Download the Member Handbook (PDF). If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 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. Want a paper copy? 0000002041 00000 n
The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines.
Check out the Interoperability page to learn more. On weekends and on state or federal holidays, you may be asked to leave a message. Looking for your plan home page or interested in becoming a member?
HealthChoice Illinois | HFS The benefit information is a brief summary, not a complete description of benefits. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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! Meridian
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On weekends and on state or federal holidays, you may be asked to leave a message. For more information contact the plan or read the Meridian Member Handbook. 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. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you.
Provider Manual | Meridian Health Plan of Illinois 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. 1-855-580-1689 (TTY 711) With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. It also explains how to find care and how to earn rewards. On weekends and on state or federal holidays, you may be asked to leave a message. 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.mi@mhplan.com. // ]]>. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant.
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Monday-Friday, 8 a.m. to 8 p.m. CST The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. Limitations, copays, and restrictions may apply. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you.
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On weekends and on state or federal holidays, you may be asked to leave a message. Provider Network 6 The call is free. 0000046386 00000 n
More information is in your Member Handbook(PDF). 0000080946 00000 n
With HealthChoice Illinois, you have a health plan partner to turn to for help. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you.
For Members | Meridian This is not a complete list. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The benefit information is a brief summary, not a complete description of benefits. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
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Other pharmacies/physicians/providers are available in our network. Meridian will work with you to make sure you get all of the care you need, when you need it. Find a doctor, explore coverage, review documents and much more. 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. Each link will open a new window and is either a PDF or a website. The benefit information is a brief summary, not a complete description of benefits. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. An appeal is a way for you to ask for a review of our actions. Copays for prescription drugs may vary based on the level of Extra Help you receive. 167 33
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. 0000068680 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. See if you qualify, and explore the HealthChoice Illinois advantage. Please contact the plan for more details. 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 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.
PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan 0000002177 00000 n
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Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Material ID:H6080_WEBSITE_2023_Accepted_09282022. With HealthChoice Illinois, you have a health plan partner to turn to for help. Want a paper copy? Click the link below to view or save a copy. It outlines services and benefits that areand are notcovered. Other pharmacies/physicians/providers are available in our network. MeridianHealth is now Meridian! Visit your Member Portal or call Member Services.
Providers - MeridianComplete 0000025980 00000 n
If your pregnancy is at high risk, we may call you. trailer
The call is free. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>>
Making healthcare decisions can be tough--who to see for care, what to ask, when to go. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Please visit our new website to see up to date information about your plan. 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. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. member.ILmeridian.com. 0
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. You've got questions and we've got answers.
Be sure to read your Meridian Member Handbook and keep it handy. This is not a complete list. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the Member Handbook (PDF). 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 2369 0 obj
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You will need Adobe Reader to open PDFs on this site. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard.
Member Handbook - Meridian Medicare Medicaid 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 2390 0 obj
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ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica.
If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 3. It also explains how to find care and how to earn rewards. 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. It will also explain our responsibilities to you, as well as outline the following details: Learn more about how being a Meridian provider benefits you. Call 1-855-580-1689 (TTY: 711). Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. If we fall short, you can file a grievance or appeal. 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. Understanding the ins and outs of your health plan can be difficult. 0000067354 00000 n
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(los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 2023
You can make an appeal if you disagree with our verdict. The call is free. HealthChoice Illinois is the smart way most Medicaid members get quality care. View our Frequently Asked Questions page. Your call will be returned within the next business day. For more information contact the plan or read the Meridian Member Handbook. You can also visit the Illinois Client Enrollment Services website. It looks like your browser does not have JavaScript enabled. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. La llamada es gratis. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. You are now able to view your health information from a third-party app on a mobile device or PC! Please turn on JavaScript and try again.
Meridian Medicare Medicaid Plan It explains the medical, dental, vision, and pharmacy services that are covered by your plan.
La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000067553 00000 n
PDF Welcome to MeridianHealth Intro to Plan 0000040481 00000 n
Other pharmacies/physicians/providers are available in our network. Call Member Services if youd like paper copies of any of these documents. 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. 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. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
Copyright 2023 Meridian All Rights Reserved. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. For more information contact the plan or read the MeridianComplete Member Handbook. 2023
The Personal Wellness Assessment is a short form about you and your health journey. 1-855-580-1689 (TTY 711) Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Open Enrollment 6. 0000001708 00000 n
If you experience any problems receiving your mail order prescription, call Member Services at. Download the free version of Adobe Reader. You can also visit the Illinois Client Enrollment Services website. All Rights Reserved. We will send you a notice before we make a change that affects you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 1-855-580-1689 (TTY 711) Each link will open a new window and is either a PDF or a website.
There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. //
PDF <DATE> Program called HealthChoice Illinois . We have been working hard If you have any questions, call Meridian Member Services toll-free at 866-606-3700. We want you to be happy with the treatment and services you get from Meridian and our providers. Usually a mail-order pharmacy order will get to you in no more than 5 days. You will need Adobe Reader to open PDFs on this site. Keep in mind that everything you choose to share is confidential. Language Assistance & Notice of Nondiscrimination. 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Call 1-855-580-1689 (TTY: 711). For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. [CDATA[ 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. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. It will help you get the care you need.
Member Handbook | Meridian Complete of Illinois You can get this document for free in other formats, such as large print, braille, or audio. 0000025639 00000 n
Don't forget to call your local HFS oce and Meridian Member Services with your new address. The benefit information is a brief summary, not a complete description of benefits. 0000072727 00000 n
Your call will be returned within the next business day. 0000068208 00000 n
You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 2500 0 obj
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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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. 0000047422 00000 n
Please review the various programs below. 0000041668 00000 n
The right care for you. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Meridian covers all counties in Illinois. 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) HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. You will need Adobe Reader to open PDFs on this site. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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 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 MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. The COC lays out all the details so that you can stay on top of your coverage. 0000040678 00000 n
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With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. We need to be able to send you important information in the mail.
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)! Monday-Friday, 8 a.m. to 8 p.m. CST Just call Member Services with your new address.