Each link will open a new window and is either a PDF or a website. Just call Member Services with your new address. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Meridian is for people eligible for both Medicaid and Medicare. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Please visit our new website to see up to date information about your plan. 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 is not a complete list. You can get this document for free in other formats, such as large print, braille, or audio. 2500 0 obj <>stream This is not a complete list. Your handbook is full of important information about your health care and Meridian. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. xref You will need Adobe Reader to open PDFs on this site. 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. 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. Copyright 2023 Meridian All Rights Reserved. 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. When you go to file, youll want to write when and where the incident took place, and what happened. Provider Network 6 Please contact the plan for more details. 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. 0 It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000067553 00000 n 0000002074 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 3. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Your call will be returned within the next business day. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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) Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 2023 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If you wish to stay on this website, please click Cancel. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000068208 00000 n 0000025639 00000 n This is not a complete list. Youll tell us about any health conditions, recent hospital visits, medications, and more. 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. We want you to be happy with your healthcare services. You can make an appeal if you disagree with our verdict. On weekends and on state or federal holidays, you may be asked to leave a message. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. A certificate of coverage (COC) tells you what to expect from your healthcare plan. The right care for you. It looks like your browser does not have JavaScript enabled. For more information contact the plan or read the MeridianComplete Member Handbook. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Other pharmacies/physicians/providers are available in our network. Click the link below to view or save a copy. This is not a complete list. Su llamada ser devuelta dentro del siguiente da hbil. With HealthChoice Illinois, you have a health plan partner to turn to for help. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. The call is free. Please turn on JavaScript and try again. Your call will be returned within the next business day. 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. On weekends and on state or federal holidays, window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Limitations, copays, and restrictions may apply. The Personal Wellness Assessment is a short form about you and your health journey. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000047422 00000 n You can also visit the Illinois Client Enrollment Services website. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Want a paper copy? If you experience any problems receiving your mail order prescription, call Member Services at. startxref The benefit information is a brief summary, not a complete description of benefits. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> We will send you a notice before we make a change that affects you. 866-606-3700 . MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. 1-855-580-1689 (TTY 711) JB Pritzker, Governor Theresa Eagleson, Director. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. You've got questions and we've got answers. This handbook will help you understand your coverage. Please review the various programs below. Each link will open a new window and is either a PDF or a website. Llame al. 0000000956 00000 n 2369 0 obj <> endobj Download the free version of Adobe Reader. Su llamada ser devuelta dentro del siguiente da hbil. Understanding the ins and outs of your health plan can be difficult. 0000000016 00000 n It also explains how to find care and how to earn rewards. 0000017969 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Su llamada ser devuelta dentro del siguiente da hbil. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! See if you qualify, and explore the HealthChoice Illinois advantage. This way, we can connect you with the right care. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. endstream endobj 2370 0 obj <>/Metadata 260 0 R/Names 2392 0 R/OpenAction 2371 0 R/Outlines 2412 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 2360 0 R/StructTreeRoot 410 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2371 0 obj <> endobj 2372 0 obj <. Copays for prescription drugs may vary based on the level of Extra Help you receive. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Your call will be returned within the next business day. Meridian Member Services . If we fall short, you can file a grievance or appeal. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. It will also explain our responsibilities to you, as well as outline the following details: Download the Member Handbook (PDF). 0000006553 00000 n Want a paper copy? Your call will be returned within the next business day. On weekends and on state or federal holidays, you may be asked to leave a message. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Your call will be returned within the next business day. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Don't forget to call your local HFS oce and Meridian Member Services with your new address. providerhelp.IL@mhplan.com. Your call will be returned within the next business day. The Health Library is a free resource exclusively for MeridianComplete members and providers. Call Member Services if youd like paper copies of any of these documents. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Meridian will work with you to make sure you get all of the care you need, when you need it. 0000010510 00000 n 199 0 obj <>stream Material ID:H6080_WEBSITE_2023_Accepted_09282022. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. 167 0 obj <> endobj You will need Adobe Reader to open PDFs on this site. Its full of tips and resources for pregnant members and new parents. Each link will open a new window and is either a PDF or a website. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. The call is free. 2390 0 obj <>/Filter/FlateDecode/ID[]/Index[2369 132]/Info 2368 0 R/Length 109/Prev 879097/Root 2370 0 R/Size 2501/Type/XRef/W[1 2 1]>>stream Download the Member Handbook (PDF). Call 1-855-580-1689 (TTY: 711). (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. 1-855-580-1689 (TTY 711) 0000002131 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST 0000001774 00000 n 0 Call 1-855-580-1689 (TTY: 711). Other pharmacies/physicians/providers are available in our network. Learn more about how being a Meridian provider benefits 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. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. %PDF-1.7 % 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)! If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Call 1-855-580-1689 (TTY: 711). The call is free. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Check out the Interoperability page to learn more. 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. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. All Rights Reserved. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Meridian The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 0000041668 00000 n Monday-Friday, 8 a.m. to 8 p.m. CST 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. Language Assistance & Notice of Nondiscrimination. 0000072727 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. We can connect you with support, services, and even rewards. 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. endstream endobj startxref The benefit information is a brief summary, not a complete description of benefits. 0000068680 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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. A grievance is a complaint about a provider or about the quality of care or services you received. 0000046576 00000 n You will need Adobe Reader to open PDFs on this site. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. 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. View our Frequently Asked Questions page. %PDF-1.4 % %%EOF 0000002177 00000 n // . Keep in mind that everything you choose to share is confidential. View your Provider Manual, important plan information and more. 0000021917 00000 n La llamada es gratis. MeridianHealth is now Meridian! Download the Member Handbook(PDF). We need to be able to send you important information in the mail. Open Enrollment 6. [CDATA[ Be sure to read your Meridian Member Handbook and keep it handy. 167 33 0000080946 00000 n If you wish to stay on this website, please click Cancel. 0000040678 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your 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. For certain kinds of drugs, you can use the plans network mail-order services. Other pharmacies/physicians/providers are available in our network. 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. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). trailer 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.
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