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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...

Plan-specific material revised

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...

Reporting self-audits in the Pennsylvania HealthChoices program

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...

Starting the conversation about MAT

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...

Supporting those living with disabilities

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.

Featured: Featured Issue: Summer 2024
Podcast: Navigating trauma-informed care

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...

Outpatient provider bonuses paid in 2023

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...

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

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'...

Featured: Featured Issue: Spring 2025
Beware of false requests for medical records or PH

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...

Featured: Featured Issue: Spring 2025
MNC updates this fall

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...

Featured: Featured Issue: Spring 2025
5 tips for billing psychological testing

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...

Featured: Featured Issue: Spring 2025
Supporting mental health at every age

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...

TX Medicaid: Maternal mental health matters

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...

Latest podcast explores PTSD

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...

Life lessons help with recovery

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...

Agency expands on its HFWA mission

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.

Featured: Featured Issue: Summer 2024
What members want

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.

Featured: Featured Issue: Summer 2024
Progress notes vs. psychotherapy notes

Medical necessity criteria updated Nov. 8

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

Featured: Featured Issue: Fall 2025
Medical necessity criteria updated Nov. 8

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...

Featured: Featured Issue: Fall 2025
Help firefighters and dispatchers

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. ...

Featured: Featured Issue: Fall 2025
Classify as a small or minority-owned business?
MARCOM Awards

Provider Focus has won the MARCOM Gold Award in 2024, 2023, 2022, and 2021