Meridian - Illinois Public Health Association

Meridian

2017 Network Regional Meetings

Agenda

? Introductions

? Cultural Competency

? Illinois RFP

? Care Coordination

? About Meridian Health ? Critical Incident

Plan ? Member Services ? Provider Resources

? HEDIS ? Long Term Services and

Supports/

? Pharmacy Benefit

? Behavioral Health

Manager ? Claims and Billing ? Non-Emergent

? Contact Information ? Questions

Transportation

HFS Announcement

More information can be found at:

Illinois Regions

RFP Timeline

? 08/11/17 ? 09/25/17 ? 10/30/17

? 11/30/17 ? 01/01/18 ? 01/08/18 ? 04/01/18 ? 07/01/18

Contracts Awarded Protest Period ends Member Letters Mailed ? Existing Service areas Final HFS Approval New Contract/New Membership begins Member Letters Mailed ? New Service areas New Service Areas Members effective New Populations effective

MeridianHealth

OOuurrMMiissssiioonn

To continuously improve the quality of care in a low resource environment

OOuurrVViissiioonn

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

2000

Health Plan of Michigan becomes an HMO

Meridian History

2006

Caidan Management Company is established

2011

MeridianRx launches

Medicare launches

2013

MeridianHealth New Hampshire Opens (closes in 2014)

MeridianComplete (MMAI) launches operations in IL

2015

MeridianComplete (MI Health Link) launches operations in MI

Detroit HQ moves to 1 Campus Martius

1997

Dr. Cotton obtains Central Michigan Health Plan

2004

Managed Care System (MCS) is created

2007

HQ moves to downtown Detroit

2008

MeridianHealth launches in Illinois

2012

MeridianHealth opens in Iowa (closes in 2015)

2014

MeridianChoice launches

Healthy Michigan Plan (Expansion) launches

Chicago office moves

2016

SentinelRx launches

Meridian launches new logo and brand identity

Meridian Programs

MeridianHealth: Meridian has an executed contract with the Illinois Department of Healthcare and Family Services (HFS) to provide Medicaid covered benefits to the beneficiaries of FHP, ACA, ICP and MLTSS

MeridianComplete: (MMAI) integrates managed care for individuals who are eligible for both Medicaid and Medicare Parts A&B into Managed Care Organizations that are responsible for all services covered by both Medicare and Medicaid. This initiative is designed to provide better care coordination and improve health outcomes for individuals who have historically been left on their own to navigate two separate health care systems.

MeridianCare (HMO): A Medicare Advantage and Prescription Drug Plan (MAPD) in Michigan and Illinois. MAPDs are a type of Medicare health plan that provide Part A, Part B and Part D prescription drug benefits and include additional benefits that are not covered by Original Medicare.

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