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...

Your efforts are vital to members' care and safety

How coordinating with other providers offers best-practice care to Magellan members An essential element in the quality care you provide to Magellan members is coordinating services among members’...

Collaboration helps improve quality of care

Magellan of Louisiana collaborates with providers to investigate and jointly address quality-of-care concerns. The Quality of Care Concern (QOCC) Work Group, under the leadership of Magellan’s...

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...

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...

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.

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

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...

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.

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

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...