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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

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 —...

Expand your reach with PSYPACT

Providers' strong EAP record practices continue

Recent Employee Assistance Program (EAP) record reviews show that providers continue to deliver clear, consistent and high‑quality documentation that supports effective short‑term care and...

Providers' strong EAP record practices continue

Treatment record reviews demonstrate quality of care

Accurate documentation supports quality care. Each year, Magellan conducts treatment record reviews to assess clinical documentation and identify opportunities for continuous improvement across our...

Treatment record reviews demonstrate quality of care

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

Go to Availity Essentials for claims and more

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

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

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