 | January 2026 | |
| |
| Provider Portal  Prior Authorization Provider Notices Provider Manual Practice Updates |
| |
| |
| New! Bringing 1:1 support to all pregnant members through MomCare Connect |  | | Our new MomCare Connect program promotes healthy beginnings from pregnancy to the baby’s first birthday. | | • | Each pregnant member is assigned a MomCare Advocate to help with birth plans, care coordination, and more | | • | MomCare Advocates help members take advantage of rewards for prenatal and postpartum care when recommended health activities are completed | | • | MomCare Connect complements Start Smart for Your Baby®, Meridian’s program for members at higher risk of pregnancy complications | | • | Your partnership is critical: Connect members to MomCare by encouraging submission of the Notification of Pregnancy (NOP)—and learn how to easily complete the NOP on your patients’ behalf | | |  | | | |
| | Transforming maternal-child health takes all of us: Know how to complete the NOP to alert our team Meridian has observed a 10% decrease in NICU admissions for members with an NOP submission—reflecting our collaboration with providers to reduce adverse birth outcomes when members are identified and engaged early in pregnancy. NOP guidance | | | |
| |
| Welcome to the Wellcare By Meridian D-SNP | | | |
| |
| Fresh for the new year: an updated Preferred Drug List (PDL) |  | | Make sure you are referring to the most current PDL. Our Pharmacy team also maintains a PDL Updates log with recent changes and their effective dates.  | | | |
| |
| Elevate your quality performance: HEDIS® MY 2026 Quick Reference Guide | | Our new HEDIS Measurement Year (MY) 2026 Quick Reference Guide supports providers and their teams with HEDIS measure descriptions and billing/diagnostic codes. The newest edition also has quality improvement resources, such as social determinants of health screening information. New MY 2026 HEDIS | | | |
| |
| |
| Language assistance resources | | Nearly 1 in 4 Illinois residents speak a language other than English at home, according to U.S. Census data. Meridian is committed to supporting providers as they deliver high-quality care to all members, regardless of their language preferences. Learn more about available resources and provider expectations. Member language assistance | | | |
| |
| Fee schedule updates, rate changes, & billing updates | | Claim alerts and known issues are posted on our website, along with updates from Meridian about proactively reprocessing claims. Claims should not be resubmitted unless otherwise indicated. For billing questions, contact your assigned Provider Engagement representative. If your practice doesn’t have an assigned representative, please complete our intake form. | | | | |
| |
| |
| |
| Meridian and our family of plans connect communities across the state to the whole‑health care they need, right where they are. | |
| |
| |
Meridian complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). | |
| |
| |
| |
