Provider Focus - Search - Provider Portal
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.
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...
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...
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...
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.
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...
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.
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...
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.
Provider Focus gets a glow up
Provider Focus — Magellan’s online newsletter for our network providers — launches this issue with a refreshed design!
Louisiana CSoC news & events
Visit the Louisiana CSoC website for recent communications and upcoming 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...
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...