Each link will open a new window and is either a PDF or a website. Looking for your plan home page or interested in becoming a member? For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Other pharmacies/physicians/providers are available in our network. Want a paper copy? Llame al. A grievance is a complaint about a provider or about the quality of care or services you received. With HealthChoice Illinois, you have a health plan partner to turn to for help. 0000046799 00000 n The Personal Wellness Assessment is a short form about you and your health journey. 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. JB Pritzker, Governor Theresa Eagleson, Director. Monday-Friday, 8 a.m. to 8 p.m. CST 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)! 199 0 obj <>stream You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. 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. Want a paper copy? Download the Member Handbook(PDF). We need to be able to send you important information in the mail. Your call will be returned within the next business day. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000046966 00000 n Meridian Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. We want you to be happy with the treatment and services you get from Meridian and our providers. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The benefit information is a brief summary, not a complete description of benefits. HealthChoice Illinois is the smart way most Medicaid members get quality care. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. We want you to be happy with your healthcare services. 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. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The benefit information is a brief summary, not a complete description of benefits. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. 0000068680 00000 n 1-855-580-1689 (TTY 711) 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. This handbook will help you understand your coverage. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Be sure to read your Meridian Member Handbook and keep it handy. 0000046576 00000 n %%EOF Language Assistance & Notice of Nondiscrimination. On weekends and on state or federal holidays, you may be asked to leave a message. You will need Adobe Reader to open PDFs on this site. Please review the various programs below. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000040678 00000 n Each link will open a new window and is either a PDF or a website. If you wish to stay on this website, please click Cancel. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For more information contact the plan or read the MeridianComplete Member Handbook. 0000014634 00000 n https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 0000002220 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. If you experience any problems receiving your mail order prescription, call Member Services at. La llamada es gratis. It looks like your browser does not have JavaScript enabled. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Other pharmacies/physicians/providers are available in our network. View our Frequently Asked Questions page. 0000041668 00000 n Visit your Member Portal or call Member Services. Keep in mind that everything you choose to share is confidential. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Monday-Friday, 8 a.m. to 8 p.m. CST We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Monday-Friday, 8 a.m. to 5 p.m. CST 2023 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Catching a Breath Complex Case Management Flu Outreach Opioids Want a paper copy? If you wish to stay on this website, please click Cancel. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. // /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 <. See if you qualify, and explore the HealthChoice Illinois advantage. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. Please visit our new website to see up to date information about your plan. 2023 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) 0000067354 00000 n Each link will open a new window and is either a PDF or a 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. 0000001774 00000 n For more information contact the plan or read the Meridian Member Handbook. 2500 0 obj <>stream There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. We will send you a notice before we make a change that affects you. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. You can get this document for free in other formats, such as large print, braille, or audio. 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. 0000046386 00000 n This is not a complete list. An appeal is a way for you to ask for a review of our actions. 0000000956 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Report an address update to HFS online. %PDF-1.4 % 3. If you wish to stay on this website, please click Cancel. You can get this document for free in other formats, such as large print, braille, or audio. Copays for prescription drugs may vary based on the level of Extra Help you receive. 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. 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. 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. You will need Adobe Reader to open PDFs on this site. member.ILmeridian.com. At the right time and place. You will need Adobe Reader to open PDFs on this site. Moving? 167 0 obj <> endobj 0000010510 00000 n Download the Member Handbook (PDF). v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Call 1-855-580-1689 (TTY: 711). You can get this document in Spanish, or speak with someone about this information in other languages for free. On weekends and on state or federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. 0000072727 00000 n <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Copyright 2023 Meridian All Rights Reserved. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000006553 00000 n Your call will be returned within the next business day. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. 0 0000000016 00000 n Each link will open a new window and is either a PDF or a website. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. It will help you get the care you need. 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. Other pharmacies/physicians/providers are available in our network. It also explains how to find care and how to earn rewards. 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.

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