get authorized.

Enroll, then contract

Respite is administered by MDHHS through your regional Prepaid Inpatient Health Plan and local Community Mental Health program. You enroll as a Medicaid provider through CHAMPS, then contract with them — not the state directly.

Match your qualifications to the code

Your provider qualifications are tied to the respite code you bill, from unskilled respite under S5150 to nurse-delivered respite under T1005 with RN or LPN modifiers. Expect to document business registration, insurance, and staff training, and confirm any local experience or reference requirements your PIHP sets.

Key takeaway: Enroll in Medicaid through CHAMPS, contract with your regional PIHP and local CMHSP, and match your qualifications to the respite codes you plan to bill.

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