PCP Referrals to PHIP: When making a referral to a PIHP, primary healthcare providers must communicate with the PIHP who is receiving the call to let them know they are about to transfer the beneficiary.
Michigan Clinical Consultation & Care (MC3)offers no-cost psychiatry support to pediatric and perinatal PCPs in Michigan via same-day phone consults on diagnostic questions, safe medications, and appropriate psychotherapy. We want to make sure these resources are easily accessible for Meridian providers.
Access and Availability Audits:At least annually, Meridian evaluates the ease that enrollees have in obtaining health care services from Meridian primary care, specialty care, and behavioral health providers. Please familiarize yourself with State requirements for access, which we have compiled on our bulletins page.
EHR Access for HEDIS Care Gap Closure: Providing our highly trained staff access to your EHR system can increase accuracy of submitted data and HEDIS scores. For information regarding setting up access, and applicable HEDIS measures, please reach out to mihedis@mhplan.com.
Hepatitis C Virus Program: The recommended treatment for HCV is Mavyret, which can be dispensed in eight- week supply. Providers who have prescriptive authority can prescribe Mavyret to their patients with a positive Hepatitis C diagnosis. Prior authorization is not required for Medicaid.
MMP My Meridian Rewards: Encourage your MeridianComplete (Medicare-Medicaid Plan) patients to make healthy choices, by completing preventive or chronic disease services for a chance to earn gift cards through the My Meridian Rewards program.
Closing HEDIS Gaps: Meridian offers many solutions to support you in providing preventive care to your patients and closing HEDIS gaps, including Community Health Workers on staff, loaner equipment, home test kits, and incentive programs – please ask your Provider Representative for more information.
As a reminder, please update Meridian when demographic changes occur. Updates can be made using our Demographic Update Tool on mimeridian.com.
Provider Satisfaction Survey: Our annual provider satisfaction survey is underway! We hope you’ll take a moment to share your feedback.
Medicare-Medicaid Plan (MMP) Dedicated Care Management: All MMP members have a dedicated care manager who is a registered nurse or licensed social worker assigned to support them with their health care needs, navigating the health care system, and assisting with resources for SDoH needs. For more information call 1-855-323-4578 or your Provider Representative To find your provider representative’s contact information visit mmp.mimeridian.com > For Providers > Enrollment Information > Service Area
