Your call will be returned within the next business day. Add a New Provider or Term an Existing Provider, Make a Change to an IRS Number or NPI Number, IMPORTANT NOTICE TO PROVIDERS REGARDING THE PURCHASE, BILLING AND ADMINISTRATION OF J CODE DRUGS IN THE OFFICE AND OUTPATIENT FACILITY SETTING, MeridianHealth Provider Information Regarding System Updates Effective July 1, 2021, Meridian Clinical Policy Readmission Review, Meridian of Illinois Announces Provider Relations Team Reorganization, Meridian of Illinois Partners with Jeremiah Development for LOVE Rockford Event, UPDATE PRACTICE INFORMATION USING THE MERIDIAN PROVIDER UPDATES TOOL, SUPPORT & RESOURCES FOR THOSE IMPACTED BY THE HIGHLAND PARK TRAGEDY ON JULY 4, Personal Wellness Assessment: English (PDF), Personal Wellness Assessment: Spanish (PDF), Member Notification of Pregnancy form(PDF), Meridian Managed Long Term Services & Supports Plan, Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope. Its full of tips and resources for pregnant members and new parents. Your call will be returned within the next business day. Other pharmacies/physicians/providers are available in our network. Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. 0000006553 00000 n
Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000047422 00000 n
Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). MeridianHealth is now Meridian! If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. Catching a Breath Complex Case Management Flu Outreach Opioids Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Su llamada ser devuelta dentro del siguiente da hbil. Meridian Member Services . The call is free. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Monday through Friday from 8 a.m. to 7 p.m. It looks like your browser does not have JavaScript enabled. [CDATA[ For more information contact the plan or read the MeridianComplete Member Handbook. Just call Member Services with your new address.
Provider Network 6 0000001774 00000 n
See if you qualify, and explore the HealthChoice Illinois advantage. If you need help finding a network provider and/or pharmacy, please call 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. You will need Adobe Reader to open PDFs on this site. Each link will open a new window and is either a PDF or a website. It outlines services and benefits that areand are notcovered. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Limitations, copays, and restrictions may apply. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. %%EOF
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation More information is in your Member Handbook(PDF). Your call will be returned within the next business day. 0000001708 00000 n
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000002131 00000 n
Don't forget to call your local HFS oce and Meridian Member Services with your new address. 2023
The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You will be able to work with one health plan for all of your health insurance needs. 167 0 obj
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We need to be able to send you important information in the mail. The call is free. You can get this document in Spanish, or speak with someone about this information in other languages for free. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . We can connect you with support, services, and even rewards. You will need Adobe Reader to open PDFs on this site. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, 2022 Annual Notice of Changes - English (PDF), 2022 Notificacion Anual de Cambios - Spanish (PDF), 2023 Annual Notice of Changes - English (PDF), 2023 Notificacion Anual de Cambios - Spanish (PDF), Language Assistance & Notice of Nondiscrimination, What is covered, including health care services, behavioral health coverage, prescription drug coverage, How to get the care you need, including the rules you must follow, Your rights and responsibilities as a member of our plan. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000046966 00000 n
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window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Other pharmacies/physicians/providers are available in our network. It will also explain our responsibilities to you, as well as outline the following details: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Material ID:H6080_WEBSITE_2023_Accepted_09282022. If you wish to stay on this website, please click Cancel. If we fall short, you can file a grievance or appeal. Download the Member Handbook(PDF). On weekends and on state or federal holidays, you may be asked to leave a message. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The benefit information is a brief summary, not a complete description of benefits. 0000002074 00000 n
Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). On weekends and on state or federal holidays, you may be asked to leave a message. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Each link will open a new window and is either a PDF or a website. Your call will be returned within the next business day. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. member.ILmeridian.com. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 0000025639 00000 n
HFS sends paperwork in the mail that you need to renew your Medicaid coverage. It will also explain our responsibilities to you, as well as outline the following details: This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. It will also explain our responsibilities to you, as well as outline the following details: It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Language Assistance & Notice of Nondiscrimination, What is covered, including health care services, behavioral health coverage, prescription drug coverage, How to get the care you need, including the rules you must follow, Your rights and responsibilities as a member of our plan. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0
0000040481 00000 n
Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 0000041668 00000 n
With HealthChoice Illinois, you have a health plan partner to turn to for help. HealthChoice Illinois is the smart way most Medicaid members get quality care. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! endstream
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<. With HealthChoice Illinois, you have a health plan partner to turn to for help. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Monday-Friday, 8 a.m. to 5 p.m. CST Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. startxref
With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>>
Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. The COC lays out all the details so that you can stay on top of your coverage. 0000014634 00000 n
%%EOF
Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. You can join our Start Smart for Your Baby program. For more information contact the plan or read the Meridian Member Handbook. This is not a complete list. 199 0 obj
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The benefit information is a brief summary, not a complete description of benefits. It also explains how to find care and how to earn rewards. 0000021917 00000 n
1-855-580-1689 (TTY 711) Please contact the plan for more details. If your address changes, let us know. 2369 0 obj
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On weekends and on state or federal holidays, you may be asked to leave a message. Want a paper copy? Copyright 2023 Meridian All Rights Reserved. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 167 33
View your Provider Manual, important plan information and more. %PDF-1.4
%
If you experience any problems receiving your mail order prescription, call Member Services at. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.mi@mhplan.com. 1-855-580-1689 (TTY 711) You will need Adobe Reader to open PDFs on this site. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000041209 00000 n
Youll tell us about any health conditions, recent hospital visits, medications, and more. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Want a paper copy? xref
Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. The call is free. Meridian
La llamada es gratis. You can get this document for free in other formats, such as large print, braille, or audio. Su llamada ser devuelta dentro del siguiente da hbil. This handbook will help you understand your coverage. Call 1-855-580-1689 (TTY: 711). The Personal Wellness Assessment is a short form about you and your health journey. 0000067354 00000 n
Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Usually a mail-order pharmacy order will get to you in no more than 5 days. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It will help you get the care you need. An appeal is a way for you to ask for a review of our actions. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000080946 00000 n
For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 2023
866-606-3700 . ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . This is not a complete list. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian
Download the free version of Adobe Reader. La llamada es gratis. 0000041585 00000 n
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If you wish to stay on this website, please click Cancel. This is not a complete list. The right care for you. You can also visit the Illinois Client Enrollment Services website. It also explains how to find care and how to earn rewards. Monday-Friday, 8 a.m. to 8 p.m. CST You can get this document for free in other formats, such as large print, braille, or audio. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Llame al. If theres a question you cant find the answer to on our website, call us at 1-855-323-4578(TTY 711), Monday - Friday from 8 a.m. - 8 p.m. EST. 0
All Rights Reserved. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Mondaythrough Friday from 8 a.m. to 7 p.m. Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. For more information contact the plan or read the Meridian Member Handbook. 0000040678 00000 n
Understanding the ins and outs of your health plan can be difficult. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
Please review the various programs below. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, You are now able to view your health information from a third-party app on a mobile device or PC! The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000002220 00000 n
The Health Library is a free resource exclusively for MeridianComplete members and providers. %PDF-1.7
%
It explains the medical, dental, vision, and pharmacy services that are covered by your plan. You will need Adobe Reader to open PDFs on this site. 0000068208 00000 n
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On this page, youll learn more about your Member Handbook and some important forms that can help you understand your plan and get the care you need. Please turn on JavaScript and try again. On weekends and on state or federal holidays, 0000002041 00000 n
You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Learn more about how being a Meridian provider benefits you. Other pharmacies/physicians/providers are available in our network. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, 2022 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2022 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), 2020 MeridianComplete Authorization Lookup (PDF), Behavioral Health Discharge Transition of Care Form (PDF), HealthHelp and eviCore Provider Notification (PDF), Primary Care Provider Reassignment Form (PDF), Annual Care for Older Adults (COA) Form (PDF), Breast Cancer Screening Exclusion Form (PDF), Colorectal Cancer Screening Exclusion Form (PDF), Timely Submission of Encounter Data by Medicare-Medicaid Plans (MMPs) to CMS (PDF), Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (PDF), Part D Coverage Determination Request Form (PDF), Part D Redetermination Request Form (PDF), Hospice Information for Medicare Part D plans (PDF), 2021 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2021 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), Partnership for Quality (P4Q Program) (PDF), Language Assistance & Notice of Nondiscrimination. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Download the Member Handbook (PDF). 0000025980 00000 n
Check out the Interoperability page to learn more. The call is free. 1-855-580-1689 (TTY 711) If you wish to stay on this website, please click Cancel. If you wish to stay on this website, please click Cancel. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Visit your Member Portal or call Member Services. Each link will open a new window and is either a PDF or a website. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Su llamada ser devuelta dentro del siguiente da hbil. providerhelp.IL@mhplan.com. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. View our Frequently Asked Questions page. 0000010510 00000 n
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