Meridian of michigan medicaid
2020 PROVIDER MANUAL Revised March 2020 - Meridian
Meridian Medicaid HMO Definition Meridian is a health maintenance organization (HMO) contracted with the Michigan Department of Health and Human Services (MDHHS) to provide medical services to Medicaid members who are enrolled with Meridian. Meridian is a health plan that provides, arranges for, and manages all Medicaid-covered services as
2020
Meridian does not cover any medications carved out by Michigan Medicaid. Product Selection Criteria The MeridianRx P&T Committee considers clinical information on new-to-market drugs that are typically included in an outpatient pharmacy benefit. The primary goal of the MeridianRx P&T
[PDF File]SFY 2018–2019 External Quality Review ...
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The Overview of the Michigan Medicaid Managed Care Program section gives a description of the Michigan Medicaid managed care program, brief descriptions of each of the MHPs that contract with MDHHS to provide services to members, and a brief overview of Michigan’s Quality Strategy and goals for the health of Michigan’s Medicaid population.
[PDF File]Managed Care in Michigan - Medicaid
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Managed Care in Michigan . ... In 2011, nearly ninety percent of Medicaid beneficiaries in Michigan were enrolled in managed care. The state first ... Great Lakes Health Plan changed its name to UnitedHealthcare Community Plan and Health Plan of Michigan changed its name to Meridian Health Plan. According to the state, the list of plans ...
[PDF File]Reimbursement Trip Log - MTM Inc
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Reimbursement Trip Log Instructions: • You must call MTM at 877-633-8747 at least two business days (within MTO region) or five business days (outside of MTO region) before the day of your medical appointment. You will receive a trip number from MTM during this call. You will need to write the number down on this Reimbursement Trip Log.
[PDF File]Medicaid Health Plan (MHP) Transportation - Michigan
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Medicaid Health Plan (MHP) Transportation Heath Plan Name Member Contact Numbers ... Complaint turnaround time If a member misses his/her appointment due to the transportation company Blue Cross Complete of Michigan 1-888-803-4947 To and from doctor's appointments, including ... Meridian Health Plan Call 1-800-821-9369 to arrange non-emergent ...
[PDF File]Authorization Overview - Meridian
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provided is a covered benefit under Michigan Medicaid and the Medicaid MCO Contract. Specialty Network Access Form (SNAF) All referrals for Specialty Care at Hurley Hospital and Michigan State University must follow the SNAF process. Please contact the Meridian Care Management Department directly for referrals to specialists at these entities.
[PDF File]Molina Healthcare of Michigan Preferred Drug List (Formulary)
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The State of Michigan enacted a carve-out for Medicaid beneficiaries. This impacts all Medicaid members including Healthy Michigan Medicaid members. Claims for these medications must be submitted directly to the State Fee-for-Service Pharmacy Program, Magellan. These medications are subject to a $1.10 or $3.30 copay. The Medicaid Carve-Out ...
[PDF File]NCQA Rates MeridianHealth among Top-Performing Medicaid ...
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Meridian’s Medicaid plan in Michigan has achieved accreditation status of “Commendable” from NCQA. As of June 30, 2019, Meridian serves approximately 490,000 Medicaid members, 27,000 Medicare Advantage members and 57,000 Medicare Prescription Drug …
[PDF File]Choose a County Name on the left to see the ... - Michigan
https://info.5y1.org/meridian-of-michigan-medicaid_1_383634.html
Michigan Medicaid Health Plan Listing by County Choose a County Name on the left to see the available Healthy Michigan Plans servicing that county. Check back with this site frequently, as new service areas may be approved monthly.
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