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New Authorization Requirement: Out of Network Providers (Effective 5/1/2025)

We are implementing a new authorization requirement for out-of-network providers under our Medicaid line of business. This change will help ensure that our members will receive the highest quality of care.

Effective May 1, 2025, out-of-network providers will be required to obtain authorization before rendering services to our members.

What You Need to Know

Authorization Requirement:

Providers that are out of network must obtain prior authorization for services. If you are actively seeing membership today and you remain out of network, Meridian will transition member care.

Join Our Network:

Become a participating provider by joining our network! To find out more information, submit a request on our Join our Network page.

How To Check Your Status:

Providers can check their network status by calling the dedicated Provider Service departments for assistance:

Exceptions List:

Our exceptions list bulletin contains a list of services that will not require out-of-network authorization, effective May 1, 2025.

For any additional questions or concerns, please submit an inquiry form. A Provider Relations Representative will be in touch within five business days:

Submit Inquiry Form
Last Updated: 03/31/2025