Provider Town Hall recording from Sept. 17 now available

Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Sept 17, 2024. If you were unable to attend or wish to refer to...

Updated PA HealthChoices supplement online

The updated Pennsylvania HealthChoices supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as...

Podcast features in-depth conversation with RCPA president

A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available! In this episode (#7), host John Lees, Magellan’s member and family advocate for...

Updated WY CME supplement online

The updated Wyoming supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as well as those in...

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....

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...

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...

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...

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...

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...

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...

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.

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.

Eating disorder treatment, virtually? Webinar Dec. 18

Register today then join Magellan and Equip in December to discuss how virtual treatment for eating disorders could benefit your patients. CE offered for qualified attendees!

Sparking holiday joy

Magellan joins with you in planning for emotional wellbeing and celebration during the holidays and beyond with these tips and resources.

Learn about MAT for alcohol use disorder, Feb. 25

Learn about medication-assisted treatment for alcohol use disorder, Feb. 25 This event has passed. Attend a virtual lunch-and-learn Join Magellan for our first lunch-and-learn of 2025 as we...

What to know about your Form 1099s

We will mail your Form 1099 to the financial address on record. If you want your 1099s to go to a different address, you must update your financial address electronically via the Magellan provider...

Share your ethnic background, language

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

Why measurement informed-care matters

"Am I making a difference with my clients?” Many clinicians often wonder. When progress feels invisible, consider how screening tools can help.

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...

Observing American Heart Month

February’s American Heart Month affords a timely reminder that physical and mental health are deeply connected. Even brief, supportive conversations about heart health can reinforce whole-person...

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).

4 ways to support patients with substance use disorders

Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs). Impact your patients' recovery journeys and long-term health with these best...

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.

Magellan providers make a difference

Some of Magellan’s network providers in California have faced evacuation due to wildfires and have continued to support as many members as possible.

May marks Mental Health Awareness Month

During May and throughout the year, Magellan is committed to increasing awareness about mental health. This year, we highlight the signficant role that feeling connected to others plays in mental...

Magellan adopts new clinical practice guidelines

Magellan’s clinical taskforce recently adopted several external clinical practice guidelines (CPGs). These guidelines serve as the evidence-based framework for practitioners’ clinical...

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...

EAP registration features coming May 20

Magellan is enhancing provider website experiences to make it easier for you to complete essential tasks securely. On May 20, 2025, you’ll be able to register EAP cases and access case details and...

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.

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...

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 —...

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...

Treatment record reviews demonstrate quality of care

Accurate documentation supports quality care. Each year, Magellan conducts treatment record reviews to assess clinical documentation and identify opportunities for continuous improvement across our...

Texas providers: Billing targeted case management

Behavioral health targeted case management (TCM) supports Dell Children’s Health Plan members with complex needs by coordinating services across systems of care. Because TCM is time-based and...

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.

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.

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...

Specialize in maternal mental health?

In support of increasing awareness of maternal mental health, Magellan gives you several options when sharing your specialties via the provider portal.

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...

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...

Updated Louisiana CSoC handbook supplement online

The updated Louisiana Coordinated System of Care supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook...

EAP registration features coming May 20

Magellan is enhancing provider website experiences to make it easier for you to complete essential tasks securely. On May 20, 2025, you’ll be able to register EAP cases and access case details and...

New episodes: Behavioral Health Matters podcast

New episodes of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast are now available! In episode #9, host John Lees, Magellan’s member and family advocate for Lehigh and...

Updated PA HealthChoices supplement online

The updated Pennsylvania HealthChoices supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as...

New podcast episodes are here

John Lees, Magellan’s member and family advocate for Lehigh and Northampton counties, has released three new episodes of the Behavioral Health Matters podcast — featuring local and state leaders in...

CANS assessment results demonstrate Wyoming providers' impact

Wyoming’s High Fidelity Wraparound (HFWA) providers are seeing measurable progress for youth with complex needs, supported by data from the Child and Adolescent Needs and Strengths (CANS)...

Updated Wyoming CME supplement online

The updated Wyoming supplement (PDF) is available online at MagellanProvider.com. Contracted providers must follow the policies and procedures outlined in handbook supplements as well as those in...

Save time with Quick Claims in Availity Essentials

If you have regular patients or a repeatable set of claims, the simplified Quick Claims format may be just what you need.

Magellan celebrates provider contributions in Riverside

In March, the 10th anniversary celebration for Collaborative Psychology Group, APC, in Riverside brought together state, civic and community leaders to recognize the organization's exceptional...

What to know about your Form 1099s

We will mail your Form 1099 to the financial address on record. If you want your 1099s to go to a different address, you must update your financial address electronically via the Magellan provider...

Support youth through quality care

These three key measures play a critical role in identifying care gaps, supporting early intervention, and improving long-term outcomes for youth with behavioral health conditions.

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.