Provider Focus

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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.

Featured: Featured Issue: Winter 2026
Billing Q3014 for telehealth

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.

Featured: Featured Issue: Fall 2024
Adding practice locations

MNC updates this fall

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

Featured: Featured Issue: Fall 2024
MNC updates this fall

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...

Featured: Featured Issue: Fall 2024
Crisis resources are at your fingertips

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...

Language assistance available

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...

Patient safety depends on coordinating care

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)....

4 ways to support patients with substance use disorders

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...

Patient safety depends on coordinating care

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...

Join Magellan's EAP network

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...

Why measurement-informed care matters

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...

Early Childhood Supports and Services program launched

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.

Featured: Featured Issue: Fall 2024
2025 handbook and supplements now online

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...

Where to find information on screening documentation

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...

Health symposium on crisis stabilization and justice-involved care

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.

Featured: Featured Issue: Fall 2024
Changes to HEDIS measures

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

Provider feedback drives meaningful change

Every year, Magellan providers share valuable feedback in our provider experience survey. Those insights help shape improvements across the provider experience, and your feedback makes a difference.

Featured: Featured Issue: Summer 2026
Provider feedback drives meaningful change

Help members find the right provider (it could be YOU)

In support of increasing awareness of maternal mental health, Magellan gives you several options when sharing your specialties via the Provider Data Change Form. We encourage you to share...

Featured: Featured Issue: Summer 2026
Help members find the right provider (it could be YOU)

Federal EASI Form changes coming in September

Magellan Federal* is making changes to the EASI Form for billing Federal EAP services. Key change: the Federal EASI form will no longer include a member name field.

Federal EASI Form changes coming in September

Provider Focus gets a glow up

Provider Focus — Magellan’s online newsletter for our network providers — launches this issue with a refreshed design!

Featured: Featured Issue: Summer 2026
Provider Focus gets a glow up

Louisiana CSoC news & events

Visit the Louisiana CSoC website for recent communications and upcoming events.

Louisiana CSoC news & events

Upcoming changes for Texas Medicaid plans, Oct. 1

UPDATE: on Oct. 1, 2026, Magellan Healthcare will no longer manage the behavioral health services for Texas Medicaid members. This date was extended from Sept. 1. We understand the importance of...

Upcoming changes for Texas Medicaid plans, Oct. 1

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...

Featured: Featured Issue: Spring 2026
Go to Availity Essentials for claims and more

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...

Featured: Featured Issue: Summer 2026
Connection saves lives — at all ages

Medical necessity criteria update on Nov. 14

The 2026-2027 Magellan Care Guidelines update on Nov. 14, 2026 (rescheduled from Oct. 10). The guidelines are posted on our provider website, MagellanProvider.com; however, the 2025-2026 Magellan...

Featured: Featured Issue: Summer 2026
Medical necessity criteria update on Nov. 14

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

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.

Featured: Featured Issue: Summer 2026
Claims functions available in Availity Essentials
MARCOM Awards

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