SECTION 1: Fill in the Home Help client's first and last name. Fill in the Home Help client's Medicaid identification (ID) number if available.Complete Provider Enrollment Application (CMS-855A) and submit to Medicare Administrative Contractor (MAC). This plan coordinates benefits of Medicare and Medicaid in order to provide quality health care coverage and service with little out-of-pocket costs. To get started, you can complete our provider intake form. This will help us better understand what services you provide and your location. AAANM establishes Purchase of Service (POS) Agreements with Providers in order to serve participants of the MI Choice Waiver and ACLS Care Management Programs. If you're a provider in Michigan, find your Blue Cross Blue Shield forms, drug lists and medical record retrieval documents. To ensure the proper contract and credentialing packet is generated; please complete this contract request form. (Michigan providers only)