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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

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

Go to Availity Essentials for claims and more

With Magellan's Claims Courier set to retire in the coming weeks, Availity Essentials' simplified claims functions could be just what you need. (Plus, Availity Essentials gives you access to claims...

Featured: Featured Issue: Spring 2026
Go to Availity Essentials for claims and more

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...

Featured: Featured Issue: Summer 2025
Breaking the silence, saving lives

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.

Featured: Featured Issue: Winter 2025
Magellan providers make a difference

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...

Featured: Featured Issue: Summer 2024
Screening for risk with Neuroflow

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...

Featured: Featured Issue: Summer 2024
Promoting suicide awareness

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.

Featured: Featured Issue: Summer 2024
Specialize in maternal mental health?
MARCOM Awards

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