✯ Meridian Medicaid ✯

Jul 31, 2025 6:26 pm

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Meridian Medicaid update +


Dear MMHCA Members,


Effective September 1, 2025, Meridian will implement a prior authorization requirement for services received from out-of-network Behavioral Health (BH) providers. This change is part of their ongoing efforts to support high-quality, coordinated care and ensure appropriate use of network resources.

 

Please note - this requirement does not apply to emergency room care, urgent care, or services provided at Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), or Tribal Health Centers (THCs).

 

You can view the full update on Meridian's website here: Prior Authorization for Out of Network Behavioral Health Services


Additionally, we are working to get clarification and guidance regarding the Medicaid Mental Health Framework that is going into effect on October 1, 2025. We will update you as soon as we have more information.


If you have questions please email us at MMHCABOARD@MMHCANOW.ORG.


In Service,

MMHCA’s Board of Directors

Christopher DeBoer, President

Krystin Sankey, Treasurer

Carol Berger, Secretary

Members at Large:

Dr. Stephanie Burns

Dr. Joy Creel

David Flowers

Dr. Katherine James

Dr. Larry Pfaff

Lauri Rowe

Amy Szaraz

Dr. Elizabeth Teklinski

Steve Wheeler



Links you may find useful:

Our website MMHCANOW.org

LINK to the Counseling Compact website

LINK to MMHCA’s LinkedIn group.

LINK to MMHCA's YouTube channel

LINK to MMHCA's FaceBook page. Please follow us!



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