Provider Focus

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Share your ethnic background, language

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

Featured: Featured Issue: Winter 2026
Share your ethnic background, language

Re-diagnosis of PDD or autism not required

Effective Jan. 1, 2026, Assembly Bill 951 (AB 951) prohibits commercial health plans from requiring a member previously diagnosed with pervasive developmental disorder (PDD) or autism to receive a...

Re-diagnosis of PDD or autism not required

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).

Featured: Featured Issue: Winter 2025
Add specialties in support LGBTQIA+ members

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.

Featured: Featured Issue: Winter 2025
It's a win-win

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...

Featured: Featured Issue: Spring 2025
Metabolic monitoring for patients with schizophrenia

New podcast episode is now available

A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is here. It features a timely conversation on mindfulness and social-emotional resiliency.

New podcast episode is now available

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

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 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

Observing American Heart Month

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

Featured: Featured Issue: Winter 2026
Observing American Heart Month

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...

Featured: Featured Issue: Winter 2026
Interested in providing EAP services?

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.

Featured: Featured Issue: Fall 2024
Adding practice locations

MNC updates this fall

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

Featured: Featured Issue: Fall 2024
MNC updates this fall

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...

Featured: Featured Issue: Fall 2024
Crisis resources are at your fingertips

Language assistance available

Magellan provides language assistance services at no cost. Do you work with clients with limited English proficiency (LEP)? Or perhaps you’d like to, but you are concerned the language barrier...

Language assistance available

Patient safety depends on coordinating care

Ways YOU can help improve care coordination in 2026 Each year, Human Affairs International of California (HAI-CA)* conducts a patient safety survey with our network providers. If you completed our...

Patient safety depends on coordinating care

Join Magellan's EAP network

Receive additional member referrals. Let us know if you’d like to serve Magellan Employer Assistance Program (EAP) members, which may include individuals in our Employer, Federal, Critical Incident...

Join Magellan's EAP network

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.

Featured: Featured Issue: Fall 2024
2025 handbook and supplements now online
MARCOM Awards

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