Provider Focus - Search - Provider Portal
Filters
Outpatient provider dashboard gets makeover
Beginning in 2025, Magellan’s* network providers in California that qualify for an outpatient dashboard will notice several changes aimed at better measuring quality metrics for our provider...
Refer Sharp Health Plan members to in-network labs
Laboratory expenses are one of the biggest contributors to a patient’s healthcare costs. That’s why Magellan* and our health plan client, Sharp Health Plan, ask you to refer members to an...
Ria Health offers alcohol use disorder treatment
Looking to help commercial Blue Shield of California or Sharp Health Plan members navigate their options for managing a primary alcohol use disorder diagnosis? Ria Health is a virtual alcohol...
Plan-specific material revised
Be sure to visit the Plan-Specific Information page on our provider website for provider materials – such as handbook supplements and quick reference guides – that are specific to regions where you...
Devoted Health members are in network
As of Jan. 1, 2025, Magellan will manage behavioral health benefits for Devoted Health Medicare Advantage members in additional states and counties. States with Devoted Health plan members include...
TX Medicaid: Are your locations correct in PEMS?
Keeping your practice information up to date is essential to ensuring appropriate referrals, appointment availability and accurate and timely claims processing. This is why, in addition to...
EAP handbook supplement updated for 2025
In addition to a revised Magellan National Provider Handbook, you’ll find the updated handbook supplement for Employee Assistance Program (EAP) providers – in effect for 2025 – on our provider...
Your efforts are vital to members' care and safety
How coordinating with other providers offers best-practice care to Magellan members An essential element in the quality care you provide to Magellan members is coordinating services among members’...
Collaboration helps improve quality of care
Magellan of Louisiana collaborates with providers to investigate and jointly address quality-of-care concerns. The Quality of Care Concern (QOCC) Work Group, under the leadership of Magellan’s...
Updated Louisiana CSoC handbook supplement online
The updated Louisiana Coordinated System of Care supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook...
Provider Town Hall recording from Sept. 17 now available
Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Sept 17, 2024. If you were unable to attend or wish to refer to...
Patient safety depends on coordinating care
Each year, Magellan conducts a patient safety survey with our network providers who serve members of commercial health plans. If you completed our patient safety survey in 2025, thank you for...
Join Magellan's EAP network
Receive additional member referrals. Let us know if you’d like to serve Magellan Employer Assistance Program (EAP) members, which may include individuals in our Employer, Federal, Critical Incident...
Why measurement-informed care matters
"Am I making a difference with my clients?" Many clinicians often wonder. When progress is difficult to see, frustration, self-doubt, and burnout can follow — especially in work that involves...
Early Childhood Supports and Services program launched
Magellan of Louisiana has worked closely with the Louisiana Department of Health (LDH) to implement the Early Childhood Supports and Services (ECSS) program, which provides vital support for young...
2025 handbook and supplements now online
Check out updates to the Magellan National Provider Handbook and several of the handbook supplements that pertain to EAP providers and to serving specific plans and/or states.
Where to find information on screening documentation
For depression, tobacco use and suicide safety planning Magellan Behavioral Health of Pennsylvania is re-sharing key reminders on behavioral health screening code guidance originally issued in...
Health symposium on crisis stabilization and justice-involved care
On Dec. 5, 2025, Magellan hosted a half-day behavioral health symposium, “Cross-System Approaches to Crisis Stabilization & Justice-Involved Care,” at Lehigh-Valley – Muhlenberg Hospital, part of...
Changes to HEDIS measures
The changes allow more appointment types to count toward follow-up rates, affording health plans a greater chance of meeting HEDIS measures and improving member outcomes.
New podcast episode is now available
A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is here. It features a timely conversation on mindfulness and social-emotional resiliency.
Billing targeted case management
Behavioral health targeted case management (TCM) supports members with complex needs by coordinating services across systems of care. Because TCM is time-based and documentation-driven, accurate...
Expand your reach with PSYPACT
With licensing through the Psychology Interjurisdictional Compact (PSYPACT®), you could provide virtual services to Magellan Employee Assistance Plan (EAP) members across 40+ participating states —...
Providers' strong EAP record practices continue
Recent Employee Assistance Program (EAP) record reviews show that providers continue to deliver clear, consistent and high‑quality documentation that supports effective short‑term care and...
Treatment record reviews demonstrate quality of care
Accurate documentation supports quality care. Each year, Magellan conducts treatment record reviews to assess clinical documentation and identify opportunities for continuous improvement across our...
Texas providers: Billing targeted case management
Behavioral health targeted case management (TCM) supports Dell Children’s Health Plan members with complex needs by coordinating services across systems of care. Because TCM is time-based and...
Treatment record review finishes strong
Records Magellan reviewed from 2025 show consistent quality across most measures, with continued focus needed on care coordination and client rights.
MNC updates this fall
The 2024-2025 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for the release.
MNC updates this fall
Medical necessity criteria updates to occur in fall 2026 The 2026-2027 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for...
Go to Availity Essentials for claims and more
With Magellan's Claims Courier set to retire in the coming weeks, Availity Essentials' simplified Quick Claims feature could be just what you need. (Plus, Availity Essentials gives you access to...