Meridican Health Plan Behavioral Health Transition FAQ
Q. How do I find a PCP in my area?
A. You can look at our provider directory on this website or you can
call our Member Services Department at 1-866-606-3700 for help.
Q. Does MHP have co-pays?
A. No, MHP does not charge co-pays for any covered services.
Q. How do I get transportation to my doctor's office?
A. MHP has FREE transportation to your doctor's appointments if you
do not have a ride. We may ask you to use your local bus service unless
there is a medical reason you can not do so. You must call 5 days in
advance for routine transportation. You can call 1-866-796-1165 to schedule
routine transportation, 7 days a week, 24 hours a day
Q. Do I need a referral to see a specialist?
A. Yes you do need a referral from your PCP to see a specialist. You
do not need a referral for routine vision care, chiropractic services,
or mental heath/counseling services.
Q. My neighbor has MHP but she only speaks and reads Spanish. Do
you have someone that can speak her language?
A. Yes we have interpreters for over 140 different languages and we
also have our Member Handbook in Spanish.
Q. Does MHP cover dental services?
A. No MHP does not cover your dental benefit; it is covered by regular
Medicaid. You can contact your caseworker or the Medicaid Helpline at
1-888-286-2447 to learn how to get dental services.
Q. Does MHP cover routine vision services?
A. No, MHP does not cover your routine vision services (services provided by an Optometrist). Meridian does cover services provided by an Ophthalmologist. If a member is looking for an eye doctor or vision provider, they can call the Illinois Health Connect Client Helpline at 1-877-912-1999.
Effective January 1, 2010, you will no longer need to contact CompCare to arrange for behavioral health, alcohol or substance abuse services. Instead, Meridian Health Plan will be your primary contact. The toll free phone number to arrange these services remains the same. It is 1-866-796-1167.
Frequently Asked Questions:
Do I need a referral from my Primary Care Physician (PCP) for behavioral health services?
No, a referral from your PCP is not needed for initial outpatient behavioral health care services. Meridian Health Plan can assist you with finding a behavioral health care provider in your area.
Do I need prior authorization for behavioral health services?
Beginning January 1, 2010, initial outpatient behavioral health services, except for alcohol and substance abuse treatment, provided in a counselor, therapist, social worker or psychiatrist office do not require prior approval from Meridian Health Plan.
Only inpatient (services you receive in the hospital), partial-hospitalization (day program), and all alcohol and substance abuse treatment, including detox, require prior authorization from Meridian Health Plan.
How can I make sure that I have an authorization for inpatient, day program or alcohol and substance abuse services?
You can call Meridian Health Plan directly to request an authorization directly, or ask your behavioral health provider to call Meridian Health Plan for an authorization.
Can I continue to see the same behavioral health provider that I am currently seeing?
Yes. If your behavioral health provider participates (in-network) in the Meridian Health Plan network then you will be able to see that provider. If you are currently using an out of network behavioral health provider, please contact Meridian Health Plan for an authorization for continued services.
How do I know if my current behavioral health provider is in-network with Meridian Health Plan?
Meridian Health Plan can tell you if your behavioral health provider is in-network by calling 1-866-796-1167.
What can I do if my current behavioral health provider is not in the Meridian Health Plan Network?
Tell your current behavioral health provider to call Meridian Health Plan and ask to become a participating provider. Your behavioral health provider can also request an authorization for transitional services until an in-network behavioral health provider can be found to assist you or until an authorization for an out of network behavioral health provider is made.
What are the hours of operation for Meridian Health Plan?
Meridian Health Plan is open Monday through Friday from 8:00 AM to 5:00 PM, Central Time. Licensed, clinical staff is available 24 hours per day, 7 days a week (including weekends and holidays) to assist you if you have urgent or emergency needs.
If a you or your provider has any questions, please call Meridian Member Services at 1-866-606-3700.
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