Magellan's toolkit for primary care providers wins

We’re thrilled to share the news of the following industry award we received this year. Digital Health Award Gold: Behavioral health toolkit for primary care providers About the toolkit Magellan's...

California handbook supplement now online for 2026

The California provider handbook supplement and related appendices are now online on Magellan’s* provider website. Contracted providers must follow the policies and procedures outlined in handbook...

Upcoming changes to Magellan benefit administration, Jan. 1

In January 2026, Magellan Healthcare* will begin to phase out behavioral health benefit administration for several health plans. We understand the importance of continuity of care and provider...

Treatment record reviews finish strong

The Human Affairs International of California (HAI-CA)* care management center recently completed collating the results of its annual member treatment record review, which included clinical...

Timely follow-up appointments help patient outcomes

Key dates to know when scheduling FUH, FUM, and FUA appointments at year's end You’re likely already aware that meeting HEDIS standards* can help providers align their practices with evidence-based...

Texas facilities: Requesting an in-lieu of service

Magellan* authorizes intensive outpatient program (IOP), partial hospitalization program (PHP), coordinated specialty care (CSC), and institution of mental disease (IMD) services as an in-lieu-of...

Texas Medicaid requires enrollment revalidation

The Texas Health and Human Services Commission (HHSC) has asked managed care organizations, including Magellan,* to help providers complete Medicaid enrollment revalidation. Why this matters If you...

Providers participate in treatment record review

Magellan compiles annual results of its provider treatment record review process applicable to the Magellan center serving commercial health plans in the states other than California. As reflected...

Plan-specific materials revised

Be sure to visit the Plan-Specific Information pages on our provider website for provider materials — such as handbook supplements and quick reference guides — that are specific to regions where...

QI program evaluation reflects accomplishments

The Magellan center serving commercial health plans in states other than California conducted a comprehensive evaluation of its quality improvement (QI) program covering the full year 2024. For the...

Upcoming changes to Magellan benefit administration, Jan. 1

In January 2026, Magellan Healthcare will begin to phase out behavioral health benefit administration for several health plans. We understand the importance of continuity of care and provider...

EAP handbook supplement updated for 2026

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 2026 — on our provider...

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.