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Manuals, Forms and Resources

Provider Manual

The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Click the link below to view or save a copy. 

Documents and Forms

Please consult the provider manual (PDF). Additional billing information can be found in the Illinois Association of Medicaid Health Plans (IAMHP) Comprehensive Billing Manual.

Meridian Claims Operations provides guidance on common claims rejection reasons to assist providers in quickly resolving rejected claims. A rejected claim is a claim that has missing or insufficient information that will prevent the claim from entering the claim system.

Please utilize the Meridian Medicaid Prior Auth check tool. Additional billing information can be found in the Illinois Association of Medicaid Health Plans (IAMHP) Comprehensive Billing Manual.

EPSDT forms can be found within the EPSDT toolkit.