Illinois medicaid meridian health plan

• [PDF File]Illinois Provider Manual

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_7159fe.html

  Meridian Health Plan would like to welcome you to the Meridian network of providers! Our Provider Claims Manual was designed to assist you with understanding policies, procedures, and other protocols relating to Illinois Medicaid, as well as to be used a reference tool for you and your staff.

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• [PDF File]Your HealthChoice Illinois Plan Choices All plans have the ...

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_306f9c.html

  Your HealthChoice Illinois plan (Medicaid) will only cover your long term care services if you live in a nursing home or supportive living facility, your home and community based waiver services (such as the Aging or Physically Disabled waivers), non-emergency transportation and some behavioral health services. ... in the Meridian Health Plan ...

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• [PDF File] Program called HealthChoice Illinois . We have been ...

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_f707cf.html

  Meridian will continue to be one of the health plans under the new Illinois Medicaid Managed Care Program called HealthChoice Illinois . We have been working hard with Aetna Health Plan to make ... In HealthChoice Illinois, you can stay with Meridian or you can choose a new health plan. If you want to keep Meridian To stay in Meridian, you do ...

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• ILLINOIS MEMBER HANDBOOK - Meridian

  • To get basic plan information • A new Meridian ID card or handbook • To change your address or phone number • To file a complaint Have your Illinois Medicaid ID number ready when you call. Our Member Services department is available 24 hours a day, 7 days a week for ... You can change your health plan during the first 90 days of ...

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• [PDF File]Health Plans' Preferred Drug Lists - Illinois

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_164fd1.html

  Each health plan has a Preferred Drug List (PDL), also called a formulary. The PDL is a list of prescribed drugs and over-the-counter (OTC) medicines covered by the health plan.

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• Illinois Medicaid Prior Authorization (PA) Requirements

  Illinois Medicaid Prior Authorization (PA) Requirements For code-specific PA requirements, click here and open the . document titled “Illinois Medicaid Authorization Lookup.” Codes that are not listed on the IL Medicaid fee schedule may not be payable by MeridianHealth (Meridian).

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• [PDF File]Authorization Overview

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_3a33c7.html

  Outpatient Mental Health Services: No prior authorization is required for the first 10 visits, but notification from the Behavioral Health Provider to Meridian is requested for the second 10 visits. The Medicaid benefit is 20 outpatient mental health visits per calendar year. Please contact the Meridian Behavioral Health department for

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• [PDF File]Managed Care in Illinois

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_dcfde4.html

  Oct 20, 2014 · In total, Illinois contracts with a mix of health plans. VMC is offered through Harmony Health Plan (a national, for-profit plan), Meridian Health Plan(a local, for -profit plan), and Family Health Network (a national, non-profit plan). ICP is offered throughseveral health plans servicing various counties throughout the state. Cook County

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• [PDF File]Illinois Medicaid Health Plans - Subcontractors Effective ...

  https://info.5y1.org/illinois-medicaid-meridian-health-plan_1_e82111.html

  Illinois Medicaid Health Plans - Subcontractors Effective January 1, 2018 ... Note: Blank spaces indicate service is provided directly through the health plan. 1/1/2018 *Meridian’s relationship with the vision and eyeglass vendors are not considered a

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