Provider Notices

August

Global Initiative for Asthma (GINA) Guidelines - Update

08/01/25

Summary of changes to evidence-based treatments and Meridian preferred drugs for asthma.

July

Meridian Updates to Reimbursement for Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) for Meridian Medicare-Medicaid Plan (MMP) Members

07/30/25

Based on recent clarification from Illinois HFS, effective October 1, 2025, Meridian will change this reimbursement method to pay up-to the Medicaid rate on an MMP claim.

Upcoming Billing Changes for HCBS Waiver Service Providers

07/29/25

Home and Community Based Services (HCBS) Waiver Service providers can expect specific updates for provider types 92, 93, and 98.

Billing Requirements for Telehealth Services

07/17/25

Providers, please note the requirements for billing telehealth services.

Billing Requirements for Transportation Providers Reminder

07/03/25

Meridian would like to remind providers of requirements for billing Air and Medicar transportation services for Meridian Medicaid Plan and YouthCare HealthChoice.

Billing Taxonomy Requirements for Local Health Departments and School-based Linked Health Centers Reminder

07/03/25

Services provided in a local health department or school-based linked health centers do not require authorization regardless of contracted status.

Billing Requirements for Observation Services

07/03/25

We would like to remind Meridian Medicaid Plan and YouthCare HealthChoice providers of the requirements for billing observation services.

June

Promote Whole-Person Care and Earn Incentives by Screening Members for Social Determinants of Health

06/27/25

New program rewards Meridian Medicaid and YouthCare providers for using eligible screening instruments and adding Z-codes to claims

Availity Essentials Transition Update: Correct and Update Pending Outpatient Authorization Requests Beginning July 21

06/27/25

Reduce delays and resubmissions by easily updating PA requests in a pended status

Meridian Medicaid Plan and YouthCare Institutional Duplicate Logic Update with Examples

06/27/25

To help our valued provider partners, we’ve updated our previous post to include images and descriptions.
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