Texas facilities: Requesting an in-lieu of service

Magellan* authorizes intensive outpatient program (IOP), partial hospitalization program (PHP), coordinated specialty care (CSC), and institution of mental disease (IMD) services as an in-lieu-of...

Texas Medicaid requires enrollment revalidation

The Texas Health and Human Services Commission (HHSC) has asked managed care organizations, including Magellan,* to help providers complete Medicaid enrollment revalidation. Why this matters If you...

Providers participate in treatment record review

Magellan compiles annual results of its provider treatment record review process applicable to the Magellan center serving commercial health plans in the states other than California. As reflected...

Plan-specific materials revised

Be sure to visit the Plan-Specific Information pages on our provider website for provider materials — such as handbook supplements and quick reference guides — that are specific to regions where...

QI program evaluation reflects accomplishments

The Magellan center serving commercial health plans in states other than California conducted a comprehensive evaluation of its quality improvement (QI) program covering the full year 2024. For the...

Upcoming changes to Magellan benefit administration, Jan. 1

In January 2026, Magellan Healthcare will begin to phase out behavioral health benefit administration for several health plans. We understand the importance of continuity of care and provider...

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...

Observing American Heart Month

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

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.

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...

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)...

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.

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.

MNC updates this fall

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

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...

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...

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...

4 ways to support patients with substance use disorders

Timely follow-up care for substance use disorders enhances outcomes. Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs)....

Patient safety depends on coordinating care

Each year, Magellan conducts a patient safety survey with our network providers who serve members of commercial health plans. If you completed our patient safety survey in 2025, thank you for...

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...

Why measurement-informed care matters

"Am I making a difference with my clients?" Many clinicians often wonder. When progress is difficult to see, frustration, self-doubt, and burnout can follow — especially in work that involves...

Early Childhood Supports and Services program launched

Magellan of Louisiana has worked closely with the Louisiana Department of Health (LDH) to implement the Early Childhood Supports and Services (ECSS) program, which provides vital support for young...

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.

Where to find information on screening documentation

For depression, tobacco use and suicide safety planning Magellan Behavioral Health of Pennsylvania is re-sharing key reminders on behavioral health screening code guidance originally issued in...

Health symposium on crisis stabilization and justice-involved care

On Dec. 5, 2025, Magellan hosted a half-day behavioral health symposium, “Cross-System Approaches to Crisis Stabilization & Justice-Involved Care,” at Lehigh-Valley – Muhlenberg Hospital, part of...

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.

Add specialties in support LGBTQIA+ members

Add specialties to support LGBTQIA+ members If you specialize in any of the following areas, including: LGBTQIA+, gender identity, sexual dysphoria, and transgender, we need YOU to let us know....

Do you specialize in MAT for depression?

Do you specialize in medication-assisted treatment for depression? Let us know! New specialty supports members with treatment-resistant depression If you specialize in medication-assisted treatment...

HAI-CA earns full NCQA accreditation

Human Affairs International of California earns full accreditation from NCQA Recognized for Commercial, Exchange, Medicaid and Medicare As shared in a recent Magellan press release, Human Affairs...

You have access to EAP forms online

You have access to EAP forms online As a clinician, you focus on providing the best care possible to those you serve. Magellan’s goal is to support you by making the essential tools and care...

Magellan to manage Early Childhood Support and Services program

Magellan to manage Early Childhood Support and Services program in Louisiana Magellan Complete Care of Louisiana is delighted to announce that it has been awarded the Early Childhood Support and...

California handbook supplement now online for 2025

The California provider handbook supplement and related appendices are now online on Magellan’s* provider website. In California, Magellan currently manages benefits for members of the following...

You are not alone on complex cases

Magellan offers timely case management and peer support When you determine that a patient you’re treating has a particularly challenging set of needs, which can include behavioral health symptoms...

Outpatient provider dashboard gets makeover

Beginning in 2025, Magellan’s* network providers in California that qualify for an outpatient dashboard will notice several changes aimed at better measuring quality metrics for our provider...

Refer Sharp Health Plan members to in-network labs

Laboratory expenses are one of the biggest contributors to a patient’s healthcare costs. That’s why Magellan* and our health plan client, Sharp Health Plan, ask you to refer members to an...

Ria Health offers alcohol use disorder treatment

Looking to help commercial Blue Shield of California or Sharp Health Plan members navigate their options for managing a primary alcohol use disorder diagnosis? Ria Health is a virtual alcohol...

Plan-specific material revised

Be sure to visit the Plan-Specific Information page on our provider website for provider materials – such as handbook supplements and quick reference guides – that are specific to regions where you...

Devoted Health members are in network

As of Jan. 1, 2025, Magellan will manage behavioral health benefits for Devoted Health Medicare Advantage members in additional states and counties. States with Devoted Health plan members include...

TX Medicaid: Are your locations correct in PEMS?

Keeping your practice information up to date is essential to ensuring appropriate referrals, appointment availability and accurate and timely claims processing. This is why, in addition to...

EAP handbook supplement updated for 2025

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 2025 – on our provider...