Provider Focus
Issue

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: First responders and PTSD, Sept. 11

Register today then join Magellan and Charlie Health in September to discuss the impact of PTSD on first responders. CE offered for qualified attendees!

Featured: Featured Issue: Summer 2024
Free CE: First responders and PTSD, Sept. 11

'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

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

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

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

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

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

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 seeks to understand barriers providers face

In a recent analysis of the Magellan provider network, we’ve noticed that a significant number of practices have not attested to their information within the past quarter or submitted any claims...

Featured: Featured Issue: Winter 2025
Magellan seeks to understand barriers providers face

Patient safety depends on coordinating care

While the overall response rate in 2024 remained steady compared to the previous year, survey results showed a downward trend in compliance with recommended standards.

Featured: Featured Issue: Winter 2025
Patient safety depends on coordinating care

Conducting routine self-audits

As a healthcare provider, it is important that your recordkeeping and claims submission processes are accurate and compliant with applicable regulations. Keep your practice compliant and avoid...

Featured: Featured Issue: Winter 2025
Conducting routine self-audits

7 reasons to keep your practice data current

Starting with #1: You want to help members make informed choices about their behavioral healthcare.

Featured: Featured Issue: Summer 2025
7 reasons to keep your practice data current

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

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

Featured: Featured Issue: Summer 2025
Submitting claims for telehealth services?

Recognizing and preventing fraud, waste, and abuse

As a valued provider in the Magellan network, you play a critical role in maintaining the integrity of healthcare services. Learn how to spot common examples of fraud, waste, and abuse.

Featured: Featured Issue: Summer 2025
Recognizing and preventing fraud, waste, and abuse

Medical necessity criteria updates to occur in fall 2025

The 2025-2026 Magellan Care Guidelines will become effective Nov. 8, 2025. Stay tuned to our provider website for its release.

Featured: Featured Issue: Summer 2025
Medical necessity criteria updates to occur in fall 2025

Support youth through quality care

These three key measures play a critical role in identifying care gaps, supporting early intervention, and improving long-term outcomes for youth with behavioral health conditions.

Featured: Featured Issue: Summer 2025
Support youth through quality care

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 2025
What to know about your Form 1099s

Save time with Quick Claims in Availity Essentials

If you have regular patients or a repeatable set of claims, the simplified Quick Claims format may be just what you need.

Featured: Featured Issue: Fall 2024
Save time with Quick Claims in Availity Essentials
MARCOM Awards

Gold Awards in 2024, 2023, 2022 and 2021