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...

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...

Observing American Heart Month

Even brief, supportive conversations about heart health can reinforce whole-person care and help members feel seen beyond their diagnosis.

Magellan appointed chief medical officer in September

“Throughout my career as a psychiatrist, I have been committed to improving care practices that help people live healthier, more fulfilling lives,” said Steven E. Pratt, M.D.

Interested in providing EAP services?

Receive referrals for additional Magellan members! Join our EAP network, which may include opportunities to serve individuals in our Employer, Federal, Critical Incident Response, and other...

Using psychotherapy add-on codes

Help reduce claim denials, ensure appropriate reimbursement, and support compliance when you use accurate documentation and billing of psychotherapy add-on codes with Evaluation & Management (E/M)...

Billing Q3014 for telehealth

Q3014 represents the telehealth originating site facility fee. It may be billed only by the eligible facility where the member is physically located during the telehealth visit.

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...