Provider Focus

Filters

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...

Featured: Featured Issue: Spring 2025
Metabolic monitoring for patients with schizophrenia

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...

Featured: Featured Issue: Spring 2025
EAP registration features coming May 20

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.

New podcast episode is now available

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...

Billing targeted case management

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 —...

Expand your reach with PSYPACT

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...

Providers' strong EAP record practices continue

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...

Treatment record reviews demonstrate quality of care

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...

Texas providers: Billing targeted case management

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.

Treatment record review finishes strong

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...

Featured: Featured Issue: Spring 2026
MNC updates this fall

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

Breaking the silence, saving lives

September marks Suicide Prevention Awareness Month. Together, we can foster a culture of awareness and compassion that saves lives. Explore Magellan resources for yourself, your practice and your...

Featured: Featured Issue: Summer 2025
Breaking the silence, saving lives

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.

Featured: Featured Issue: Winter 2025
Magellan providers make a difference

Provider experience improves

Magellan is committed to making it easier for providers to get what they need online. Results from Magellan’s latest Provider Experience Survey show meaningful progress over the past two years.

Featured: Featured Issue: Summer 2025
Provider experience improves

Region/plan-specific information

For the latest region/plan-specific information, visit MagellanProvider.com.

Region/plan-specific information

Magellan of Wyoming provider announcements

Visit the Magellan of Wyoming website for recent communications.

Magellan of Wyoming provider announcements

Magellan of PA provider announcements

Visit the Magellan of PA website for recent communications, upcoming events and more.

Magellan of PA provider announcements

New podcast episodes are now available

Two new episodes of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast are here, featuring conversations on children’s behavioral health and rural behavioral health.

New podcast episodes are now available

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

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
MARCOM Awards

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