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Observing American Heart Month
Even brief, supportive conversations about heart health can reinforce whole-person care and help members feel seen beyond their diagnosis.
Magellan appointed chief medical officer in September
“Throughout my career as a psychiatrist, I have been committed to improving care practices that help people live healthier, more fulfilling lives,” said Steven E. Pratt, M.D.
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...
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)...
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.
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.
MNC updates this fall
The 2024-2025 Magellan Care Guidelines became effective Nov. 2, 2024.
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...
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...
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...
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)....
Patient safety depends on coordinating care
Each year, Magellan conducts a patient safety survey with our network providers who serve members of commercial health plans. If you completed our patient safety survey in 2025, thank you for...
Join Magellan's EAP network
Receive additional member referrals. Let us know if you’d like to serve Magellan Employer Assistance Program (EAP) members, which may include individuals in our Employer, Federal, Critical Incident...
Why measurement-informed care matters
"Am I making a difference with my clients?" Many clinicians often wonder. When progress is difficult to see, frustration, self-doubt, and burnout can follow — especially in work that involves...
Early Childhood Supports and Services program launched
Magellan of Louisiana has worked closely with the Louisiana Department of Health (LDH) to implement the Early Childhood Supports and Services (ECSS) program, which provides vital support for young...
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.
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...
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...
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.
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....
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...
HAI-CA earns full NCQA accreditation
Human Affairs International of California earns full accreditation from NCQA Recognized for Commercial, Exchange, Medicaid and Medicare As shared in a recent Magellan press release, Human Affairs...
You have access to EAP forms online
You have access to EAP forms online As a clinician, you focus on providing the best care possible to those you serve. Magellan’s goal is to support you by making the essential tools and care...
Magellan to manage Early Childhood Support and Services program
Magellan to manage Early Childhood Support and Services program in Louisiana Magellan Complete Care of Louisiana is delighted to announce that it has been awarded the Early Childhood Support and...
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...
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...
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...
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...
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...
Plan-specific material revised
Be sure to visit the Plan-Specific Information page on our provider website for provider materials – such as handbook supplements and quick reference guides – that are specific to regions where you...
Devoted Health members are in network
As of Jan. 1, 2025, Magellan will manage behavioral health benefits for Devoted Health Medicare Advantage members in additional states and counties. States with Devoted Health plan members include...
TX Medicaid: Are your locations correct in PEMS?
Keeping your practice information up to date is essential to ensuring appropriate referrals, appointment availability and accurate and timely claims processing. This is why, in addition to...
EAP handbook supplement updated for 2025
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 2025 – on our provider...
Your efforts are vital to members' care and safety
How coordinating with other providers offers best-practice care to Magellan members An essential element in the quality care you provide to Magellan members is coordinating services among members’...
Collaboration helps improve quality of care
Magellan of Louisiana collaborates with providers to investigate and jointly address quality-of-care concerns. The Quality of Care Concern (QOCC) Work Group, under the leadership of Magellan’s...
Updated Louisiana CSoC handbook supplement online
The updated Louisiana Coordinated System of Care supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook...
Provider Town Hall recording from Sept. 17 now available
Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Sept 17, 2024. If you were unable to attend or wish to refer to...
Updated PA HealthChoices supplement online
The updated Pennsylvania HealthChoices supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as...
Podcast features in-depth conversation with RCPA president
A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available! In this episode (#7), host John Lees, Magellan’s member and family advocate for...
Updated WY CME supplement online
The updated Wyoming supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as well as those in...
Provider Town Hall recording from Dec. 17 now available
Provider Town Hall recording from Dec. 17 now available Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Dec....
Reporting self-audits in the Pennsylvania HealthChoices program
Reporting self-audits in the Pennsylvania HealthChoices program The feature article “Routine Self-Audits: A Guide for Providers” applies in the Pennsylvania HealthChoices program, except for how...
Starting the conversation about MAT
Starting the conversation about medication-assisted treatment for alcohol Magellan Behavioral Health of Pennsylvania and our county partners believe we need to change the mindset that the only way...
Supporting those living with disabilities
Tune into the latest podcast on resources to support living with disabilities A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available for...
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...
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...
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.
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.
Outpatient provider bonuses paid in 2023
Maximize your bonus potential in 2024 Each quarter, Magellan* sends all high-volume outpatient behavioral health providers in California personalized practice dashboards, which display the...
BCBS TX: ABA criteria to change for Blue Advantage Nov. 2
Effective Nov. 2, 2024, the medical necessity criteria for applied behavior analysis for all Blue Cross and Blue Shield of Texas Blue Advantage members will change to BCBS TX Applied Behavior...
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'...
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...
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...
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...
TX Medicaid: Maternal mental health matters
Let Magellan know! Magellan is expanding our network of providers who support maternal mental health. If you specialize in postpartum and reproductive mental health, we invite you to share this...
Latest podcast explores PTSD
A new episode of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast is now available! In this episode (#6), host John Lees, Magellan’s member and family advocate for...
Life lessons help with recovery
Magellan Behavioral Health of Pennsylvania and our county partners support recovery efforts in our communities. Magellan employee authors op-ed to increase awareness To help reduce stigma around...
Agency expands on its HFWA mission
Wraparound Solutions in Wyoming, led by Diva Bermudez, is a beacon of support for families facing various challenges. Founded in 2019, the Wraparound agency goes beyond traditional High Fidelity...
Battling hunger in Wyoming
The High Fidelity Wraparound Program in Wyoming is actively engaged in First Lady Jennie Gordon's Wyoming Hunger Initiative. Launched in October 2019, this initiative is dedicated to eradicating...