Magellan celebrates provider contributions in Riverside

In March, the 10th anniversary celebration for Collaborative Psychology Group, APC, in Riverside brought together state, civic and community leaders to recognize the organization's exceptional...

What to know about your Form 1099s

We will mail your Form 1099 to the financial address on record. If you want your 1099s to go to a different address, you must update your financial address electronically via the Magellan provider...

Support youth through quality care

These three key measures play a critical role in identifying care gaps, supporting early intervention, and improving long-term outcomes for youth with behavioral health conditions.

Medical necessity criteria updates to occur in fall 2025

The 2025-2026 Magellan Care Guidelines will become effective Nov. 8, 2025. Stay tuned to our provider website for its release.

Recognizing and preventing fraud, waste, and abuse

As a valued provider in the Magellan network, you play a critical role in maintaining the integrity of healthcare services. Learn how to spot common examples of fraud, waste, and abuse.

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

Breaking the silence, saving lives

September marks Suicide Prevention Awareness Month. Together, we can foster a culture of awareness and compassion that saves lives. Explore Magellan resources for yourself, your practice and your...

7 reasons to keep your practice data current

Starting with #1: You want to help members make informed choices about their behavioral healthcare.

Conducting routine self-audits

As a healthcare provider, it is important that your recordkeeping and claims submission processes are accurate and compliant with applicable regulations. Keep your practice compliant and avoid...

Patient safety depends on coordinating care

While the overall response rate in 2024 remained steady compared to the previous year, survey results showed a downward trend in compliance with recommended standards.

Magellan seeks to understand barriers providers face

In a recent analysis of the Magellan provider network, we’ve noticed that a significant number of practices have not attested to their information within the past quarter or submitted any claims...

Updated PA HealthChoices supplement online

The updated Pennsylvania HealthChoices supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as...

Podcast features in-depth conversation with RCPA president

A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available! In this episode (#7), host John Lees, Magellan’s member and family advocate for...

Updated WY CME supplement online

The updated Wyoming supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as well as those in...

Provider Town Hall recording from Dec. 17 now available

Provider Town Hall recording from Dec. 17 now available Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Dec....

Reporting self-audits in the Pennsylvania HealthChoices program

Reporting self-audits in the Pennsylvania HealthChoices program The feature article “Routine Self-Audits: A Guide for Providers” applies in the Pennsylvania HealthChoices program, except for how...

Starting the conversation about MAT

Starting the conversation about medication-assisted treatment for alcohol Magellan Behavioral Health of Pennsylvania and our county partners believe we need to change the mindset that the only way...

Supporting those living with disabilities

Tune into the latest podcast on resources to support living with disabilities A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available for...

Promoting suicide awareness

As a mental/behavioral health provider, you’re likely all too aware that suicide and substance use disorders are a serious public health concern. Help prevent suicide by promoting awareness with...

Magellan of PA earns NCQA Health Equity accreditation

Magellan Behavioral Health of Pennsylvania earns NCQA Health Equity accreditation As shared in a recent Magellan press release, Magellan Behavioral Health of Pennsylvania, Inc. has earned a...

Screening for risk with Neuroflow

NeuroFlow uses a type of artificial intelligence (AI) known as natural language processing to analyze members’ journal entries and alert providers about members who may be in urgent need or...

Practitioners: Medical recordkeeping required

In facility settings, practitioners who bill for their services using their own tax identification number as a separate entity are essentially operating as independent entities within the facility.

Podcast: Navigating trauma-informed care

"I think the idea of trauma awareness really helps us as an industry to be less judgmental and more able to make empathic connections," said Magellan's Steven Pratt, MD.

Outpatient provider bonuses paid in 2023

Maximize your bonus potential in 2024 Each quarter, Magellan* sends all high-volume outpatient behavioral health providers in California personalized practice dashboards, which display the...

BCBS TX: ABA criteria to change for Blue Advantage Nov. 2

Effective Nov. 2, 2024, the medical necessity criteria for applied behavior analysis for all Blue Cross and Blue Shield of Texas Blue Advantage members will change to BCBS TX Applied Behavior...

Beware of false requests for medical records or PH

Magellan recently learned that individuals posing as employees of other managed care organizations have sent false requests for information via email and texting to fraudulently obtain patients'...

MNC updates this fall

The 2025-2026 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for the release. The 2024-2025 Magellan Care Guidelines will...

5 tips for billing psychological testing

Psychological testing is a critical component of patient assessment and treatment planning. However, accurate billing and compliance with applicable plan, federal and state requirements are...

Supporting mental health at every age

Resources to share with patients, family, friends and colleagues From childhood to older adulthood, our mental health needs evolve. Understanding and prioritizing what matters most at each stage...

TX Medicaid: Maternal mental health matters

Let Magellan know! Magellan is expanding our network of providers who support maternal mental health. If you specialize in postpartum and reproductive mental health, we invite you to share this...

Latest podcast explores PTSD

A new episode of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast is now available! In this episode (#6), host John Lees, Magellan’s member and family advocate for...

Life lessons help with recovery

Magellan Behavioral Health of Pennsylvania and our county partners support recovery efforts in our communities. Magellan employee authors op-ed to increase awareness To help reduce stigma around...

Agency expands on its HFWA mission

Wraparound Solutions in Wyoming, led by Diva Bermudez, is a beacon of support for families facing various challenges. Founded in 2019, the Wraparound agency goes beyond traditional High Fidelity...

Battling hunger in Wyoming

The High Fidelity Wraparound Program in Wyoming is actively engaged in First Lady Jennie Gordon's Wyoming Hunger Initiative. Launched in October 2019, this initiative is dedicated to eradicating...

Collaborative Connections Conference held in June

The Collaborative Connections Conference, a joint effort of Magellan of Wyoming and the Wyoming Department of Health and Healthcare Financing, was a huge success! Held in Casper, Wyoming, June...

What members want

Meeting members’ needs is the most important component of a positive member experience, but it's not enough to guarantee high member satisfaction.

Progress notes vs. psychotherapy notes

Compliance with documentation standards matters. Magellan’s Special Investigation Unit (SIU) discusses how progress and psychotherapy notes differ, and why it matters.

Scheduling timely follow-up at year's end

Key dates to know when scheduling FUH, FUM, and FUA appointments at year's end You’re likely already aware that meeting HEDIS standards* can help providers align their practices with evidence-based...

Medical necessity criteria updated Nov. 8

  The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.

Help firefighters and dispatchers

Magellan Federal* now supports the Federal Wildland Firefighter Behavioral Health Program As a current Magellan provider, you’re invited to join the Wildland Firefighter Behavioral Health Program...

Classify as a small or minority-owned business?

Let us know! Striving to build a diverse and inclusive provider community to match our members’ needs, Magellan values your participation in our network and the services you provide our members. ...

White paper shows breakthrough in pediatric outcomes

  Magellan's team-based approach fosters clinical partnerships and provides tools to support physicians who treat children with mild to moderate behavioral health conditions.

Observing American Heart Month

Even brief, supportive conversations about heart health can reinforce whole-person care and help members feel seen beyond their diagnosis.

Magellan appointed chief medical officer in September

“Throughout my career as a psychiatrist, I have been committed to improving care practices that help people live healthier, more fulfilling lives,” said Steven E. Pratt, M.D.

Interested in providing EAP services?

Receive referrals for additional Magellan members! Join our EAP network, which may include opportunities to serve individuals in our Employer, Federal, Critical Incident Response, and other...

Using psychotherapy add-on codes

Help reduce claim denials, ensure appropriate reimbursement, and support compliance when you use accurate documentation and billing of psychotherapy add-on codes with Evaluation & Management (E/M)...

Billing Q3014 for telehealth

Q3014 represents the telehealth originating site facility fee. It may be billed only by the eligible facility where the member is physically located during the telehealth visit.

Adding practice locations

Your Magellan provider agreement is state-specific. Billing for services in a state outside the provisions of your current Magellan agreement will result in denied claims.

MNC updates this fall

The 2024-2025 Magellan Care Guidelines became effective Nov. 2, 2024.

Crisis resources are at your fingertips

Available in English and Spanish Sadly, nearly every day we are faced with traumatic events that impact people in our communities and across the U.S. Whether it be weather-related events, shootings...

Language assistance available

Magellan provides language assistance services at no cost. Do you work with clients with limited English proficiency (LEP)? Or perhaps you’d like to, but you are concerned the language barrier...

Patient safety depends on coordinating care

Ways YOU can help improve care coordination in 2026 Each year, Human Affairs International of California (HAI-CA)* conducts a patient safety survey with our network providers. If you completed our...

4 ways to support patients with substance use disorders

Timely follow-up care for substance use disorders enhances outcomes. Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs)....

Add specialties in support LGBTQIA+ members

Add specialties to support LGBTQIA+ members If you specialize in any of the following areas, including: LGBTQIA+, gender identity, sexual dysphoria, and transgender, we need YOU to let us know....

Do you specialize in MAT for depression?

Do you specialize in medication-assisted treatment for depression? Let us know! New specialty supports members with treatment-resistant depression If you specialize in medication-assisted treatment...

HAI-CA earns full NCQA accreditation

Human Affairs International of California earns full accreditation from NCQA Recognized for Commercial, Exchange, Medicaid and Medicare As shared in a recent Magellan press release, Human Affairs...

You have access to EAP forms online

You have access to EAP forms online As a clinician, you focus on providing the best care possible to those you serve. Magellan’s goal is to support you by making the essential tools and care...

Magellan to manage Early Childhood Support and Services program

Magellan to manage Early Childhood Support and Services program in Louisiana Magellan Complete Care of Louisiana is delighted to announce that it has been awarded the Early Childhood Support and...

California handbook supplement now online for 2025

The California provider handbook supplement and related appendices are now online on Magellan’s* provider website. In California, Magellan currently manages benefits for members of the following...

You are not alone on complex cases

Magellan offers timely case management and peer support When you determine that a patient you’re treating has a particularly challenging set of needs, which can include behavioral health symptoms...