 | October 2026 | |
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| Provider Portal  Prior Authorization Provider Notices Provider Manual Practice Updates |
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| 2027 Medicaid changes: New web page and resources |  | | The Department of Healthcare and Family Services (HFS) issued a provider notice outlining the upcoming federal eligibility changes impacting ACA adult members in 2027. As the most trusted messengers of health information, your partnership is key to helping members maintain coverage. Find tools to support your practice at ILmeridian.com/HR1, such as: | | • | A guide to identifying ACA adult members and their redetermination dates using Meridian secure provider portals | | • | Practical tips for providers and FAQs | | • | Links to toolkits and resources from HFS | | |  | | | |
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| Boosting breast cancer screening |  | | Primary care and women’s health providers save lives by ensuring patients receive recommended screenings that detect breast cancer at its earliest, most treatable stages. Promote resources to close cancer screening gaps during Breast Cancer Awareness Month and year-round: | | | | | |
| | Ace the BCS-E HEDIS® measure | | Updated federal guidelines in 2024 call for women to begin biennial screening at age 40, and the Breast Cancer Screening (BCS-E) HEDIS measure was updated accordingly. Earlier screening is especially critical for Black women, who experience higher breast cancer mortality rates and are more likely to be diagnosed with aggressive forms of the disease. Breast cancer incidence has increased among women ages 40 – 49 across racial and ethnic groups. | | | | | | | |
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| High-quality resources for quality improvement | | • | Our new Quality Improvement (QI) web page is a one-stop shop with robust tools to advance practice-level HEDIS and EPSDT strategies. | | • | Discover strategies to optimize diabetes outcomes at this month’s Quality Education webinar. Sign up for the session on October 27 at 1 p.m. (register with access code: Quality). | | • | Sharpen your risk adjustment and coding skills—and earn continuing education credits—with upcoming webinars about coding cardiovascular disease, morbid obesity, and acute conditions. | | | | |
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| A new look for our YouthCare providers web page |  | | Our updated For Providers home page has quick links to direct you to YouthCare procedures, helpful resources, and tools to streamline administrative tasks. | |  | | | |
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| Celebrating Hispanic heritage |  | | During Hispanic Heritage Month, Meridian is proud to take part in community celebrations, like the recent Mexican Independence Fiesta in Woodstock. We’re also steadfast in our commitment to reducing health disparities that affect Hispanic/Latino members and supporting our providers who care for them. | | | | | |
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| Stay informed: Monthly Provider Update webinars | | Attend our Monthly Provider Update webinars to learn about Medicaid program changes and news from Meridian. Every second Tuesday of each month, we share timely information based on questions we get. Topics include claims and billing, payment policies, quality improvement resources, and more. | | View upcoming webinars and register | | | |
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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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