Download the Member Handbook (PDF). It will also explain our responsibilities to you, as well as outline the following details: The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Meridian is for people eligible for both Medicaid and Medicare. 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. 0000072727 00000 n If you wish to stay on this website, please click Cancel. // ]]>. Call 1-855-580-1689 (TTY: 711). 0000046799 00000 n 0000068208 00000 n 0000041668 00000 n 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 call is free. providerhelp.IL@mhplan.com. 2023 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation MeridianHealth is now Meridian! Limitations, copays, and restrictions may apply. Visit your Member Portal or call Member Services. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Moving? 0000006553 00000 n Click the link below to view or save a copy. Want a paper copy? Learn more about how being a Meridian provider benefits you. With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000067553 00000 n You are now able to view your health information from a third-party app on a mobile device or PC! If you wish to stay on this website, please click Cancel. It outlines services and benefits that areand are notcovered. It will help you get the care you need. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000046386 00000 n Report an address update to HFS online. For more information contact the plan or read the Meridian Member Handbook. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); At the right time and place. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. View our Frequently Asked Questions page. +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d 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. For more information contact the plan or read the Meridian Member Handbook. You can get this document in Spanish, or speak with someone about this information in other languages for free. It looks like your browser does not have JavaScript enabled. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! See if you qualify, and explore the HealthChoice Illinois advantage. 0000151745 00000 n You can also visit the Illinois Client Enrollment Services website. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Open Enrollment 6. On weekends and on state or federal holidays, 1-855-580-1689 (TTY 711) Member Handbook - Meridian Medicare Medicaid Plan 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)! Don't forget to call your local HFS oce and Meridian Member Services with your new address. 0000001774 00000 n 866-606-3700 . Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0 %%EOF 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Copyright 2023 Meridian All Rights Reserved. Meridian will work with you to make sure you get all of the care you need, when you need it. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Please turn on JavaScript and try again. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. We want you to be happy with your healthcare services. 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. 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. 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. The call is free. Su llamada ser devuelta dentro del siguiente da hbil. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. For example, we may not approve your providers request for a certain drug. Su llamada ser devuelta dentro del siguiente da hbil. Your handbook is full of important information about your health care and Meridian. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000014634 00000 n Its full of tips and resources for pregnant members and new parents. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Monday-Friday, 8 a.m. to 5 p.m. CST You will need Adobe Reader to open PDFs on this site. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. This is not a complete list. 0000041209 00000 n The call is free. endstream endobj startxref Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000017969 00000 n Please visit our new website to see up to date information about your plan. Provider Network 6 HealthChoice Illinois is the smart way most Medicaid members get quality care. 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. We want you to be happy with the treatment and services you get from Meridian and our providers. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000040678 00000 n Member ID Cards 5. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. PDF Welcome to MeridianHealth Intro to Plan startxref You can make an appeal if you disagree with our verdict. 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 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. %PDF-1.4 %