Provider Focus - 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...
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.
Why work-life harmony matters for providersWhite 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.
White paper shows breakthrough in pediatric outcomesClassify 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. ...
Classify as a small or minority-owned business?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...
Help firefighters and dispatchersMedical necessity criteria updated Nov. 8
The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.
Medical necessity criteria updated Nov. 8Scheduling 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...
Scheduling timely follow-up at year's endSupporting 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.
Changes to HEDIS measures2025 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.
2025 handbook and supplements now onlineCrisis 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...
Crisis resources are at your fingertipsMNC updates this fall
The 2024-2025 Magellan Care Guidelines became effective Nov. 2, 2024.
MNC updates this fallAdding 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.
Adding practice locationsBilling 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.
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)...
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.