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White paper shows breakthrough in pediatric outcomes

  Magellan's team-based approach fosters clinical partnerships and provides tools to support physicians who treat children with mild to moderate behavioral health conditions.

Featured: Featured Issue: Fall 2025
White paper shows breakthrough in pediatric outcomes

Podcast: Preventing suicide in schools

Episode 11 of the Behavioral Health Matters podcast is live! Host Jim Lees, Magellan’s member and family advocate for Lehigh and Northampton counties, sat down with Jim Presto, co-chair of the...

Podcast: Preventing suicide in schools

Building stronger systems together

Highlights from Magellan’s third Collaborative Connections Conference In June, Magellan of Wyoming’s High Fidelity Wraparound providers came together for the third annual Collaborative Connections...

Building stronger systems together

Magellan's toolkit for primary care providers wins

We’re thrilled to share the news of the following industry award we received this year. Digital Health Award Gold: Behavioral health toolkit for primary care providers About the toolkit Magellan's...

Featured: Featured Issue: Summer 2025
Magellan's toolkit for primary care providers wins

California handbook supplement now online for 2026

The California provider handbook supplement and related appendices are now online on Magellan’s* provider website. Contracted providers must follow the policies and procedures outlined in handbook...

California handbook supplement now online for 2026

Treatment record reviews finish strong

The Human Affairs International of California (HAI-CA)* care management center recently completed collating the results of its annual member treatment record review, which included clinical...

Treatment record reviews finish strong

Timely follow-up appointments help patient outcomes

Key dates to know when scheduling FUH, FUM, and FUA appointments at year's end You’re likely already aware that meeting HEDIS standards* can help providers align their practices with evidence-based...

Timely follow-up appointments help patient outcomes

Texas facilities: Requesting an in-lieu of service

Magellan* authorizes intensive outpatient program (IOP), partial hospitalization program (PHP), coordinated specialty care (CSC), and institution of mental disease (IMD) services as an in-lieu-of...

Texas facilities: Requesting an in-lieu of service

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...

Updated PA HealthChoices supplement online

New podcast episodes are here

John Lees, Magellan’s member and family advocate for Lehigh and Northampton counties, has released three new episodes of the Behavioral Health Matters podcast — featuring local and state leaders in...

New podcast episodes are here

CANS assessment results demonstrate Wyoming providers' impact

Wyoming’s High Fidelity Wraparound (HFWA) providers are seeing measurable progress for youth with complex needs, supported by data from the Child and Adolescent Needs and Strengths (CANS)...

CANS assessment results demonstrate Wyoming providers' impact

Updated Wyoming 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...

Updated Wyoming CME supplement online

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

Magellan celebrates provider contributions in Riverside

In March, the 10th anniversary celebration for Collaborative Psychology Group, APC, in Riverside brought together state, civic and community leaders to recognize the organization's exceptional...

Magellan celebrates provider contributions in Riverside

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

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

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

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

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?

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
MARCOM Awards

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