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...

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.

EAP registration features coming May 20

Magellan is enhancing provider website experiences to make it easier for you to complete essential tasks securely. On May 20, 2025, you’ll be able to register EAP cases and access case details and...

Metabolic monitoring for patients with schizophrenia

According to the U.S. Centers for Disease Control and Prevention, heart disease and diabetes are among the top 10 leading causes of death in the United States. Persons with serious mental illness...

Magellan adopts new clinical practice guidelines

Magellan’s clinical taskforce recently adopted several external clinical practice guidelines (CPGs). These guidelines serve as the evidence-based framework for practitioners’ clinical...

May marks Mental Health Awareness Month

During May and throughout the year, Magellan is committed to increasing awareness about mental health. This year, we highlight the signficant role that feeling connected to others plays in mental...

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.

It's a win-win

When Magellan network providers give our communications, such this Provider Focus newsletter, a high score, it means the world to us.

4 ways to support patients with substance use disorders

Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs). Impact your patients' recovery journeys and long-term health with these best...

Add specialties in support LGBTQIA+ members

Magellan gives you additional options when sharing your specialties with potential clients who identify as LGBTQIA+. It's easy (we show you how).

Why measurement informed-care matters

"Am I making a difference with my clients?” Many clinicians often wonder. When progress feels invisible, consider how screening tools can help.

Share your ethnic background, language

Fact: 75% of Magellan providers currently share their ethnic origin with members.

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...

Learn about MAT for alcohol use disorder, Feb. 25

Learn about medication-assisted treatment for alcohol use disorder, Feb. 25 This event has passed. Attend a virtual lunch-and-learn Join Magellan for our first lunch-and-learn of 2025 as we...

Sparking holiday joy

Magellan joins with you in planning for emotional wellbeing and celebration during the holidays and beyond with these tips and resources.

Eating disorder treatment, virtually? Webinar Dec. 18

Register today then join Magellan and Equip in December to discuss how virtual treatment for eating disorders could benefit your patients. CE offered for qualified attendees!

Provider experience improves

Magellan is committed to making it easier for providers to get what they need online. Results from Magellan’s latest Provider Experience Survey show meaningful progress over the past two years.

Free CE: Treatment refractory depression, Sept. 16

Join Magellan as we welcome Dr. Martha Koo, chief medical officer of Your Behavioral Health, to present an in-depth exploration of treatment refractory depression for September's lunch-and-learn.

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.

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...

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!

'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...

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...

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...

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.

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 —...

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’...

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...

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...

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.

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...

7 reasons to keep your practice data current

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

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...

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

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.

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.

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.

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...

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.

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...

Why work-life harmony matters for providers

  Magellan Federal's Trina Hammonds, PhD, LPC, CEAP, discusses practical strategies to prevent burnout, sustain resilience, and enhance wellbeing in today's workplace.

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.

Classify as a small or minority-owned business?

Let us know! Striving to build a diverse and inclusive provider community to match our members’ needs, Magellan values your participation in our network and the services you provide our members. ...

Help firefighters and dispatchers

Magellan Federal* now supports the Federal Wildland Firefighter Behavioral Health Program As a current Magellan provider, you’re invited to join the Wildland Firefighter Behavioral Health Program...

Medical necessity criteria updated Nov. 8

  The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.

Scheduling timely follow-up at year's end

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...

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...

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...

Progress notes vs. psychotherapy notes

Compliance with documentation standards matters. Magellan’s Special Investigation Unit (SIU) discusses how progress and psychotherapy notes differ, and why it matters.

What members want

Meeting members’ needs is the most important component of a positive member experience, but it's not enough to guarantee high member satisfaction.

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...

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'...

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.

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.

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...

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...

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...

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.

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.