You delivered the care. Did every authorized, verified visit turn into a clean, paid claim?
In Michigan, the gap between what HHAeXchange verified and what CHAMPS paid is exactly where earned margin goes quiet. Reeve lines up authorized, delivered, billed, and paid, and shows you every place they disagree, with the record attached.
Reeve does one thing. It lines up four columns that are supposed to agree and shows you every place they do not. Michigan Medicaid adjudicates through CHAMPS, verifies visits through HHAeXchange, and for in-scope services the claim has to travel through HHAeXchange to reach CHAMPS.
What the plan of care or the payer approved. The units and the span of dates are the ceiling and the clock.
What your caregiver actually worked, captured through Michigan's Open Vendor Model EVV. The verified visit lives in HHAeXchange first.
What left your building as a claim. For in-scope services the claim must route through HHAeXchange to CHAMPS. Home Health FFS claims sent straight to CHAMPS for dates of service on or after April 1, 2024 are rejected.
What came back after CHAMPS adjudication. A visit verified in HHAeXchange that never became a paid claim throws no denial. It just stays quiet.
The money does not leak in any one column. It leaks in the gaps between them.
- 01A visit verified clean in HHAeXchange that never became a claim in CHAMPS.
- 02A claim that stalled at HHAeXchange and never reached CHAMPS, so it looks submitted to you and never arrived to the state.
- 03Authorized units that ran short of delivered units, or delivered units that ran past authorized, which never bills clean.
- 04Visits that leaned on a manual EVV edit to go out the door, dragging your quarterly no-manual-edit rate toward the 85 percent line.
- 05Dates of service walking toward the 12-month timely-filing wall while everyone assumes they were paid.
Every number is illustrative and synthetic. Because your own export may not carry a rate for every code, findings on this page are expressed in hours, units, and records to check against your own rate sheet.
Why an annual audit or the EMR alone misses this in Michigan.
The verified visit lives in HHAeXchange, the paid result lives in CHAMPS, and the authorization lives in your plan of care. No one of those three sees the other two. The gap between verified and paid is precisely where a clean visit can go unbilled without a single error message reaching your desk. A visit never turned into a claim does not throw a denial. It just stays quiet.
The 12-month timely-filing window turns quiet into permanent. An annual audit that lands in month 11 finds the leak in month 12, too late to refile. The reconciliation has to run against closed periods on a rhythm, not once a year, because the wall does not move.
The April 1, 2026 no-manual-edit threshold is a new kind of exposure last year's audit was never built to watch. A visit that bills fine but only after a hand edit still counts against your 85 percent. Your EMR shows the claim was paid. It does not show the visit is dragging your quarterly standing with the state.
Reeve is the reconciliation that sits across all of it, reads only, and shows the gaps with the record attached. It does not replace your EMR, your biller, or HHAeXchange. It checks their work against each other.
Plain answers, on the record.
Straight answers on how the Margin Review handles Michigan mechanics, your data, and where Reeve honestly stands today.
- 01Which EVV system does Michigan home care use, and does Reeve replace it?
- Michigan uses an Open Vendor Model with HHAeXchange as the state's designated EVV aggregator. You may use the free HHAeXchange tools or feed your own EVV vendor into HHAeXchange over EDI. Reeve replaces none of it. Reeve reads an export you provide, with names replaced by coded references in your browser, and reconciles what HHAeXchange verified against what CHAMPS paid and what was authorized.
- 02Do my Michigan Medicaid claims really have to go through HHAeXchange to get paid?
- For in-scope services, yes. For Home Health fee-for-service, claims with dates of service on or after April 1, 2024 sent directly to CHAMPS are rejected. Claims must route through HHAeXchange, which passes them to CHAMPS for adjudication. Home Help, MI Choice, MI Health Link, Medicaid Health Plans, and Behavioral Health came in scope on their own effective dates through September 2024.
- 03What is Michigan's timely filing deadline for home care claims?
- Twelve months from the date of service for initial claims and for replacement claims with late or additional charges. Claims older than one year are only considered under narrow policy exceptions, and those exception requests generally must be filed within 120 days of the triggering event with documented cause.
- 04What is the 85 percent EVV threshold I keep hearing about?
- Beginning April 1, 2026, Michigan expects agencies to reach a quarterly threshold of 85 percent of EVV records verified without manual edits. Visits that only clear after a hand edit count against that rate. Reeve shows you where your manual edits concentrate so you can address the drivers, not just the symptom.
- 05Will Reeve quote me a dollar amount I can recover in Michigan?
- No, and here is why plainly. Reeve never invents a rate. Dollars come from the rate on your own export or the rate your own remittances actually paid most often. Where Reeve cannot find a rate in your data, the finding still comes to you in hours, units, and the exact Michigan records where the four columns disagree, with the dollar figure left to your own rate sheet. A rate Reeve has not verified is a rate Reeve will not quote.
- 06Is my client data safe? What actually leaves my building?
- Nothing with a name on it. The Margin Review runs in your own browser on an export you provide. Name coding happens locally, on your machine, before anything is analyzed. Reeve reads only. It does not write to your EMR, does not touch HHAeXchange or CHAMPS, does not file a claim, and does not move money.
- 07How does Reeve report findings for Michigan?
- The example findings on this page are illustrative and synthetic, shown to explain the method, not to claim a result. Reeve never invents a rate; dollars come from the rate on your own export or the rate your own remittances actually paid most often. Michigan findings come as hours, units, and records to price against your own rate sheet.
Collect is money you never captured. Cover is money a payer can still take back.
Reeve reports the two separately and never adds them together, because only one of them is yours to go and get. The Margin Review reads both on your own export and costs nothing.
One pass over your own export, in your browser. The findings are yours to keep, with no obligation.
The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.
Everything in Collect, plus the exposure lane. Retired codes, authorizations at the end of their period, care delivered past what was approved.
Month to month, no annual contract. Read-only in every tier. Run the free review.
Try it yourself. Run a free Margin Review.
No sales call to book, no access to grant, no data to hand over. You bring the export, it runs in your browser, and you see the gaps between authorized, delivered, billed, and paid with the records attached.
- 01
Read-only. Reeve looks. It does not write to your EMR, does not file or edit a claim, does not move a dollar.
- 02
Names coded locally. Names, member IDs, and staff identifiers are replaced with a coded reference unique to your agency on your machine before any math runs.
- 03
Your file is processed in your browser, and no name is written into any output. The review runs in your browser on your export. No named record is uploaded anywhere.
- 04
Honest by default. In Michigan, findings come as hours, units, and records, never as invented dollars.
Any dollar figures in examples are illustrative and synthetic, method rather than results.