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Save time with Quick Claims in Availity Essentials

If you have regular patients or a repeatable set of claims, the simplified Quick Claims format may be just what you need.

Featured: Featured Issue: Fall 2024
Save time with Quick Claims in Availity Essentials

Sparking holiday joy

Magellan joins with you in planning for emotional wellbeing and celebration during the holidays and beyond with these tips and resources.

Featured: Featured Issue: Fall 2024
Sparking holiday joy

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.

Featured: Featured Issue: Fall 2024
Adding practice locations

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.

Featured: Featured Issue: Fall 2024
Changes to HEDIS measures

MNC updates this fall

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

Featured: Featured Issue: Fall 2024
MNC updates this fall

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...

Featured: Featured Issue: Fall 2024
Crisis resources are at your fingertips

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...

California handbook supplement now online for 2025

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...

Featured: Featured Issue: Summer 2024
Promoting suicide awareness

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

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...

You are not alone on complex cases

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...

Outpatient provider dashboard gets makeover

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...

Ria Health offers alcohol use disorder treatment

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...

Refer Sharp Health Plan members to in-network labs

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...

Featured: Featured Issue: Summer 2025
Breaking the silence, saving lives

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.

Featured: Featured Issue: Summer 2025
Support youth through quality care

7 reasons to keep your practice data current

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

Featured: Featured Issue: Summer 2025
7 reasons to keep your practice data current

Free CE: Treatment refractory depression, Sept. 16

Join Magellan as we welcome Dr. Martha Koo, chief medical officer of Your Behavioral Health, to present an in-depth exploration of treatment refractory depression for September's lunch-and-learn.

Featured: Featured Issue: Summer 2025
Free CE: Treatment refractory depression, Sept. 16

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.

Featured: Featured Issue: Summer 2025
Recognizing and preventing fraud, waste, and abuse

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

Featured: Featured Issue: Summer 2025
Submitting claims for telehealth services?

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.

Featured: Featured Issue: Summer 2025
Medical necessity criteria updates to occur in fall 2025
MARCOM Awards

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