Download the Member Handbook (PDF). If your pregnancy is at high risk, we may call you. 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) Please visit our new website to see up to date information about your plan. If you wish to stay on this website, please click Cancel. Its full of tips and resources for pregnant members and new parents. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. If you wish to stay on this website, please click Cancel. 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. If you wish to stay on this website, please click Cancel. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Language Assistance & Notice of Nondiscrimination. It will also explain our responsibilities to you, as well as outline the following details: // ]]>.
Report an address update to HFS online. View our Frequently Asked Questions page. 1-855-580-1689 (TTY 711) This is not a complete list. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 0000041668 00000 n
hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! The benefit information is a brief summary, not a complete description of benefits. 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. 0000046966 00000 n
Keep in mind that everything you choose to share is confidential. 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. %PDF-1.4
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866-606-3700 . Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Be sure to read your Meridian Member Handbook and keep it handy. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. On weekends and on state or federal holidays, you may be asked to leave a message. Monday-Friday, 8 a.m. to 8 p.m. CST Your call will be returned within the next business day. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. MeridianHealth is now Meridian! 0
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. More information is in your Member Handbook(PDF). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000041585 00000 n
It also explains how to find care and how to earn rewards. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Call Member Services if youd like paper copies of any of these documents. 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. This way, we can connect you with the right care. trailer
Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Su llamada ser devuelta dentro del siguiente da hbil. 0000014634 00000 n
The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your call will be returned within the next business day. 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. For more information contact the plan or read the MeridianComplete Member Handbook. On weekends and on state or federal holidays, Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. A certificate of coverage (COC) tells you what to expect from your healthcare plan. The call is free. 0000010510 00000 n
0000046576 00000 n
The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Youll tell us about any health conditions, recent hospital visits, medications, and more. It will help you get the care you need. You can make an appeal if you disagree with our verdict. providerhelp.IL@mhplan.com. You can also visit the Illinois Client Enrollment Services website. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 2023
This is not a complete list. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 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. La llamada es gratis. 0000002131 00000 n
This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. It also explains how to find care and how to earn rewards. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. The call is free. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Just call Member Services with your new address. We will send you a notice before we make a change that affects you. With HealthChoice Illinois, you have a health plan partner to turn to for help. Other pharmacies/physicians/providers are available in our network. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. startxref
Each link will open a new window and is either a PDF or a website. You've got questions and we've got answers. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. // stream
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Moving? ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-855-580-1689 (TTY: 711). Want a paper copy? We want you to be happy with your healthcare services. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Visit your Member Portal or call Member Services. It will also explain our responsibilities to you, as well as outline the following details: Each link will open a new window and is either a PDF or a website. Su llamada ser devuelta dentro del siguiente da hbil. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Download the free version of Adobe Reader. La llamada es gratis. 2023
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. The benefit information is a brief summary, not a complete description of benefits. All Rights Reserved. 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. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Other pharmacies/physicians/providers are available in our network. 0000002177 00000 n
Want a paper copy? JB Pritzker, Governor Theresa Eagleson, Director. HealthChoice Illinois is the smart way most Medicaid members get quality care. 0000017969 00000 n
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We want you to be happy with the treatment and services you get from Meridian and our providers. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. Call 1-855-580-1689 (TTY: 711). 0000041209 00000 n
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<. 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. View your Provider Manual, important plan information and more. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Meridian
Each link will open a new window and is either a PDF or a website. You will be able to work with one health plan for all of your health insurance needs. %PDF-1.7
%
MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. For example, we may not approve your providers request for a certain drug. Monday-Friday, 8 a.m. to 5 p.m. CST 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. [CDATA[ We need to be able to send you important information in the mail. Your handbook is full of important information about your health care and Meridian. 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. On weekends and on state or federal holidays, you may be asked to leave a message. The benefit information is a brief summary, not a complete description of benefits. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. You are now able to view your health information from a third-party app on a mobile device or PC! 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Limitations, copays, and restrictions may apply. Meridian is for people eligible for both Medicaid and Medicare. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Looking for your plan home page or interested in becoming a member? It looks like your browser does not have JavaScript enabled. The call is free. When you go to file, youll want to write when and where the incident took place, and what happened. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. Your call will be returned within the next business day. 0
On weekends and on state or federal holidays, you may be asked to leave a message. 0000000016 00000 n
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Meridian covers all counties in Illinois. At the right time and place. 0000040678 00000 n
Click the link below to view or save a copy. La llamada es gratis. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Other pharmacies/physicians/providers are available in our network. The right care for you. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. All Rights Reserved. 0000040481 00000 n
Call 1-855-580-1689 (TTY: 711). 0000025980 00000 n
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ILLINOIS MEMBER HANDBOOK ILLINOIS MEMBER HANDBOOK EFFECTIVE DATE: July 1, 2021 MEMBER SERVICES: 866-821-2308 TTY/TDD: 711 ilmeridian.com ILLINOIS MLTSS 1 Welcome to MeridianHealth Managed Long Term Services and Supports (MLTSS) Welcome to MeridianHealth (Meridian)! 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. This handbook will help you understand your coverage. We can connect you with support, services, and even rewards. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 0000080946 00000 n
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Download the Member Handbook (PDF). It explains the medical, dental, vision, and pharmacy services that are covered by your plan. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
Want a paper copy? For more information contact the plan or read the Meridian Member Handbook. Open Enrollment 6. You will need Adobe Reader to open PDFs on this site. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Catching a Breath Complex Case Management Flu Outreach Opioids You can also visit the Illinois Client Enrollment Services website. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 0000021917 00000 n
You can get this document for free in other formats, such as large print, braille, or audio. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Find a doctor, explore coverage, review documents and much more. 0000151745 00000 n
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 Health Library is a free resource exclusively for MeridianComplete members and providers. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. endstream
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On weekends and on state or federal holidays, you may be asked to leave a message. 0000006553 00000 n
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h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. You can join our Start Smart for Your Baby program. 3. 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. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Monday-Friday, 8 a.m. to 8 p.m. CST Understanding the ins and outs of your health plan can be difficult. With HealthChoice Illinois, you have a health plan partner to turn to for help. It outlines services and benefits that areand are notcovered. 0000046386 00000 n
Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. 0000025639 00000 n
On weekends and on state or federal holidays, you may be asked to leave a message. Meridian will work with you to make sure you get all of the care you need, when you need it. You will need Adobe Reader to open PDFs on this site. 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. You will need Adobe Reader to open PDFs on this site. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 167 33
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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. 1-855-580-1689 (TTY 711) For certain kinds of drugs, you can use the plans network mail-order services. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. You will need Adobe Reader to open PDFs on this site. Meridian
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Y;EgPCSSphf>op!mOQtkC v^K#x" You can get this document in Spanish, or speak with someone about this information in other languages for free. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. %%EOF
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. xref
Su llamada ser devuelta dentro del siguiente da hbil. Llame al. Usually a mail-order pharmacy order will get to you in no more than 5 days. The call is free. If we fall short, you can file a grievance or appeal. Please turn on JavaScript and try again. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. For more information contact the plan or read the Meridian Member Handbook. 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. 199 0 obj
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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. Provider Network 6
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000001708 00000 n
Download the Member Handbook(PDF). For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000002041 00000 n
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Meridian Member Services . The call is free. Learn more about how being a Meridian provider benefits you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. An appeal is a way for you to ask for a review of our actions. 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. 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. You can get this document for free in other formats, such as large print, braille, or audio. If your address changes, let us know. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Each link will open a new window and is either a PDF or a website. This is not a complete list. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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! This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000072727 00000 n
Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Member ID Cards 5. 2390 0 obj
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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. 0000002220 00000 n
See if you qualify, and explore the HealthChoice Illinois advantage. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 0000068680 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.