Operating Policies and Procedures

Meridian Health Plan (MHP) maintains an administrative and organizational structure that supports a high quality, comprehensive care management program. MHP's approach and organizational composition ensures effective linkages between administrative areas, including member services, provider support services, network development, quality improvement, grievance/complaint management, medical information systems (MIS), utilization and case management.

MHP's size allows it to have substantial flexibility in its relationships with providers and hospitals. Meridian Health Plan’s management believes that practitioners should have as much freedom as possible to practice medicine. It is with this goal in mind that MHP has developed a near paperless authorization system including an online Managed Care System for use by all contracted providers.

Meridian Health Plan provides a wide range of both preventive and therapeutic health care services to its Medicaid population. MHP takes great pride in achieving high standards regarding HEDIS measures and implements technically advanced actions to ensure its continuance of health care success. MHP is excited to serve Illinois’ Medicaid population and takes great satisfaction in being a strong entity in a competitive market.

2010 Provider Manual