View our Frequently Asked Questions page. 0000047422 00000 n The benefit information is a brief summary, not a complete description of benefits. You will need Adobe Reader to open PDFs on this site. 199 0 obj <>stream ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. We can connect you with support, services, and even rewards. Learn more about how being a Meridian provider benefits you. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It looks like your browser does not have JavaScript enabled. You can join our Start Smart for Your Baby program. 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. Other pharmacies/physicians/providers are available in our network. Please contact the plan for more details. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000046966 00000 n If you wish to stay on this website, please click Cancel. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 1-855-580-1689 (TTY 711) Your call will be returned within the next business day. Want a paper copy? The call is free. You can get this document for free in other formats, such as large print, braille, or audio. On weekends and on state or federal holidays, 0000000956 00000 n It will also explain our responsibilities to you, as well as outline the following details: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. A grievance is a complaint about a provider or about the quality of care or services you received. 0000046386 00000 n Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000001774 00000 n 167 33 Don't forget to call your local HFS oce and Meridian Member Services with your new address. +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d 2023 (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. For more information contact the plan or read the Meridian Member Handbook. It also explains how to find care and how to earn rewards. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Call Member Services if youd like paper copies of any of these documents. // PDF Welcome to MeridianHealth Intro to Plan Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. You can also visit the Illinois Client Enrollment Services website. 0000002131 00000 n 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. If you experience any problems receiving your mail order prescription, call Member Services at. Check out the, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Illinois Client Enrollment Services website, Language Assistance & Notice of Nondiscrimination. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. providerhelp.IL@mhplan.com. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You will need Adobe Reader to open PDFs on this site. For certain kinds of drugs, you can use the plans network mail-order services. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Each link will open a new window and is either a PDF or a website. 2500 0 obj <>stream Member Request for Reimbursement (PDF) Mandatory Training Attestation (PDF) Mandatory Training Attestation (PDF) Preventive Care (HEDIS) (PDF) Annual Care for Older Adults (COA) Form (PDF) Breast Cancer Screening Exclusion Form (PDF) Colorectal Cancer Screening Exclusion Form (PDF) Diabetes Exclusion Form (PDF) 0000067354 00000 n All Rights Reserved. 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. 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Your call will be returned within the next business day. 0000080946 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 3. 866-606-3700 . Be sure to read your Meridian Member Handbook and keep it handy. Material ID:H6080_WEBSITE_2023_Accepted_09282022. %PDF-1.4 % Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . We want you to be happy with your healthcare services. 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. 0000001708 00000 n There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You will need Adobe Reader to open PDFs on this site. For more information contact the plan or read the Meridian Member Handbook. La llamada es gratis. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 0000072727 00000 n At the right time and place. If you wish to stay on this website, please click Cancel. The call is free. With HealthChoice Illinois, you have a health plan partner to turn to for help. This handbook will help you understand your coverage. Member Handbooks and Forms For other questions about Meridian, please contact Member Services at 1-855-580-1689 (TTY 711), Mondaythrough Friday from 8 a.m. to 8 p.m.On weekends and on state or federal holidays, you may be asked to leave a message. 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. The right care for you. It will help you get the care you need. HealthChoice Illinois is the smart way most Medicaid members get quality care. This is not a complete list. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 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. 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You can get this document in Spanish, or speak with someone about this information in other languages for free. Other pharmacies/physicians/providers are available in our network. The call is free. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Each link will open a new window and is either a PDF or a website. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If your address changes, let us know. Find a doctor, explore coverage, review documents and much more. 0000041668 00000 n 0000040481 00000 n Llame al. PDF here's your member handbook. Language Assistance & Notice of Nondiscrimination. On weekends and on state or federal holidays, you may be asked to leave a message. 0000068208 00000 n 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. 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. Monday-Friday, 8 a.m. to 8 p.m. CST Meridian Medicare Medicaid Plan 0000010510 00000 n 0000002220 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation We need to be able to send you important information in the mail. Copyright 2023 Meridian All Rights Reserved. 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. 0000046799 00000 n Other pharmacies/physicians/providers are available in our network. On weekends and on state or federal holidays, you may be asked to leave a message. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. On weekends and on state or federal holidays, you may be asked to leave a message. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Member Handbook | Meridian Health Plan of Illinois Provider Manual | Meridian Health Plan of Illinois Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000017969 00000 n Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Su llamada ser devuelta dentro del siguiente da hbil. Youll tell us about any health conditions, recent hospital visits, medications, and more. Each link will open a new window and is either a PDF or a website. Meridian Member Services . 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. Call 1-855-580-1689 (TTY: 711). window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The call is free. 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. Your call will be returned within the next business day. Just call Member Services with your new address. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! [CDATA[ 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. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 0000002177 00000 n Your call will be returned within the next business day. 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. Su llamada ser devuelta dentro del siguiente da hbil. It also explains how to find care and how to earn rewards. 1-855-580-1689 (TTY 711) You can get this document for free in other formats, such as large print, braille, or audio. Download the Member Handbook (PDF). Other pharmacies/physicians/providers are available in our network. xref The COC lays out all the details so that you can stay on top of your coverage. Provider Network 6 0000021917 00000 n 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.
How To Keep Spaghetti Warm For A Potluck, Articles M