 | May 2026 | |
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| Provider Portal  Prior Authorization Provider Notices Provider Manual Practice Updates |
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| Physician & Practitioner Awards: Celebrating excellence in primary care |  | | Our annual Physician & Practitioner Awards recognize physicians and advanced practice clinicians who demonstrate measurable success in closing care gaps for our members. The awards focus on composite quality scores that measure performance in preventive care and chronic condition management, including childhood immunizations, medication adherence, and blood pressure control. “These award recipients represent the very best of what high‑quality, patient‑centered care looks like,” says Meridian President and CEO Cristal Gary.  | | | |
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| Connect in person with plan leaders at a Provider Town Hall | | We’ll be on the road starting in June for our annual town hall events. Join Meridian and YouthCare leaders over lunch to discuss health plan initiatives, get answers to your questions, and share feedback to improve the health of the communities we serve.  | | | |
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| Your survey response matters | | The annual Provider Satisfaction Survey recently arrived in the mailboxes and inboxes of thousands of providers. Please complete your survey as soon as possible. Your feedback is the cornerstone of our annual improvement efforts, with last year’s survey results inspiring changes to our quality incentive programs, enhanced authorization processes, and other key priorities. | | | |
| | Tell us what’s going right |  | | We want to celebrate and replicate success. Tell us what works well. If you’ve had a positive experience, please let us know. Share your testimonial | | | | | |
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| Administrative tasks made easier with Availity® |  | | Remember that you can complete essential operational functions for Meridian patients using your existing Availity account. | | • | Submit and track authorization requests using Availity’s intuitive workflow | | • | Manage claims, check claim status, and make corrections | | • | New! Use the Claim Status tool to easily search for claims, which displays all original and any associated adjusted claims | | | Availity Essentials | | | |
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| More for moms: Support for pregnant and postpartum members |  | | Each May, Meridian is proud to join efforts to improve awareness of maternal health and the adverse pregnancy outcomes that disproportionately affect women in rural and underserved areas. | | • | Leverage our Healthy Rewards program to encourage adherence to care: Pregnant Meridian members can earn free baby gear and up to $620 in rewards, from conception through their baby’s first birthday. | | • | Notification of Pregnancy (NOP) submissions: NOP completion makes a positive impact and enables our team to assess members’ risks to provide personalized support during pregnancy. Learn how to easily submit an NOP for your patients. | | • | Connect members to MomCare Connect: Meridian moms have access to a MomCare Advocate who is ready to support them through every step of their pregnancy journey. | | | | |
| | Drawing attention to disparities and resources |  | | During Black Maternal Health Week in April, WGN News interviewed Tangela Enyia, Meridian’s Vice President of Government and Community Affairs. Enyia reflects on the birthing experiences of Black mothers and highlights our MomCare program that helps close gaps in maternal health outcomes for Medicaid members. Watch the segment | | | | | |
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| Women’s health spotlight: Mammogram facilities | | Members have access to mammogram screenings at 100+ imaging facilities in our provider network. Reference our comprehensive list of facilities, organized by geography, to help your Meridian patients find a location in their community.  | | | |
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| Unlock member rewards with timely claims submission | | As of May 1, 2026, our Healthy Rewards program for members has transitioned to a claims‑based model for most rewards. Meridian members must complete appointments or health activities they qualify for, and claims must be submitted to Meridian before incentives can be redeemed. Timely submission of claims is critical to ensure your Meridian patients are rewarded promptly for preventive care. Checkups for babies, children, and adults will continue to be attestation‑based for the program. | | | |
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| Fee schedule updates, rate changes, & billing updates | | Claim alerts and known issues are posted on our website, along with updates 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. | | | | |
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| Meridian and our family of plans connect communities across the state to the whole‑health care they need, right where they are. | |
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| 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). | |
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