About Meridian Health Plan Our Mission: To continuously improve the quality of care in a low resource environment We are: Family-owned and operated treating our employees, members and providers like our own Dedicated to making a difference through quality, innovative technology, member and provider satisfaction Vision: To be the premier service organization in government healthcare To be the #1 health organization based on quality, innovative technology and service to our Meridian Family Meridian is the only multi-state plan in the nation to receive an overall rating of 4 out of 5 for all three Medicaid HMO products – Meridian Health Plan of Michigan, Meridian Health Plan of Illinois and Meridian Health Plan of Iowa* *According to NCQA’s Medicaid Health Insurance Plan Ratings 2015–2016

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Meridian Programs

Prior Authorization Updates Provider Portal Submission- Preferred Method Universal Online Form Authorization form can be found on our website at https://mhplan.com Provider Tools

Prior Authorization Updates Universal Online Form Complete all required sections Include clinical documentation Print form and fax to 313-309-8580

Change of Address – Meridian Appeals Meridian Care and Meridian Complete: Meridian Health Plan ATTN: Appeals Department P.O. Box 44260 Detroit, MI 48226 Meridian Health and Meridian Choice P.O. Box 44287 Detroit, MI 48244

HEDIS Bonus Program Updates effective 10/1/2016 Comprehensive Diabetes HbA1c Control updated from <7% to <8% Chlamydia Screening $35 if service is billed by assigned PCP $25 if service is found through medical record review or billed by provider other than assigned PCP Prenatal and Postpartum Care Updated to a quarterly bonus Split between PCP and Servicing Provider

HEDIS Bonus Program Updates effective 10/1/2016 Added Removed Colorectal Cancer Screening - $20 Removed Follow-Up After Hospitalization Smoking Cessation Cervical Cancer Screening Prenatal and Postpartum Care

HEDIS Bonus Program Updates effective 10/1/2016 Added Removed Colorectal Cancer Screening - $20 Removed Follow-Up After Hospitalization Smoking Cessation

HEDIS Bonus Program New Program Effective 1/1/2017 Cervical Cancer Screening $25 Prenatal and Postpartum Care $100-$200 payment to be split between PCP and in-network servicing provider Chlamydia Screening $25 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents $15 for completion of Child BMI Percentile (ages 3-17), Counseling for Nutrition, and Counseling for Physical Activity (must complete all) Well Child Visits 3-6 $25 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment will be paid to servicing provider $25 for each component Comprehensive Diabetes Care $25-$100

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