Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Each link will open a new window and is either a PDF or a website. 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. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. You've got questions and we've got answers. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 1-855-580-1689 (TTY 711) This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Meridian Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Understanding the ins and outs of your health plan can be difficult. 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)! For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Meridian is for people eligible for both Medicaid and Medicare. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 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. Find a doctor, explore coverage, review documents and much more. [CDATA[ Monday-Friday, 8 a.m. to 8 p.m. CST Each link will open a new window and is either a PDF or a website. %%EOF 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. Check out the Interoperability page to learn more. Each link will open a new window and is either a PDF or a website. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. It also explains how to find care and how to earn rewards. It will help you get the care you need. 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. Provider Network 6 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. La llamada es gratis. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Catching a Breath Complex Case Management Flu Outreach Opioids With HealthChoice Illinois, you have a health plan partner to turn to for help. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . %PDF-1.4 % The benefit information is a brief summary, not a complete description of benefits. The call is free. At the right time and place. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 3. Monday-Friday, 8 a.m. to 8 p.m. CST We want you to be happy with your healthcare services. Call Member Services if youd like paper copies of any of these documents. For more information contact the plan or read the Meridian Member Handbook. Your call will be returned within the next business day. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 199 0 obj <>stream This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. We need to be able to send you important information in the mail. 0000002131 00000 n The benefit information is a brief summary, not a complete description of benefits. Copyright 2023 Meridian All Rights Reserved. Please visit our new website to see up to date information about your plan. 0000001774 00000 n Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all All Rights Reserved. Download the Member Handbook(PDF). 0000046966 00000 n For more information contact the plan or read the Meridian Member Handbook. You will need Adobe Reader to open PDFs on this site. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 2369 0 obj <> endobj View our Frequently Asked Questions page. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000041668 00000 n We can connect you with support, services, and even rewards. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 0000080946 00000 n With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. On weekends and on state or federal holidays, you may be asked to leave a message. More information is in your Member Handbook(PDF). 0000046799 00000 n All Rights Reserved. Other pharmacies/physicians/providers are available in our network. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 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. 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. 0000040481 00000 n This is not a complete list. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Meridian covers all counties in Illinois. endstream endobj startxref 2023 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. You can get this document for free in other formats, such as large print, braille, or audio. providerhelp.IL@mhplan.com. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The call is free. Its full of tips and resources for pregnant members and new parents. Call 1-855-580-1689 (TTY: 711). The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. member.ILmeridian.com. If your address changes, let us know. 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. Moving? The call is free. 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. 0000151745 00000 n If you wish to stay on this website, please click Cancel. The call is free. 0000006553 00000 n If you wish to stay on this website, please click Cancel. We will send you a notice before we make a change that affects you. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Youll tell us about any health conditions, recent hospital visits, medications, and more. See if you qualify, and explore the HealthChoice Illinois advantage. MeridianHealth is now Meridian! Want a paper copy? You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Other pharmacies/physicians/providers are available in our network. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. Copays for prescription drugs may vary based on the level of Extra Help you receive. 0000001708 00000 n You will be able to work with one health plan for all of your health insurance needs. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Want a paper copy? You will need Adobe Reader to open PDFs on this site. 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. 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. 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. Call 1-855-580-1689 (TTY: 711). 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. 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 The benefit information is a brief summary, not a complete description of benefits. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 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. Want a paper copy? The benefit information is a brief summary, not a complete description of benefits. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. On weekends and on state or federal holidays, you may be asked to leave a message. Click the link below to view or save a copy. Download the Member Handbook (PDF). Download the Member Handbook (PDF). It also explains how to find care and how to earn rewards. 0000041209 00000 n 0000025980 00000 n It outlines services and benefits that areand are notcovered. If you wish to stay on this website, please click Cancel. Llame al. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 0000017969 00000 n 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. 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. It also explains how to find care and how to earn rewards. Language Assistance & Notice of Nondiscrimination. Your handbook is full of important information about your health care and Meridian. On weekends and on state or federal holidays, you may be asked to leave a message. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). La llamada es gratis. For certain kinds of drugs, you can use the plans network mail-order services. The Personal Wellness Assessment is a short form about you and your health journey. Report an address update to HFS online. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 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. Open Enrollment 6. You can make an appeal if you disagree with our verdict. 1-855-580-1689 (TTY 711) ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000000016 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Health Library is a free resource exclusively for MeridianComplete members and providers. On weekends and on state or federal holidays, Just call Member Services with your new address. You are now able to view your health information from a third-party app on a mobile device or PC! 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. Meridian ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. +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 trailer 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 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. It will also explain our responsibilities to you, as well as outline the following details: 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. 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0 View your Provider Manual, important plan information and more. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the free version of Adobe Reader. We want you to be happy with the treatment and services you get from Meridian and our providers. Meridian Member Services . Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can join our Start Smart for Your Baby program. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you.

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