Provider Focus - Provider Portal
Eating disorder treatment, virtually? Webinar Dec. 18
Register today then join Magellan and Equip in December to discuss how virtual treatment for eating disorders could benefit your patients. CE offered for qualified attendees!
Eating disorder treatment, virtually? Webinar Dec. 18Changes 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.
Changes to HEDIS measuresSave 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.
Save time with Quick Claims in Availity EssentialsSparking holiday joy
Magellan joins with you in planning for emotional wellbeing and celebration during the holidays and beyond with these tips and resources.
Sparking holiday joy2025 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.
2025 handbook and supplements now onlineMetabolic monitoring for patients with schizophrenia
According to the U.S. Centers for Disease Control and Prevention, heart disease and diabetes are among the top 10 leading causes of death in the United States. Persons with serious mental illness...
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...
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...
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...
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'...
EAP registration features coming May 20
Magellan is enhancing provider website experiences to make it easier for you to complete essential tasks securely. On May 20, 2025, you’ll be able to register EAP cases and access case details and...
Specialize in maternal mental health?
In support of increasing awareness of maternal mental health, Magellan gives you several options when sharing your specialties via the provider portal.
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...
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.
Magellan providers make a difference
Some of Magellan’s network providers in California have faced evacuation due to wildfires and have continued to support as many members as possible.
Provider experience improves
Magellan is committed to making it easier for providers to get what they need online. Results from Magellan’s latest Provider Experience Survey show meaningful progress over the past two years.
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...
4 ways to support patients with substance use disorders
Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs). Impact your patients' recovery journeys and long-term health with these best...
Magellan appoints Caroline Carney, MD, as CEO
"I am honored to have been chosen for this role leading a mission-driven organization that delivers innovative and integrated behavioral health solutions," said Dr. Carney. Meet Magellan's...
Add specialties in support LGBTQIA+ members
Magellan gives you additional options when sharing your specialties with potential clients who identify as LGBTQIA+. It's easy (we show you how).
It's a win-win
When Magellan network providers give our communications, such this Provider Focus newsletter, a high score, it means the world to us.
Learn about MAT for alcohol use disorder, Feb. 25
Learn about medication-assisted treatment for alcohol use disorder, Feb. 25 Attend a virtual lunch-and-learn Join Magellan for our first lunch-and-learn of 2025 as we welcome Ria Health’s Medical...
Magellan's toolkit for primary care providers wins
We’re thrilled to share the news of the following industry award we received this year. Digital Health Award Gold: Behavioral health toolkit for primary care providers About the toolkit Magellan's...
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.
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.
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.
7 reasons to keep your practice data current
Starting with #1: You want to help members make informed choices about their behavioral healthcare.
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...
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...
Crisis resources are at your fingertipsMNC updates this fall
The 2024-2025 Magellan Care Guidelines became effective Nov. 2, 2024.
MNC updates this fallAdding 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.
Adding practice locationsProgress 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.
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...
Electronic payments through ECHO Health to resume Sept. 2
Electronic payments through ECHO Health to resume Sept. 2, 2024 We are pleased to announce that Magellan Healthcare will restore electronic claims payment capabilities via Optum Financial (formerly...
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.
Free CE: First responders and PTSD, Sept. 11
Register today then join Magellan and Charlie Health in September to discuss the impact of PTSD on first responders. CE offered for qualified attendees!
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.
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.
Why measurement informed-care matters
"Am I making a difference with my clients?”Many clinicians often wonder. When progress feels invisible, consider how screening tools can help.
'Tis the season for giving...presence
The holiday season often comes wrapped in ribbons of joy—but also tangled in stress, unrealistic expectations and exhaustion. This year, what if there were a way to focus on reducing seasonal...
'Tis the season for giving...presenceWhy work-life harmony matters for providers
Magellan Federal's Trina Hammonds, PhD, LPC, CEAP, discusses practical strategies to prevent burnout, sustain resilience, and enhance wellbeing in today's workplace.
Why work-life harmony matters for providersWhat 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...
What to know about your Form 1099sCreate a standout provider profile
As a valued Magellan network provider, you can create a provider profile that members can view when searching for care. These quick tips help make your profile shine.
Create a standout provider profileWhen you bill for individual and/or family therapy
Learn about common billing errors to avoid and check out some tips to ensure your claims accurately reflect the services you deliver.
When you bill for individual and/or family therapyWhite 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.
White paper shows breakthrough in pediatric outcomesClassify 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. ...
Classify as a small or minority-owned business?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...
Help firefighters and dispatchersMedical necessity criteria updated Nov. 8
The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.
Medical necessity criteria updated Nov. 8Scheduling 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...
Scheduling timely follow-up at year's endMagellan provider handbooks revised for 2026
The Magellan Handbook for the National Provider Network, and the accompanying Handbook Supplement for Organizational and Facility Providers, have been revised to reflect several new policies and...
Magellan provider handbooks revised for 2026EAP handbook supplement updated for 2026
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 2026 — on our provider...
EAP handbook supplement updated for 2026Share your ethnic background, language
Fact: 75% of Magellan providers currently share their ethnic origin with members. Do you?Fact: 75% of Magellan providers currently share their ethnic origin with members. Do you?Fact: 75% of...
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.
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...