Provider Focus

Filters

Magellan of Wyoming provider announcements

Visit the Magellan of Wyoming website for recent communications.

Magellan of Wyoming provider announcements

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...

Featured: Featured Issue: Summer 2025
Magellan appoints Caroline Carney, MD, as CEO

Magellan adopts new clinical practice guideline

Magellan’s clinical taskforce recently adopted an external clinical practice guideline (CPG) for substance use disorders. Guidelines serve as the evidence-based framework for practitioners’...

Featured: Featured Issue: Spring 2026
Magellan adopts new clinical practice guideline

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 —...

Featured: Featured Issue: Spring 2026
Expand your reach with PSYPACT

When 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.

Featured: Featured Issue: Fall 2025
When you bill for individual and/or family therapy

EAP 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...

Featured: Featured Issue: Fall 2025
EAP handbook supplement updated for 2026

Magellan 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...

Featured: Featured Issue: Fall 2025
Magellan provider handbooks revised for 2026

'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...

Featured: Featured Issue: Fall 2025
'Tis the season for giving...presence

Electronic payments through ECHO Health to resume Sept. 2

We are pleased to announce that Magellan Healthcare will restore electronic claims payment capabilities via Optum Financial (formerly Change Healthcare) in collaboration with ECHO Health Inc. This...

Featured: Featured Issue: Summer 2024
Electronic payments through ECHO Health to resume Sept. 2

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

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.

Featured: Featured Issue: Summer 2025
Provider experience improves

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!

Featured: Featured Issue: Fall 2024
Eating disorder treatment, virtually? Webinar Dec. 18

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

Learn about MAT for alcohol use disorder, Feb. 25

Learn about medication-assisted treatment for alcohol use disorder, Feb. 25 This event has passed. Attend a virtual lunch-and-learn Join Magellan for our first lunch-and-learn of 2025 as we...

Featured: Featured Issue: Winter 2025
Learn about MAT for alcohol use disorder, Feb. 25

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...

Featured: Featured Issue: Fall 2024
What to know about your Form 1099s

Share your ethnic background, language

Fact: 75% of Magellan providers currently share their ethnic origin with members.

Featured: Featured Issue: Winter 2026
Share your ethnic background, language

Re-diagnosis of PDD or autism not required

Effective Jan. 1, 2026, Assembly Bill 951 (AB 951) prohibits commercial health plans from requiring a member previously diagnosed with pervasive developmental disorder (PDD) or autism to receive a...

Re-diagnosis of PDD or autism not required

Observing American Heart Month

February’s American Heart Month affords a timely reminder that physical and mental health are deeply connected. Even brief, supportive conversations about heart health can reinforce whole-person...

Observing American Heart Month

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).

Featured: Featured Issue: Winter 2025
Add specialties in support LGBTQIA+ members

Magellan adopts new clinical practice guidelines

Magellan’s clinical taskforce recently adopted several external clinical practice guidelines (CPGs). These guidelines serve as the evidence-based framework for practitioners’ clinical...

Featured: Featured Issue: Spring 2025
Magellan adopts new clinical practice guidelines

Metabolic 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...

Featured: Featured Issue: Spring 2025
Metabolic monitoring for patients with schizophrenia

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...

Featured: Featured Issue: Spring 2025
EAP registration features coming May 20

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.

New podcast episode is now available

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...

Billing targeted case management

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...

Texas providers: Billing targeted case management

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.

Treatment record review finishes strong

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.

Featured: Featured Issue: Summer 2024
MNC updates this fall

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...

Featured: Featured Issue: Spring 2026
MNC updates this fall

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...

Featured: Featured Issue: Winter 2026
Interested in providing EAP services?

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)...

Featured: Featured Issue: Winter 2026
Using psychotherapy add-on codes

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...

Language assistance available

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...

Patient safety depends on coordinating care

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)....

4 ways to support patients with substance use disorders

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.

Featured: Featured Issue: Fall 2024
2025 handbook and supplements now online

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...

Where to find information on screening documentation

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...

Health symposium on crisis stabilization and justice-involved care

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

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....

Add specialties in support LGBTQIA+ members

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...

Do you specialize in MAT for depression?

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
MARCOM Awards

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