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It will also explain our responsibilities to you, as well as outline the following details: You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. On weekends and on state or federal holidays, you may be asked to leave a message. Download the free version of Adobe Reader. MeridianHealth is now Meridian! We want you to be happy with the treatment and services you get from Meridian and our providers. 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. It looks like your browser does not have JavaScript enabled. Your call will be returned within the next business day. 0000080946 00000 n
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If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). HealthChoice Illinois is the smart way most Medicaid members get quality care. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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. Member ID Cards 5. 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. 1-855-580-1689 (TTY 711) You can get this document for free in other formats, such as large print, braille, or audio. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" You will need Adobe Reader to open PDFs on this site. Limitations, copays, and restrictions may apply. member.ILmeridian.com. If you experience any problems receiving your mail order prescription, call Member Services at. This is not a complete list. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 0000041585 00000 n
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It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It also explains how to find care and how to earn rewards. 199 0 obj
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The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. We need to be able to send you important information in the mail. Su llamada ser devuelta dentro del siguiente da hbil. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Don't forget to call your local HFS oce and Meridian Member Services with your new address. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Other pharmacies/physicians/providers are available in our network. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 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. Each link will open a new window and is either a PDF or a website. Your call will be returned within the next business day. Your call will be returned within the next business day. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Copays for prescription drugs may vary based on the level of Extra Help you receive. 2023
Meridian will work with you to make sure you get all of the care you need, when you need it. 0000067354 00000 n
Click the link below to view or save a copy. For more information contact the plan or read the MeridianComplete Member Handbook. You can also visit the Illinois Client Enrollment Services website. 0000001708 00000 n
1-855-580-1689 (TTY 711) Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. With HealthChoice Illinois, you have a health plan partner to turn to for help. You can join our Start Smart for Your Baby program. 0000046966 00000 n
You are now able to view your health information from a third-party app on a mobile device or PC! For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. You will need Adobe Reader to open PDFs on this site. It will help you get the care you need. This is not a complete list. La llamada es gratis. 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. 0000021917 00000 n
https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 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. 0000067553 00000 n
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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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. If your address changes, let us know. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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.il@mhplan.com. Learn more about how being a Meridian provider benefits you. If we fall short, you can file a grievance or appeal. 3. On weekends and on state or federal holidays, you may be asked to leave a message. 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. Be sure to read your Meridian Member Handbook and keep it handy. Meridian covers all counties in Illinois. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can get this document in Spanish, or speak with someone about this information in other languages for free.
La llamada es gratis. 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. The call is free. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 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. You will need Adobe Reader to open PDFs on this site. The call is free. Catching a Breath Complex Case Management Flu Outreach Opioids Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Each link will open a new window and is either a PDF or a website. On weekends and on state or federal holidays, The Health Library is a free resource exclusively for MeridianComplete members and providers. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Copyright 2023 Meridian All Rights Reserved. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It outlines services and benefits that areand are notcovered. 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. Monday-Friday, 8 a.m. to 8 p.m. CST The benefit information is a brief summary, not a complete description of benefits. 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. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 0000072727 00000 n
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Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. It also explains how to find care and how to earn rewards. Your handbook is full of important information about your health care and Meridian. 0000047422 00000 n
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Provider Network 6 Other pharmacies/physicians/providers are available in our network. 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. This way, we can connect you with the right care. For more information contact the plan or read the Meridian Member Handbook. The benefit information is a brief summary, not a complete description of benefits. Please visit our new website to see up to date information about your plan. Language Assistance & Notice of Nondiscrimination. 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. A grievance is a complaint about a provider or about the quality of care or services you received. 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. All Rights Reserved. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
This is not a complete list. Call 1-855-580-1689 (TTY: 711). 0000068208 00000 n
Add a New Provider or Term an Existing Provider, Make a Change to an IRS Number or NPI Number, IMPORTANT NOTICE TO PROVIDERS REGARDING THE PURCHASE, BILLING AND ADMINISTRATION OF J CODE DRUGS IN THE OFFICE AND OUTPATIENT FACILITY SETTING, MeridianHealth Provider Information Regarding System Updates Effective July 1, 2021, Meridian Clinical Policy Readmission Review, Meridian of Illinois Announces Provider Relations Team Reorganization, Meridian of Illinois Partners with Jeremiah Development for LOVE Rockford Event, UPDATE PRACTICE INFORMATION USING THE MERIDIAN PROVIDER UPDATES TOOL, SUPPORT & RESOURCES FOR THOSE IMPACTED BY THE HIGHLAND PARK TRAGEDY ON JULY 4, Personal Wellness Assessment: English (PDF), Personal Wellness Assessment: Spanish (PDF), Member Notification of Pregnancy form(PDF), Meridian Managed Long Term Services & Supports Plan, Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope. The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Other pharmacies/physicians/providers are available in our network. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r
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For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. providerhelp.IL@mhplan.com. When you go to file, youll want to write when and where the incident took place, and what happened. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Find a doctor, explore coverage, review documents and much more. View your Provider Manual, important plan information and more. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Check out the Interoperability page to learn more. The call is free. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. For certain kinds of drugs, you can use the plans network mail-order services. We can connect you with support, services, and even rewards. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. 0000002074 00000 n
The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 0000046576 00000 n
It also explains how to find care and how to earn rewards. 0
// ]]>. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. At the right time and place. 0000041209 00000 n
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. Monday-Friday, 8 a.m. to 5 p.m. CST ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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 are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. For more information contact the plan or read the Meridian Member Handbook. Su llamada ser devuelta dentro del siguiente da hbil. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Want a paper copy? Download the Member Handbook (PDF). 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 asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 0000014634 00000 n
A certificate of coverage (COC) tells you what to expect from your healthcare plan. Open Enrollment 6. %PDF-1.4
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On weekends and on state or federal holidays, you may be asked to leave a message. Visit your Member Portal or call Member Services. 0000000956 00000 n
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. 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! 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). An appeal is a way for you to ask for a review of our actions. [CDATA[ MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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) The benefit information is a brief summary, not a complete description of benefits. Monday-Friday, 8 a.m. to 8 p.m. CST You can get this document for free in other formats, such as large print, braille, or audio. Please contact the plan for more details. 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. 0000017969 00000 n
You will need Adobe Reader to open PDFs on this site. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. You can make an appeal if you disagree with our verdict. 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. Understanding the ins and outs of your health plan can be difficult. Su llamada ser devuelta dentro del siguiente da hbil. 167 0 obj
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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)! providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 866-606-3700 . 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. Download the Member Handbook(PDF). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000002177 00000 n
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If you wish to stay on this website, please click Cancel. Keep in mind that everything you choose to share is confidential. 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. Report an address update to HFS online. startxref
The Personal Wellness Assessment is a short form about you and your health journey. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Material ID:H6080_WEBSITE_2023_Accepted_09282022. If your pregnancy is at high risk, we may call you. 0000041668 00000 n
2023
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JB Pritzker, Governor Theresa Eagleson, Director. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . The benefit information is a brief summary, not a complete description of benefits. 0000001774 00000 n
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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. This handbook will help you understand your coverage. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Its full of tips and resources for pregnant members and new parents. trailer
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<. 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. Call 1-855-580-1689 (TTY: 711). Youll tell us about any health conditions, recent hospital visits, medications, and more. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. You've got questions and we've got answers. You can get this document for free in other formats, such as large print, braille, or audio. Just call Member Services with your new address. 1-855-580-1689 (TTY 711) 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: Meridian is for people eligible for both Medicaid and Medicare. We want you to be happy with your healthcare services. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 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. 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. Please review the various programs below. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. The right care for you. If you wish to stay on this website, please click Cancel. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. On weekends and on state or federal holidays, you may be asked to leave a message. La llamada es gratis. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Download the Member Handbook (PDF). You will need Adobe Reader to open PDFs on this site. Call Member Services if youd like paper copies of any of these documents. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Meridian Member Services . You will be able to work with one health plan for all of your health insurance needs. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Looking for your plan home page or interested in becoming a member? We will send you a notice before we make a change that affects you. See if you qualify, and explore the HealthChoice Illinois advantage. For example, we may not approve your providers request for a certain drug. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000025639 00000 n
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Moving? With HealthChoice Illinois, you have a health plan partner to turn to for help. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. All Rights Reserved. Each link will open a new window and is either a PDF or a website. 0000151745 00000 n
Want a paper copy? You can also visit the Illinois Client Enrollment Services website. View our Frequently Asked Questions page. For more information contact the plan or read the Meridian Member Handbook. The COC lays out all the details so that you can stay on top of your coverage. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. More information is in your Member Handbook(PDF). With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 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. 0000068680 00000 n
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Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Please turn on JavaScript and try again. 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. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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.