What to know about your Form 1099's

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...

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.

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...

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.

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...

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...

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...

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).

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.

Learn about MAT for alcohol use disorder, Feb. 25

Learn about medication-assisted treatment for alcohol use disorder, Feb. 25 Attend a virtual lunch-and-learn Join Magellan for our first lunch-and-learn of 2025 as we welcome Ria Health’s Medical...

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.

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...

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.

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.

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

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.

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.

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...

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.

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...

Crisis resources are at your fingertips

Available in English and Spanish Sadly, nearly every day we are faced with traumatic events that impact people in our communities and across the U.S. Whether it be weather-related events, shootings...

MNC updates this fall

The 2024-2025 Magellan Care Guidelines became effective Nov. 2, 2024.

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.

Adding practice locations

Your Magellan provider agreement is state-specific. Billing for services in a state outside the provisions of your current Magellan agreement will result in denied claims.

Sparking holiday joy

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

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.

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.

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.

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...

Electronic payments through ECHO Health to resume Sept. 2

Electronic payments through ECHO Health to resume Sept. 2, 2024 We are pleased to announce that Magellan Healthcare will restore electronic claims payment capabilities via Optum Financial (formerly...

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...

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.

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!

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.

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!

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.

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.

'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...

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.

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...

Create a standout provider profile

As a valued Magellan network provider, you can create a provider profile that members can view when searching for care. These quick tips help make your profile shine.

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.

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...

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...

Share your ethnic background, language

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

Billing Q3014 for telehealth

Q3014 represents the telehealth originating site facility fee. It may be billed only by the eligible facility where the member is physically located during the telehealth visit.

Interested in providing EAP services?

Receive referrals for additional Magellan members! Join our EAP network, which may include opportunities to serve individuals in our Employer, Federal, Critical Incident Response, and other...

Magellan appointed chief medical officer in September

“Throughout my career as a psychiatrist, I have been committed to improving care practices that help people live healthier, more fulfilling lives,” said Steven E. Pratt, M.D.

Observing American Heart Month

Even brief, supportive conversations about heart health can reinforce whole-person care and help members feel seen beyond their diagnosis.

Using psychotherapy add-on codes

Help reduce claim denials, ensure appropriate reimbursement, and support compliance when you use accurate documentation and billing of psychotherapy add-on codes with Evaluation & Management (E/M)...