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Provider Town Hall recording from Dec. 17 now available

Provider Town Hall recording from Dec. 17 now available Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Dec....

Provider Town Hall recording from Dec. 17 now available

Reporting self-audits in the Pennsylvania HealthChoices program

Reporting self-audits in the Pennsylvania HealthChoices program The feature article “Routine Self-Audits: A Guide for Providers” applies in the Pennsylvania HealthChoices program, except for how...

Reporting self-audits in the Pennsylvania HealthChoices program

Starting the conversation about MAT

Starting the conversation about medication-assisted treatment for alcohol Magellan Behavioral Health of Pennsylvania and our county partners believe we need to change the mindset that the only way...

Starting the conversation about MAT

Supporting those living with disabilities

Tune into the latest podcast on resources to support living with disabilities A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available for...

Supporting those living with disabilities

Outpatient provider bonuses paid in 2023

Maximize your bonus potential in 2024 Each quarter, Magellan* sends all high-volume outpatient behavioral health providers in California personalized practice dashboards, which display the...

Outpatient provider bonuses paid in 2023

BCBS TX: ABA criteria to change for Blue Advantage Nov. 2

Effective Nov. 2, 2024, the medical necessity criteria for applied behavior analysis for all Blue Cross and Blue Shield of Texas Blue Advantage members will change to BCBS TX Applied Behavior...

BCBS TX: ABA criteria to change for Blue Advantage Nov. 2

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'...

Featured: Featured Issue: Spring 2025
Beware of false requests for medical records or PH

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...

Featured: Featured Issue: Spring 2025
MNC updates this fall

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...

Featured: Featured Issue: Spring 2025
5 tips for billing psychological testing

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...

Featured: Featured Issue: Spring 2025
Supporting mental health at every age

TX Medicaid: Maternal mental health matters

Let Magellan know! Magellan is expanding our network of providers who support maternal mental health. If you specialize in postpartum and reproductive mental health, we invite you to share this...

TX Medicaid: Maternal mental health matters

Latest podcast explores PTSD

A new episode of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast is now available! In this episode (#6), host John Lees, Magellan’s member and family advocate for...

Latest podcast explores PTSD

Life lessons help with recovery

Magellan Behavioral Health of Pennsylvania and our county partners support recovery efforts in our communities. Magellan employee authors op-ed to increase awareness To help reduce stigma around...

Life lessons help with recovery

Agency expands on its HFWA mission

Wraparound Solutions in Wyoming, led by Diva Bermudez, is a beacon of support for families facing various challenges. Founded in 2019, the Wraparound agency goes beyond traditional High Fidelity...

Agency expands on its HFWA mission

Battling hunger in Wyoming

The High Fidelity Wraparound Program in Wyoming is actively engaged in First Lady Jennie Gordon's Wyoming Hunger Initiative. Launched in October 2019, this initiative is dedicated to eradicating...

Battling hunger in Wyoming

Collaborative Connections Conference held in June

The Collaborative Connections Conference, a joint effort of Magellan of Wyoming and the Wyoming Department of Health and Healthcare Financing, was a huge success! Held in Casper, Wyoming, June...

Collaborative Connections Conference held in June

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...

Featured: Featured Issue: Fall 2025
Scheduling timely follow-up at year's end

Medical necessity criteria updated Nov. 8

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

Featured: Featured Issue: Fall 2025
Medical necessity criteria updated Nov. 8

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...

Featured: Featured Issue: Fall 2025
Help firefighters and dispatchers

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. ...

Featured: Featured Issue: Fall 2025
Classify as a small or minority-owned business?

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.

Featured: Featured Issue: Fall 2025
White paper shows breakthrough in pediatric outcomes

Review these guidelines for interns/associates

Thank you for participating in the Magellan Healthcare* network. We recognize members’ increased need to access behavioral health services and appreciate your support by utilizing your...

Review these guidelines for interns/associates

Keep referrals coming your way

Keep referrals coming your way Atlas Systems, via PRIME-Hub, will again support Magellan’s* network providers (you!) in completing the required annual review and update of your provider directory...

Keep referrals coming your way

Anonymous EAP registration allowed for State of CA

Due to confidentiality concerns driven by state job classification (e.g., California Highway Patrol officers), the State of California asks Magellan* to allow its employees to register for EAP...

Anonymous EAP registration allowed for State of CA

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.

Featured: Featured Issue: Fall 2025
Why work-life harmony matters for providers

Maintaining EAP records

Picture a vintage vinyl record collection—The Beatles, The Rolling Stones, maybe some Fleetwood Mac or Led Zeppelin. The owner would likely safeguard those records as treasured keepsakes. Your EAP...

Maintaining EAP records

Podcast: Preventing suicide in schools

Episode 11 of the Behavioral Health Matters podcast is live! Host Jim Lees, Magellan’s member and family advocate for Lehigh and Northampton counties, sat down with Jim Presto, co-chair of the...

Podcast: Preventing suicide in schools

Building stronger systems together

Highlights from Magellan’s third Collaborative Connections Conference In June, Magellan of Wyoming’s High Fidelity Wraparound providers came together for the third annual Collaborative Connections...

Building stronger systems together

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...

Featured: Featured Issue: Summer 2025
Magellan's toolkit for primary care providers wins

Region/plan-specific information

For the latest region/plan-specific information, visit MagellanProvider.com.

Region/plan-specific information

Magellan of Wyoming provider announcements

Visit the Magellan of Wyoming website for recent communications.

Magellan of Wyoming provider announcements

Magellan of PA provider announcements

Visit the Magellan of PA website for recent communications, upcoming events and more.

Magellan of PA provider announcements

New podcast episodes are now available

Two new episodes of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast are here, featuring conversations on children’s behavioral health and rural behavioral health.

New podcast episodes are now available

Magellan of Louisiana earns NCQA accreditation

Providers play a vital role in ongoing program success. Magellan of Louisiana is pleased to announce that our Coordinated System of Care (CSoC) program has successfully achieved reaccreditation...

Magellan of Louisiana earns NCQA accreditation

Providing ABA services for employer plans

Magellan Healthcare* manages applied behavior analysis (ABA) benefits for several employer-sponsored health plans. What this means for you: If you are contracted as a Magellan ABA provider, you...

Providing ABA services for employer plans

Conference strengthens provider collaboration across Wyoming

Magellan Healthcare of Wyoming hosted its 4th Annual Collaborative Connections Conference June 24-26, 2026, in Cheyenne. The event brought together providers, community partners and organizations...

Conference strengthens provider collaboration across Wyoming

Crisis services: Supporting accurate documentation and billing

Crisis services provide immediate support for members experiencing acute psychological distress. Because these services involve urgent intervention, documentation must clearly support medical...

Crisis services: Supporting accurate documentation and billing

Update: How to enroll for EFT payments

To receive electronic funds transfer (EFT) payments for services provided to Pennsylvania HealthChoices members, you must enroll in EFT.

Update: How to enroll for EFT payments

Crisis services: Supporting accurate documentation and billing

Crisis services provide immediate support for members experiencing acute psychological distress. Because these services involve urgent intervention, documentation must clearly support medical...

Featured: Featured Issue: Summer 2026
Crisis services: Supporting accurate documentation and billing

What to know about virtual credit cards

Magellan has noticed a trend of providers not using the payments issued to them via virtual credit cards (VCCs) or leaving balances on VCCs. When this happens, payments must eventually be converted...

Featured: Featured Issue: Summer 2026
What to know about virtual credit cards
MARCOM Awards

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