Su llamada ser devuelta dentro del siguiente da hbil. You can get this document for free in other formats, such as large print, braille, or audio. startxref Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 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. This is not a complete list. For more information contact the plan or read the Meridian Member Handbook. Provider Network 6 If you wish to stay on this website, please click Cancel. Catching a Breath Complex Case Management Flu Outreach Opioids 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . For more information contact the plan or read the MeridianComplete Member Handbook. Learn more about how being a Meridian provider benefits you. The COC lays out all the details so that you can stay on top of your coverage. Other pharmacies/physicians/providers are available in our network. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. It also explains how to find care and how to earn rewards. Just call Member Services with your new address. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Its full of tips and resources for pregnant members and new parents. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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 help you get the care you need. If you wish to stay on this website, please click Cancel. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Meridian covers all counties in Illinois. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Please turn on JavaScript and try again. 0000041585 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). For more information contact the plan or read the Meridian Member Handbook. View our Frequently Asked Questions page. Call 1-855-580-1689 (TTY: 711). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. La llamada es gratis. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. For certain kinds of drugs, you can use the plans network mail-order services. 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. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Su llamada ser devuelta dentro del siguiente da hbil. 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 looks like your browser does not have JavaScript enabled. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000068680 00000 n 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)! You can get this document for free in other formats, such as large print, braille, or audio. All Rights Reserved. If you wish to stay on this website, please click Cancel. 0000002131 00000 n For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 0000041209 00000 n Meridian This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. La llamada es gratis. 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) This handbook will help you understand your coverage. 1-855-580-1689 (TTY 711) If you experience any problems receiving your mail order prescription, call Member Services at. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! If you have any questions, call Meridian Member Services toll-free at 866-606-3700. The benefit information is a brief summary, not a complete description of benefits. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Your call will be returned within the next business day. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Looking for your plan home page or interested in becoming a member? Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. endstream endobj startxref Language Assistance & Notice of Nondiscrimination. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You will need Adobe Reader to open PDFs on this site. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Want a paper copy? 0000000956 00000 n Report an address update to HFS online. 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. This way, we can connect you with the right care. Meridian Member Services . 1-855-580-1689 (TTY 711) 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The call is free. 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. On weekends and on state or federal holidays, you may be asked to leave a message. 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. Understanding the ins and outs of your health plan can be difficult. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. 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 call will be returned within the next business day. 0000068208 00000 n 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. Please visit our new website to see up to date information about your plan. 0000017969 00000 n %PDF-1.7 % 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. It will also explain our responsibilities to you, as well as outline the following details: If you wish to stay on this website, please click Cancel. Call 1-855-580-1689 (TTY: 711). window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 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. 2500 0 obj <>stream %PDF-1.4 % The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You can get this document for free in other formats, such as large print, braille, or audio. 0000067354 00000 n With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. 0000047422 00000 n We need to be able to send you important information in the mail. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Your handbook is full of important information about your health care and Meridian. You will need Adobe Reader to open PDFs on this site. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Meridian will work with you to make sure you get all of the care you need, when you need it. You can make an appeal if you disagree with our verdict. Open Enrollment 6. Want a paper copy? Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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, 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. 0000006553 00000 n Be sure to read your Meridian Member Handbook and keep it handy. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 167 0 obj <> endobj The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Call Member Services if youd like paper copies of any of these documents. You will be able to work with one health plan for all of your health insurance needs. 1-855-580-1689 (TTY 711) 0000014634 00000 n It will also explain our responsibilities to you, as well as outline the following details: This is not a complete list. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. For example, we may not approve your providers request for a certain drug. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Each link will open a new window and is either a PDF or a website. 2023 The benefit information is a brief summary, not a complete description of benefits. 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. 0000040678 00000 n Check out the Interoperability page to learn more. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. %%EOF 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. [CDATA[ The call is free. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000002220 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 2023 Please review the various programs below. 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. You are now able to view your health information from a third-party app on a mobile device or PC! 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 Meridian. On weekends and on state or federal holidays, you may be asked to leave a message. Find a doctor, explore coverage, review documents and much more. You can join our Start Smart for Your Baby program. 2369 0 obj <> endobj Monday-Friday, 8 a.m. to 8 p.m. CST 0000067553 00000 n Su llamada ser devuelta dentro del siguiente da hbil. Other pharmacies/physicians/providers are available in our network. We can connect you with support, services, and even rewards. If your address changes, let us know. 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. Monday-Friday, 8 a.m. to 5 p.m. CST It outlines services and benefits that areand are notcovered. 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. Download the Member Handbook (PDF). 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.
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