Online EASI Form exceptions - Provider
Online EASI Form exceptions:
You must submit the EASI Form (PDF) by fax or mail only for the following EAPs.
- Federal Aviation Administration Management Substance Abuse Evaluation referred case or mandatory referral
- Fax: 1-888-656-5032
- Address: Attn: Affiliate Specialist, MO22 PO Box 1899 Maryland Heights, MO 63043
- Magellan employee EAP case
- Contact 1-866-266-2376 for the custom EASI Form. Submission is by mail only.
If you need assistance, return to MagellanProvider.com and use the Chat with us button to reach a representative.