Become a Provider

Become a Contracted Provider

Why Meridian? 

We go the extra mile for you and your patients

  • Our Provider Network Development Representatives visit their dedicated primary care offices at least once a month—rain, sleet or snow
  • Calls are answered by a live person
  • We pay co-pays so you don’t have to deal with the hassle

We’re one of the fastest growing groups of health plans in the country

  • We now serve over 850,000 members and 50,000 providers in Michigan, Illinois and Ohio
  • We operate an open network in each state, allowing all providers the opportunity to participate if they choose, provided they meet the credentialing standards established by NCQA, URAC and CMS

We’re highly rated … and keep getting better

  • Meridian Health Plan of Michigan, Inc. and Meridian Health Plan of Illinois, Inc. were both rated 4 out of 5, according to NCQA's Medicaid Health Insurance Plan Ratings 2017-2018. In addition to being rated 4 out of 5 across all Medicaid plans, NCQA has awarded Meridian Health Plan of Michigan, Inc. and Meridian Health Plan of Illinois, Inc. an Accreditation status of Commendable for service and clinical quality that meet NCQA's rigorous requirements for consumer protection and quality improvement 
  • Meridian consistently meets the state performance requirements for timely claims payment

We save your patients money at the pharmacy

  • Meridian operates its own pharmacy benefit management (PBM) company called MeridianRx. Together, Meridian and MeridianRx work as an interdisciplinary team that draws on knowledge and expertise across the care spectrum while relying on integrative technology. This ensures comprehensive care for our members by our providers and pharmacies

We make disease prevention a priority (and reward you for it)

  • Meridian’s outreach specialists complete a Health Risk Assessment (HRA) for every member within 90 days of enrollment
  • Meridian’s Disease Management (DM) Program is designed to educate and support members in optimal management of their conditions before they worsen
  • Meridian’s Complex Case Management (CCM) program helps you avoid unnecessary hospitalizations of members who have multiple medical issues
  • Meridian offers a quality bonus program for PCPs who provide preventive care that helps keep members from needing hospital care and generous incentives based on HEDIS® measures ranging between $5 and $200 per service