Provider Focus

Filters

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