0000002177 00000 n 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you wish to stay on this website, please click Cancel. 0000041209 00000 n Please visit our new website to see up to date information about your plan. 0000025639 00000 n You will be able to work with one health plan for all of your health insurance needs. Your call will be returned within the next business day. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your call will be returned within the next business day. This is not a complete list. Monday-Friday, 8 a.m. to 8 p.m. CST La llamada es gratis. You can join our Start Smart for Your Baby program. On weekends and on state or federal holidays, you may be asked to leave a message. %PDF-1.7 % 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. On weekends and on state or federal holidays, you may be asked to leave a message. If your pregnancy is at high risk, we may call you. 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. If you wish to stay on this website, please click Cancel. You will need Adobe Reader to open PDFs on this site. HealthChoice Illinois is the smart way most Medicaid members get quality care. Download the Member Handbook (PDF). This handbook will help you understand your coverage. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000041668 00000 n Report an address update to HFS online. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Su llamada ser devuelta dentro del siguiente da hbil. You can also visit the Illinois Client Enrollment Services website. 2369 0 obj <> endobj ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Understanding the ins and outs of your health plan can be difficult. 0000002131 00000 n 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. 167 33 Monday-Friday, 8 a.m. to 5 p.m. CST 0 We need to be able to send you important information in the mail. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 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. xref The benefit information is a brief summary, not a complete description of benefits. [CDATA[ Call 1-855-580-1689 (TTY: 711). 2500 0 obj <>stream 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)! An appeal is a way for you to ask for a review of our actions. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000040481 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 866-606-3700 . 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! Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. You can get this document for free in other formats, such as large print, braille, or audio. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> All Rights Reserved. Other pharmacies/physicians/providers are available in our network. Want a paper copy? The COC lays out all the details so that you can stay on top of your coverage. Visit your Member Portal or call Member Services. With HealthChoice Illinois, you have a health plan partner to turn to for help. It also explains how to find care and how to earn rewards. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Catching a Breath Complex Case Management Flu Outreach Opioids 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. 0000000956 00000 n It also explains how to find care and how to earn rewards. 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. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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) We will send you a notice before we make a change that affects you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. For more information contact the plan or read the MeridianComplete Member Handbook. 0000068208 00000 n %PDF-1.4 % Check out the Interoperability page to learn more. If your address changes, let us know. It will help you get the care you need. Want a paper copy? 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. The call is free. 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. Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000067553 00000 n 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. Call Member Services if youd like paper copies of any of these documents. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 0000068680 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000002220 00000 n Each link will open a new window and is either a PDF or a website. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000080946 00000 n It looks like your browser does not have JavaScript enabled. 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. // op!mOQtkC v^K#x" 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 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. 0000002041 00000 n With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. This way, we can connect you with the right care. On weekends and on state or federal holidays, You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. endstream endobj startxref providerhelp.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. 3. startxref We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The call is free. The Health Library is a free resource exclusively for MeridianComplete members and providers. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000000016 00000 n Limitations, copays, and restrictions may apply. Llame al. 2023 Other pharmacies/physicians/providers are available in our network. Please turn on JavaScript and try again. Copays for prescription drugs may vary based on the level of Extra Help you receive. You will need Adobe Reader to open PDFs on this site. 0000040678 00000 n 0000025980 00000 n Download the Member Handbook (PDF). Call 1-855-580-1689 (TTY: 711). 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). member.ILmeridian.com. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You can get this document for free in other formats, such as large print, braille, or audio. It outlines services and benefits that areand are notcovered. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. La llamada es gratis. 0000046386 00000 n Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. You will need Adobe Reader to open PDFs on this site. Provider Network 6 If you wish to stay on this website, please click Cancel. The call is free. More information is in your Member Handbook(PDF). 0000006553 00000 n %%EOF This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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 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. 0000151745 00000 n Meridian will work with you to make sure you get all of the care you need, when you need it. Call 1-855-580-1689 (TTY: 711). 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. It will also explain our responsibilities to you, as well as outline the following details: The benefit information is a brief summary, not a complete description of benefits. 0000001708 00000 n 0000046576 00000 n The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Moving? // ]]>. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ A grievance is a complaint about a provider or about the quality of care or services you received. 0 ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. 0000067354 00000 n 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. For more information contact the plan or read the Meridian Member Handbook. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You will need Adobe Reader to open PDFs on this site. On weekends and on state or federal holidays, you may be asked to leave a message. MeridianHealth is now Meridian! hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 2023 trailer There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Other pharmacies/physicians/providers are available in our network. Please contact the plan for more details. 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 1-855-580-1689 (TTY 711) 0000017969 00000 n Your call will be returned within the next business day. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 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. You can get this document for free in other formats, such as large print, braille, or audio. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 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. Each link will open a new window and is either a PDF or a website. We want you to be happy with the treatment and services you get from Meridian and our providers. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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 can also visit the Illinois Client Enrollment Services website. The call is free. +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 For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Your call will be returned within the next business day. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Meridian covers all counties in Illinois. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. If you wish to stay on this website, please click Cancel. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. On weekends and on state or federal holidays, you may be asked to leave a message. 0000021917 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. When you go to file, youll want to write when and where the incident took place, and what happened. 0000002074 00000 n You will need Adobe Reader to open PDFs on this site. This is not a complete list. If you experience any problems receiving your mail order prescription, call Member Services at. 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. 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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