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Michigan

Michigan Behavioral Health Credentialing and Payer Enrollment

If you write prescriptions in Michigan, one rule outranks everything else on this page. Since October 1, 2019, a prescriber who isn’t enrolled in CHAMPS causes the pharmacy’s claim to deny. Not yours. Theirs. It covers Medicaid, the Healthy Michigan Plan, Children’s Special Health Care Services and MOMS, and it catches prescribers who never planned to bill Michigan Medicaid at all. Your patient finds out at the counter. Here’s the real Michigan path, including the carve-out that decides which network your patient even sits in.

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Michigan payers and timelines

Why Michigan is different

Four Michigan rules that decide your whole build.

None of these are on a generic credentialing checklist. Each one has sent a Michigan practice back to the start of a queue.

CHAMPS enrollment is a pharmacy rule

MDHHS bulletin MSA 19-20, live since October 1, 2019
  • Any provider who prescribes to a Michigan Medicaid beneficiary has to be actively enrolled in CHAMPS, including medical residents
  • MDHHS will not pay a prescription drug claim written by a prescriber who isn’t enrolled. Pharmacies saw an informational edit from July 1, 2018, and those claims started denying on October 1, 2019
  • Programs affected: Medicaid, the Healthy Michigan Plan, Children’s Special Health Care Services and Maternity Outpatient Medical Services
  • You can enroll as an ordering, prescribing and referring provider without ever billing Michigan Medicaid. That’s the fix, and it takes weeks, so it belongs at the front of the queue rather than the back

Specialty behavioral health is carved out to ten regions

Prepaid Inpatient Health Plans and about 46 CMHSPs
  • The Medicaid Health Plan covers physical health and routine outpatient mental health. Specialty behavioral health is not the plan’s
  • Ten regional PIHPs hold it, from NorthCare Network in the Upper Peninsula to Detroit Wayne Integrated Health Network, Oakland Community Health Network and Region 10 across Genesee, Lapeer, St. Clair and Sanilac. Each subcontracts to the local Community Mental Health agency
  • The PIHP side owns serious mental illness, serious emotional disturbance, intellectual and developmental disabilities, and substance use disorder services. LOCUS for adults 21 and over and the MichiCANS screener under 21 decide which side your patient falls on
  • The line moves on October 1, 2026. Under the Medicaid Mental Health Framework the health plans pick up an expanded set of mental health services for lower-need members, including inpatient psychiatric, crisis residential, partial hospitalization and targeted case management. MDHHS and the plans have told providers to prepare to contract with both

Separate door: your regional PIHP and its CMHSP

On the carve-out side the state writes the credentialing rules

MCL 330.1206b, and MDHHS policy effective October 1, 2024
  • Michigan runs a uniform community mental health services credentialing program, and every PIHP has to use it. Standards are set by the state rather than invented by each region
  • The policy sets hard numbers: 90 calendar days to complete initial credentialing or re-credentialing from a complete, signed and dated application, written notice of the decision within 30 days of making it, and re-credentialing every three years
  • Provisional credentialing exists to open up underserved areas. It can’t exceed 150 days, and the PIHP has up to 31 days from a complete application to decide on it
  • Deemed status is a real ask if your caseload spans two regions. A PIHP may accept another PIHP’s credentialing decision instead of repeating the work. It isn’t automatic, and primary source verification rules can limit it, but nobody offers it to you

SIGMA comes before CHAMPS, and the group comes before you

The order-of-operations trap
  • Register your SSN or EIN in SIGMA Vendor Self Service first. MDHHS requires it before a CHAMPS application will go through for Individual or Sole Proprietor, Group and FAO enrollment types. Rendering and Servicing only providers skip it, which is why one person in a practice sails through and the next one stalls
  • Then a MiLogin account and a CHAMPS subscription. The MiLogin user who submits becomes the Provider Domain Administrator and controls who else in the practice can see the file. Decide that on purpose
  • A provider associated to a Group or a Billing Agent cannot finish their own enrollment until that entity is approved in CHAMPS. Build the billing entity first
  • Pick the enrollment type correctly. Individual or Sole Proprietor, Rendering or Servicing, Group, and FAO are four different applications with four different consequences, and picking wrong is the classic Michigan restart

Where the delays actually happen

Getting on a panel isn’t the same as getting paid.

Most of the waiting happens in the gaps between these five steps. We work all of them, and we tell you which one you’re actually sitting in.

Credentialed›contracted›loaded›connected›payable

Two tracks

Medicaid and commercial work differently here.

Most Michigan practices want both. The Medicaid side is county-driven and sequential. The commercial side is concentrated, and it has its own routing quirk that no other state has.

Michigan Medicaid

One enrollment. Two networks behind it. A regional plan map.

You enroll once in CHAMPS, and MDHHS is explicit that this applies to everyone serving Michigan Medicaid beneficiaries, including providers in Medicaid Health Plan networks. Behind that sit nine Medicaid Health Plans holding Comprehensive Health Care Program contracts awarded by Prosperity Region effective October 1, 2024, plus the PIHP carve-out. McLaren Health Plan is the only plan awarded in every Lower Peninsula region. Upper Peninsula Health Plan is the only plan in Region 1. Blue Cross Complete, Meridian, Molina, UnitedHealthcare Community Plan, HAP CareSource, Aetna Better Health and Priority Health Choice each hold their own set.

The order that worksSIGMA, then MiLogin, then CHAMPS, then plans. Get the Group approved in CHAMPS before you submit the rendering clinicians. Then contract with the plans actually awarded in your region, not the ones with the biggest logo.
Forms you’ll actually see

SIGMA Vendor Self ServiceMiLogin and CHAMPS subscriptionMDHHS-5405 cover sheetDCH-1401 signature agreementW-9 and EIN letter

Dual eligibles movedMI Health Link ended on January 1, 2026 and MI Coordinated Health replaced it, launching in selected counties for 2026 with statewide expansion planned for 2027. It covers all Medicare and most Medicaid benefits but deliberately excludes certain behavioral health services, because those stay with the PIHP.
Revalidation and the address on your fileFederal five-year cycle, run through CHAMPS, and CMS directed states in April 2026 to tighten those cycles, so sweeps are running now. In Michigan the notice goes to the email address on your CHAMPS record. A stale address is how a good enrollment quietly dies. We watch it.
Prescribers, read this twiceCHAMPS enrollment gates the pharmacy claim, not just yours. A commercial-only or cash-pay practice can still have a patient’s prescription rejected because of the prescriber’s enrollment status.

Commercial

One Blue, two networks, and a middleman layer that files for you.

Michigan is a single-Blue state, so one Blue Cross Blue Shield of Michigan relationship covers the whole state. What it doesn’t cover is the HMO side, because Blue Care Network is a separate network under the same roof and Michigan employers buy both. Priority Health is strong on the west side and well beyond it now. McLaren and HAP carry real regional weight through mid-Michigan and the southeast.

Your CAQH stays yoursYou complete and attest your own profile. We’re added as an authorized practice manager, so we keep the practice data current and get each payer authorized. We never ask for your password. Blue Cross, Priority Health, McLaren, Aetna and Optum all pull from CAQH, and Optum states plainly that CAQH participation is required for credentialing in Michigan.
Ask about the PO before anyone touches a portalMichigan’s physician organization and physician hospital organization layer is unusually developed, and it changes who files your application. Priority Health tells PO and PHO affiliated providers to contact the organization’s internal administrator first, because the organization may handle it. HAP says roster-managed organizations should not use eApply at all. An independent application on top of a roster submission creates duplicate records that take longer to clean up than they took to create.
Behavioral health has its own doorUnitedHealthcare goes through Optum and Provider Express. Cigna goes through Evernorth. Aetna keeps it in house but uses a separate behavioral health request for participation. Blue Cross and Blue Care Network manage it in house too, and gate eligibility through a published Behavioral Health Eligibility and Type Grid that maps provider type and licence to network. Priority Health runs separate behavioral health instructions with different eligible licence types per product line.
No state clock, and no state formMCL 330.1206b’s uniform program is real, but it says plainly that it doesn’t apply to Medicaid health plans or to insurers regulated under the Insurance Code. So it governs the PIHP side only. Commercial here runs on CAQH, with no statewide credentialing database and no per-application deadline. MCL 500.3531 requires an HMO to hold an initial 60-day application period and repeat one at least every four years, with written notice of acceptance or rejection afterwards. That’s a period-based structure, not a cap on your file.
Seeing patients in other statesOne Blue Cross Michigan contract reaches Blue members in other states through BlueCard. Aetna, Cigna and UnitedHealthcare are national. What you need is a licence where the patient is, not another contract. Michigan Medicaid is the genuine exception, and a CHAMPS enrollment does not travel.

Michigan commercial payers

Who you’ll apply to, and how long it usually takes.

These are typical ranges from a complete application. Michigan puts no statutory cap on a commercial credentialing decision, so the numbers below are the carriers’ own. Payers control their own timelines, so we track them rather than promise them.

Blue Cross Blue Shield of Michigan

The anchor contract, and a single Blue for the whole state
  • Usually: Blue Cross posts a live notice asking providers to allow 35 days for PPO and 60 days for HMO enrollment processing because of volume. That’s the processing clock, with credentialing verification and contract execution sitting around it. Confirm at submission
  • Behavioral health: managed inside the plan, but read the Behavioral Health Eligibility and Type Grid before you apply. It maps provider type and licence to the networks you can actually join, and there’s a separate Enrollment Helpful Hints document for behavioral health
  • Watch: Blue Cross runs a distinct Outpatient Psychiatric Center enrollment path on the facility side. That’s a different application from an individual practitioner
  • Reach: covers Blue members from other states through BlueCard when you’re licensed there. Day to day, Blue Cross and BCN run on Availity

Blue Care Network of Michigan

Same front door, different network
  • Usually: Blue Cross asks for 60 days for HMO enrollment processing. Confirm at submission
  • Why you want both: Michigan employers commonly offer Blue Cross and BCN side by side, so signing one leaves the other book on the table
  • Watch: behavioral health eligibility differs between the Blue Cross and BCN networks. That’s exactly what the eligibility grid is for. BCN also keeps its own behavioral health requirements and authorization rules through e-referral

Priority Health

Corewell Health. West Michigan and well past it now
  • Usually: up to 80 calendar days to process an enrollment request once Priority Health has your complete credentialing information. You get an inquiry number and can track status and read their comments inside prism
  • Before you apply: you have to be registered with CAQH and current there. Completing the online application includes your consent to release the CAQH information, and Priority Health still needs to be authorized to view your profile
  • Behavioral health: separate participation instructions and a separate eligible-licence list that differs by product line. Commercial, Medicaid and Medicare Advantage accept different licence types. Confirm yours is eligible for the specific product before you apply
  • If you’re building a clinic: Priority Health says behavioral health practitioners other than MDs and DOs working inside an accredited organization credentialed as an Organizational Provider do not require individual credentialing. That one line can change your whole sequencing

McLaren Health Plan

Worth more attention than its national name suggests
  • Usually: McLaren doesn’t publish an end-to-end turnaround. You start by contacting Provider Services to request an application, and credentialing policies come on written request. The one published number is on the back end: applicants are informed of the decision within 60 days of the decision date
  • Why it matters: on the Medicaid side McLaren Health Plan is the only plan awarded in every Lower Peninsula Prosperity Region, so a McLaren relationship travels further across the state than any other single Medicaid contract
  • Your rights, published: you may review the information McLaren gathered and its source unless the law protects it, it has to tell you when verified information varies substantially from what you submitted, you may correct errors in writing, and you may ask in writing for progress updates. We use all four
  • Watch: the commercial book follows the McLaren hospital footprint through mid-Michigan, the Flint and Lansing corridor, and out to Petoskey and Port Huron. Day to day it runs on McLaren Connect

Health Alliance Plan by Henry Ford Health

Southeastern Michigan anchor, renamed in May 2026
  • Usually: HAP doesn’t publish a standard turnaround. Applications run through an eApply portal, and there’s a published credentialing policy covering its standards, your right to review information gathered from outside sources, your right to correct errors and your right to be told your status. Confirm the timeline when you apply
  • Name change: it rebranded as Health Alliance Plan by Henry Ford Health on May 19, 2026, so older directories and contracts still say HAP alone
  • Watch: same Michigan routing quirk as Priority Health. PO and PHO affiliated providers keep working through their organization for enrollment and demographic changes, and organizations already submitting rosters should not use eApply
  • Separate line: HAP CareSource is the Medicaid contract, not the commercial one

UnitedHealthcare and Optum

The strongest published signal in the state
  • Usually: 60 to 120 days from a complete application
  • Path: behavioral health starts inside Provider Express through Join Our Network. It’s a separate network and contract from core UnitedHealthcare medical, and Optum wants your CAQH ID before you start
  • Why it’s first or second: Optum’s own Michigan page recognises Michigan as an any willing provider state and lists MDs, DOs, PAs and RNs with prescriptive authority as actively sought in all Michigan counties, plus telemental health, medication-assisted treatment prescribers, and Express Access providers who can see a member within five business days
  • Watch: the Community Plan (Medicaid) line is a separate contract from commercial

Separate door: Optum Behavioral Health

Aetna

Behavioral health in house, separate form
  • Usually: a request for participation first, then a network-need answer on eligibility within 45 days, then credentialing pulled from CAQH, then contracting. Commonly 60 to 120 days end to end, with recredentialing generally every 36 months
  • Path: behavioral health professionals use Aetna’s separate behavioral health request for participation, not the medical one, even when joining a medical group. Starting on the medical form is an easy way to lose three weeks
  • Watch: keep commercial Aetna mentally separate from Aetna Better Health of Michigan, which is Medicaid and holds its own regions

Cigna Healthcare and Evernorth

Paused right now, nationally
  • Right now: Evernorth paused new individual and clinic behavioral health applications on June 1, 2026 and has signalled reopening after September 1. Facilities are exempt and anything started before June 1 keeps processing. This is a national decision, not a Michigan one
  • Usually: Evernorth says joining the behavioral network can take up to about 90 days once it’s open, with re-attestation on CAQH every 120 days
  • What we do: we queue it and tell you the wait rather than putting a paused panel in your opening set

Separate door: Evernorth Behavioral Health

Two Michigan stories get repeated after they stopped being true. MI Health Link ended on January 1, 2026 and MI Coordinated Health replaced it, so anything routing dual eligibles through MI Health Link is stale. And MDHHS tried to consolidate the ten PIHP regions down to three through an RFP issued August 4, 2025. PIHPs sued, the Michigan Court of Claims found against the RFP on January 8, 2026, and MDHHS withdrew the procurement in February 2026. The ten-region structure stands, so plan against ten, and expect the state to come back to this. Government payers, meaning Medicare, the Medicaid Health Plans, the PIHPs and MI Coordinated Health, are scoped and priced separately from a commercial package.

Carry a plan we didn’t list? Add it.

Michigan has a few routes that don’t look like payers. Physician organizations and physician hospital organizations are the big one: if you’re joining an established Michigan practice, its PO may file your payer applications for you, and Priority Health publishes a list of PO and PHO organizations holding active contracts. UAW-affiliated and building trades Taft-Hartley funds are usually reached by joining a rented commercial network rather than the fund itself, and in Michigan that’s most often a Blue Cross network. And a large share of Michigan employers self-fund with Blue Cross as administrator, so a card with an employer name on it still reaches you through your BCBSM contract. You name the plan. We find the real route.

What we need from you

Send these once and we can start.

You give us this in one intake. Then we fill out the applications. No passwords, no patient information, and nothing gets submitted until you’ve read it and signed.

  • Your individual NPIPlus a Type 2 organization NPI if you bill under a group or incorporated entity. MDHHS wants the Type 2 in the billing loop for a group, while a sole proprietor bills under the Type 1.
  • Active Michigan licence and DEAPlus your Michigan controlled substance licence where it applies. Optum requires an unrestricted, valid Michigan licence from its published accepted list before it will consider an application.
  • SIGMA Vendor Self Service registrationYour SSN or EIN registered in SIGMA before the CHAMPS application. This is the step nobody expects and it stalls more Michigan enrollments than anything else. Rendering and Servicing only providers skip it.
  • CHAMPS access through MiLoginDelegated access so we can prepare the enrollment, plus a working email address on the CHAMPS record, because that’s how MDHHS reaches you. No password sharing.
  • CAQH attested and authorizedYou attest it. We keep it current. Blue Cross, Priority Health, McLaren, Aetna and Optum all pull from it, so one unattested profile stalls five applications.
  • Five years of work historyMonth and year, with any gap of six months or more explained in writing. Michigan’s PIHP credentialing policy requires it specifically, and the commercial carriers ask for the same thing.
  • Background check consentMichigan’s PIHP credentialing runs an ICHAT criminal history search plus Michigan and national sex offender registry checks. That’s specific to the behavioral health carve-out side and is not part of a standard commercial package.
  • Your PO or PHO affiliationTell us whether you’re affiliated with a Michigan physician organization or physician hospital organization, and which one. Priority Health and HAP both route affiliated providers through the organization instead of a direct application.
  • Malpractice certificateYour current certificate naming you, or a carrier-produced roster face sheet.
  • Entity name, EIN and W-9One per tax ID you bill under, with your IRS verification letter.

Depending on the services you plan to offer, Michigan may expect the practice itself to hold a licence or a program approval, separately from your own clinical licence. It shows up in three places rather than one: substance use disorder program licensure through the LARA Bureau of Community and Health Systems, licensure of psychiatric hospitals, psychiatric units and psychiatric partial hospitalization programs under MCL 330.1137, and organizational credentialing by the regional PIHP. Sometimes it isn’t a state licence at all, just a PIHP requirement that the organization be credentialed before your clinicians can be. One recent change cuts the other way: revised Michigan substance use disorder rules took effect June 3, 2026 and outpatient is no longer a licensed service category for an SUD program licence. A solo prescriber doing outpatient medication management usually sits outside all of it. We confirm which of those applies to you before it can hold up a payer contract. We don’t give legal advice and we don’t file it for you.

How it works

You answer once. We do the paperwork.

You can buy online without a meeting. Published price, published scope, no call needed unless you want one.

Buy the package

Published price and scope. No call needed.

One intake

Short and guided. It asks more only where your answers call for it.

We prepare everything

SIGMA, the CHAMPS enrollment, the plan applications for your Prosperity Region and every commercial file, built from what you told us.

You review and sign

Read it, change anything, sign. Nothing goes out until you say so.

We submit and track

Every purchase includes Command Suite, so you can see where each payer application stands, what we’re working on, what’s waiting on a payer, and what we still need from you.

What we stand behind

Payer decisions, timing and rates are not ours to promise, and we don’t promise them. Our own work is a different matter. If something we delivered does not work the way we said it would, we fix it at no charge for 30 days after delivery, including one stabilization review. A new request, another payer or provider, a change of scope, or a new build is quoted separately. You won’t get an invoice for correcting our mistake.

Built to keep working after we’re done

Everything we set up is built for the practice you are growing into, not only the one you have today. Adding a provider or a second location should be a configuration change rather than a rebuild. When the engagement ends you own the accounts, the documentation and the systems, and they keep running without us. No lock-in.

Questions we get

Michigan credentialing questions

Do I have to enroll in CHAMPS if I never bill Michigan Medicaid?
If you write prescriptions, yes. Under MDHHS bulletin MSA 19-20, a prescriber who isn’t actively enrolled in CHAMPS causes the pharmacy claim to deny, and it’s been that way since October 1, 2019. It covers Medicaid, the Healthy Michigan Plan, Children’s Special Health Care Services and MOMS. The claim that fails is the pharmacy’s, not yours, so a commercial-only or cash-pay practice can still have a patient turned away at the counter with no warning. You can enroll as an ordering, prescribing and referring provider without ever billing Michigan Medicaid, and we do that even when Medicaid isn’t part of your plan.
What is a PIHP and do I have to contract with one in Michigan?
A Prepaid Inpatient Health Plan is the regional entity holding Michigan’s specialty behavioral health money. There are ten, and they subcontract to roughly 46 Community Mental Health Services Programs. The PIHP side owns adults with serious mental illness, children with serious emotional disturbance, people with intellectual and developmental disabilities, and substance use disorder services. Routine outpatient mental health for a lower-need member sits with the Medicaid Health Plan instead. A LOCUS score for adults 21 and over and the MichiCANS screener under 21 decide which side your patient falls on. So whether you need a PIHP contract depends on your caseload. With more services moving to the health plans on October 1, 2026, we usually start with the plan contracts and add the PIHP where it fits.
Why will CHAMPS not let me finish my Michigan Medicaid enrollment?
Usually order of operations. MDHHS requires your SSN or EIN registered in SIGMA Vendor Self Service before a CHAMPS application will go through for Individual or Sole Proprietor, Group and FAO enrollment types, and Rendering or Servicing only providers skip that step, which is why one person in a practice sails through and the next one stalls. The other common cause is the billing entity. A provider associated to a Group or a Billing Agent can’t complete their own enrollment until that entity is approved in CHAMPS first. Build the group, get it approved, then submit the clinicians.
Which Medicaid health plans can I contract with in Michigan?
The ones awarded in your Prosperity Region, which is not the same as the ones with the biggest name. The Comprehensive Health Care Program contracts were awarded by region effective October 1, 2024. McLaren Health Plan is the only plan awarded in every Lower Peninsula region. Upper Peninsula Health Plan is the only plan in Region 1, so in the UP that’s the Medicaid contract. Blue Cross Complete, Meridian, Molina, UnitedHealthcare Community Plan, HAP CareSource, Aetna Better Health and Priority Health Choice each hold a different set. Chasing a plan that doesn’t hold your region is the most common way to waste effort in this state, and we check the map before anything gets filed.
How long does credentialing take in Michigan?
Plan for 60 to 120 days per commercial payer from a complete application. Michigan puts no statutory cap on a commercial credentialing decision, so the numbers you get are the carriers’ own. Blue Cross posts a request to allow 35 days for PPO and 60 days for HMO processing. Priority Health says up to 80 calendar days once it has complete credentialing information. McLaren publishes only the back end, a decision communicated within 60 days of the decision date. The behavioral health carve-out is the exception and it’s stricter: MDHHS policy gives a PIHP 90 calendar days from a complete, signed and dated application, with written notice within 30 days of the decision.
Where does a UnitedHealthcare behavioral health application go in Michigan?
Through Optum, in Provider Express, using the Join Our Network flow. It’s a separate network and a separate contract from core UnitedHealthcare medical, and starting on the medical door is the classic wasted month here. Optum’s Michigan page recognises Michigan as an any willing provider state and lists MDs, DOs, PAs and RNs with prescriptive authority as actively sought in all Michigan counties, along with telemental health providers and prescribers offering medication-assisted treatment. It’s usually the strongest opening in the state for a prescriber. Cigna behavioral health goes through Evernorth, and Aetna keeps it in house but wants its separate behavioral health participation request.
Is Blue Care Network a separate contract from Blue Cross Blue Shield of Michigan?
Same front door, different network. Blue Care Network is the HMO side of Blue Cross Blue Shield of Michigan, and Michigan employers commonly offer both, so signing only one leaves a large book on the table. Behavioral health eligibility differs between the two networks, which is exactly what the Behavioral Health Eligibility and Type Grid is for. Read it before you assume you qualify for a given network, because it maps provider type and licence to specific networks. BCN also keeps its own behavioral health requirements and authorization rules through e-referral.
Do you need my CAQH password?
No, and we won’t ask. We’re added as an authorized practice manager, which lets us keep your practice data current and authorize payers. You complete and attest your own profile, and you sign anything that needs your signature. Anyone asking a provider for their CAQH password is doing it wrong. In Michigan it carries extra weight because Blue Cross, Priority Health, McLaren, Aetna and Optum all pull from CAQH, and Optum states plainly that CAQH participation is required for credentialing here. One unattested profile stalls every commercial application at once.

Keep reading

Related

Michigan PMHNP scope of practiceWhat Michigan allows you to do, separate from who pays you.
Ohio credentialingNinety days, with the strongest late penalty in the country.
Indiana credentialingFifteen business days on a clean application, then provisional status.
Minnesota credentialingCAQH isn’t the form there. The Minnesota Uniform Credentialing Application is.
Wisconsin credentialingForwardHealth is the enrollment front door, and it looks nothing like CHAMPS.
Opening your own practiceEntity, identifiers, payers, EHR and billing setup.
Adding a provider to your clinicFirst-time credentialing into contracts you already hold.
Changing your entity or tax IDMoving panels without breaking the money.

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Where this comes from

  • Michigan Department of Health and Human Services, Provider Enrollment: the SIGMA, MiLogin and CHAMPS steps and the enrollment types verified July 26, 2026
  • MDHHS Medical Services Administration, Bulletin MSA 19-20, prescribers must be enrolled in CHAMPS or the drug claim denies verified July 26, 2026
  • MDHHS, Comprehensive Health Care Program awards to nine Medicaid Health Plans by Prosperity Region, effective October 1, 2024 verified July 26, 2026
  • MDHHS Behavioral and Physical Health and Aging Services Administration, PIHP credentialing policy effective October 1, 2024 verified July 26, 2026
  • Michigan Legislature, MCL 330.1206b, the uniform community mental health services credentialing program and its exclusions verified July 26, 2026
  • MDHHS, MI Coordinated Health, the dual eligible program that replaced MI Health Link on January 1, 2026 verified July 26, 2026
  • Blue Cross Blue Shield of Michigan, provider enrollment and the Behavioral Health Eligibility and Type Grid verified July 26, 2026
  • Priority Health, Join Our Networks: the 80-day processing window, prism, and PO and PHO routing verified July 26, 2026
  • Optum Provider Express, Michigan network need for prescribers in all counties verified July 26, 2026

Written by Ryan Berg, founder of AdvanceAPractice. 16 years in healthcare revenue cycle and credentialing.

Facts on this page were verified July 26, 2026 and are next due for review October 12, 2026.

Payer programs, plans and timelines change. Everything here carries a verification date and gets re-checked on a review cycle; this record is next due for review on October 12, 2026. Approval and effective dates are controlled by each payer and by the state, and nothing here promises an approval, a timeline or a rate. This page covers payer operations. It isn’t legal, tax or scope of practice advice.