Provider Focus

Filters

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

Medical necessity criteria updates to occur in fall 2026

The 2026-2027 Magellan Care Guidelines will become effective Oct. 10, 2026. These are now posted on our provider website, MagellanProvider.com. The 2025-2026 Magellan Care Guidelines will remain in...

Featured: Featured Issue: Summer 2026
Medical necessity criteria updates to occur in fall 2026

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)

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

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

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

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
MARCOM Awards

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