JB Pritzker, Governor Theresa Eagleson ... - illinois.gov
201 South Grand Avenue East Springfield, Illinois 62763-0002
October 6, 2021
JB Pritzker, Governor Theresa Eagleson, Director
Telephone: (217) 782-1200 TTY: (800) 526-5812
James Kiamos, President Meridian Health Plan of Illinois, Inc. 300 S. Riverside Plaza, Suite 500 Chicago, IL 60606
RE: Sanction and Corrective Action Plan for Failure to Provide Covered Transportation Services
Dear Mr. Kiamos,
This letter serves as written notification to Meridian Health Plan of Illinois, Inc. ("Meridian"), of sanction under the Contract Between the State of Illinois Department of Healthcare and Family Services ("Department") and Meridian For Furnishing Health Services by a Managed Care Organization; otherwise known as the ("Contract").
The Department is hereby providing written notice that pursuant to Section 7.16.4.1 of the Contract, it is sanctioning Meridian $50,000.00 for failure to provide a Managed Long-Term Services and Supports member covered non-emergency transportation services. On July 6, 2021, the Department contacted Meridian regarding a complaint of a transportation provider arriving one and a half hours late to pick up a member for a medical appointment. On August 4, 2021 Federal Centers for Medicare & Medicaid Services contacted the Department to inquire about the member's canceled appointments, as well as inform the Department that the member's family faced challenges in addressing these problems when calling the Meridian customer service line, experiencing hold times over two hours. On August 11, 2021, the transportation provider cancelled an additional pick-up appointment with this member. On September 1, 2021, the Department notified Meridian that a member received a third cancellation notice from the transportation provider. Meridian assured the Department it connected this member to its preferred non-emergency transportation provider. However, these multiple cancellations by the transportation provider led the member to miss medical appointments.
Meridian must submit a written corrective action plan to HFS by Wednesday, October 20th. Additionally, Meridian is to issue a check payable to the Department of Healthcare and Family Services for $50,000. The check shall be submitted to the contact and address listed below no later than 10/20/2021. In the memo section of the check, please indicate "CY2021 Failure to Provide Covered Transportation Services".
Department of Healthcare and Family Services Bureau of Fiscal Operations, Attn: Donavon Patton 2200 Churchill Road, Building A2 Springfield, IL 62702
E-mail: hfs.webmaster@
Internet:
If you have any questions regarding this information, please contact your HFS Account Manager, Keshonna Lones at Keshonna.Lones@.
Sincerely, Robert Mendonsa, Deputy Administrator Division of Medical Programs
cc: Laura Ray, Matthew Seliger, Keshonna Lones, Kim Cox, Felicia Spivack, Katherine Lustig
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- managed care in illinois medicaid
- home health care benefit under medicare and illinois medicaid
- to whom it may concern please find attached meridian
- jb pritzker governor theresa eagleson
- il meridian medicaid provider manual 2021
- 2021
- the illinois department on aging
- meridian health plan
- aevs carrier codes for other health coverage aev ohc car
- livingston county board of health
Related searches
- wade crowfoot governor s office
- florida governor s recommended budget
- governor s job fair orlando florida
- new mexico governor announcement today
- new mexico governor s office
- governor lujan grisham live today
- nm governor press conference today
- new mexico governor update
- governor cuomo on marijuana legalization
- illinois gov verify rn license
- governor whitmer state of address
- michigan governor state of the state speech