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Get Meridian Form 30 2016-2023
Meridian Rx Electronic Funds Transfer (EFT) Enrollment Form Note: Pharmacy is not eligible for EFT if you are receiving your payments through a Pharmacy Services Administrative Organization (PSA).
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III FAQ
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We're here to help. Just call Meridian Member Services at 866-606-3700 (TTY: 711).
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The Meridian Medicaid Plan is a Medicaid managed care health plan in Illinois. We connect Medicaid beneficiaries to the care that they need. Our plan is part of HealthChoice Illinois.
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If you aren't sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the state's Automated Voice Recognition System (AVRS) at 1-855-828-4995 with your Recipient Identification Number (RIN).
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Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays. Where can I find official DHS forms?
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Please call Meridian Provider Services at 866-606-3700.
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