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.

7 reasons to keep your practice data current

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

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...

The new, enhanced online EASI Form is here

Magellan is enhancing provider portal applications to make it easier for providers to complete essential tasks securely. One such task? Requesting reimbursement for EAP services. Now you have...

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 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’...

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 —...

Go to Availity Essentials for claims and more

With Magellan's Claims Courier set to retire in the coming weeks, Availity Essentials' simplified claims functions could be just what you need. (Plus, Availity Essentials gives you access to claims...

Claims functions available in Availity Essentials

Availity Essentials is now the primary place to submit claims, check claim status and view remittance and EOP/EOB information — if you haven’t started using Availity yet, now’s the time.

Connection saves lives — at all ages

During September and throughout the year, Magellan invites our network providers to join us in increasing awareness about the risks for suicide — in yourself and others — along with the importance...