Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Download the free version of Adobe Reader. Report an address update to HFS online. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. You will need Adobe Reader to open PDFs on this site. Just call Member Services with your new address. 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. It also explains how to find care and how to earn rewards. Want a paper copy? ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The call is free. If you wish to stay on this website, please click Cancel. A grievance is a complaint about a provider or about the quality of care or services you received. 0 Meridian La llamada es gratis. HealthChoice Illinois is the smart way most Medicaid members get quality care. On weekends and on state or federal holidays, Your call will be returned within the next business day. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Looking for your plan home page or interested in becoming a member? The Health Library is a free resource exclusively for MeridianComplete members and providers. If you wish to stay on this website, please click Cancel. %%EOF Call 1-855-580-1689 (TTY: 711). All Rights Reserved. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Usually a mail-order pharmacy order will get to you in no more than 5 days. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Download the Member Handbook (PDF). Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 2023 1-855-580-1689 (TTY 711) Your handbook is full of important information about your health care and Meridian. You will need Adobe Reader to open PDFs on this site. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation %PDF-1.4 % An appeal is a way for you to ask for a review of our actions. This is not a complete list. 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. We can connect you with support, services, and even rewards. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). For more information contact the plan or read the MeridianComplete Member Handbook. You can get this document for free in other formats, such as large print, braille, or audio. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. More information is in your Member Handbook(PDF). 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. Monday-Friday, 8 a.m. to 8 p.m. CST The benefit information is a brief summary, not a complete description of benefits. The call is free. 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. 0000080946 00000 n Want a paper copy? 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. xref Monday-Friday, 8 a.m. to 5 p.m. CST Your call will be returned within the next business day. 0000025980 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. 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. Llame al. Download the Member Handbook (PDF). On weekends and on state or federal holidays, you may be asked to leave a message. It also explains how to find care and how to earn rewards. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000025639 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The right care for you. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. We want you to be happy with your healthcare services. 0000006553 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Language Assistance & Notice of Nondiscrimination. 0000046576 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. It looks like your browser does not have JavaScript enabled. Want a paper copy? 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 handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. Call 1-855-580-1689 (TTY: 711). 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. 0000001774 00000 n HFS sends paperwork in the mail that you need to renew your Medicaid coverage. With HealthChoice Illinois, you have a health plan partner to turn to for help. 167 33 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. Limitations, copays, and restrictions may apply. 0000000956 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000041209 00000 n 0 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Each link will open a new window and is either a PDF or a website. Click the link below to view or save a copy. Its full of tips and resources for pregnant members and new parents. When you go to file, youll want to write when and where the incident took place, and what happened. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Call Member Services if youd like paper copies of any of these documents. The call is free. 0000040678 00000 n window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 0000010510 00000 n You can get this document for free in other formats, such as large print, braille, or audio. You will need Adobe Reader to open PDFs on this site. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Other pharmacies/physicians/providers are available in our network. The benefit information is a brief summary, not a complete description of benefits. The COC lays out all the details so that you can stay on top of your coverage. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. Please review the various programs below. %PDF-1.7 % At the right time and place. +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 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 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. 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. You will need Adobe Reader to open PDFs on this site. 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. 0000002041 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. On weekends and on state or federal holidays, you may be asked to leave a message. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. It will also explain our responsibilities to you, as well as outline the following details: Download the Member Handbook(PDF). If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000072727 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Please visit our new website to see up to date information about your plan. Each link will open a new window and is either a PDF or a website. Copyright 2023 Meridian All Rights Reserved.
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