Our dedicated and compassionate providers have experience and training working with individual therapy, medication. We offer Medicaid and Medicare-Medicaid managed care plans to people in Illinois. social media pages and website is not intended to provide medical or mental health. Services provided by Out-of-Network providers are not covered by the plan. Meridian Behavioral Health is a multidisciplinary behavioral health practice based in Louisville Kentucky but offering telehealth services across the state of Kentucky and telepsychiatry services in Washington and Arizona. Disclaimer: The content included on Meridian Behavioral Healthcare, Inc. Post-acute facility (SNF, IRF, and LTAC) prior authorizations need to be verified by CareCentrix Fax 87 Speech, Occupational and Physical Therapy need to be verified by NIA. For Chiropractic providers, no authorization is required. Oncology/supportive drugs for all members need to be verified by New Century Health. Musculoskeletal Services need to be verified by Turning Point. If you are uncertain that prior authorization is needed, please submit a request for an accurate response.įor vision services, see our Vision Benefits Chart (PDF) or refer to the Medicaid pre-auth tool.ĭental services need to be verified by Envolve Dental.Ĭomplex imaging, MRA, MRI, PET, and CT Scans need to be verified by NIA. Our Peer Coaches will listen to your needs and refer you to existing social services in your area and across the country. It’s available to Meridian beneficiaries, non-beneficiaries and caregivers. For specific details, please refer to the provider manual. A call to our Community Connections Help Line can connect you with social services. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding, and billing practices. However, this does NOT guarantee payment.

For details, please consult the HFS notice.Īll attempts are made to provide the most current information on the Pre-Auth Needed Tool. Patients can get directions to the nearest facilities and view Urgent Care Wait times. Home health care and Durable Medical Equipment (DME) prior authorizations are effective May 11, while physical therapy, speech therapy, and occupational therapy prior authorizations will begin August 1, 2023. Meridian HealthCare is a community-based, non-profit organization that serves individuals and families struggling with addiction and mental health. The HMH Well app gives users the ability to manage their health needs. As a result, the Illinois Department of Healthcare and Family Services (HFS) has updated prior authorization requirements. Please note: May 11, 2023, marked the end of the COVID-19 Public Health Emergency (PHE). For the best experience, please use the Pre-Auth tool in Chrome, Firefox, or Internet Explorer 10 and above. is rated 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2016-2017 and NCQA's Medicaid Health Insurance Plan Ratings 2017-2018.

Meridian health