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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...

Updated Wyoming CME supplement online

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.

Featured: Featured Issue: Fall 2024
Save time with Quick Claims in Availity Essentials

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...

Magellan celebrates provider contributions in Riverside

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...

Featured: Featured Issue: Fall 2025
What to know about your Form 1099s

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.

Featured: Featured Issue: Summer 2025
Support youth through quality care

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.

Featured: Featured Issue: Summer 2025
Medical necessity criteria updates to occur in fall 2025

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.

Featured: Featured Issue: Summer 2025
Recognizing and preventing fraud, waste, and abuse

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

Featured: Featured Issue: Summer 2025
Submitting claims for telehealth services?

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

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...

Why measurement-informed care matters

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...

Early Childhood Supports and Services program launched

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...

Devoted Health members are in network

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...

TX Medicaid: Are your locations correct in PEMS?

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...

EAP handbook supplement updated for 2025

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’...

Your efforts are vital to members' care and safety

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...

Collaboration helps improve quality of care

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...

Updated Louisiana CSoC handbook supplement online

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...

Provider Town Hall recording from Sept. 17 now available

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 PA HealthChoices supplement online

Podcast features in-depth conversation with RCPA president

A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available! In this episode (#7), host John Lees, Magellan’s member and family advocate for...

Podcast features in-depth conversation with RCPA president

Updated WY 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...

Updated WY CME supplement online

Provider Town Hall recording from Dec. 17 now available

Provider Town Hall recording from Dec. 17 now available Magellan Behavioral Health of Pennsylvania wishes to thank everyone who participated in our most recent virtual Provider Town Hall on Dec....

Provider Town Hall recording from Dec. 17 now available

Reporting self-audits in the Pennsylvania HealthChoices program

Reporting self-audits in the Pennsylvania HealthChoices program The feature article “Routine Self-Audits: A Guide for Providers” applies in the Pennsylvania HealthChoices program, except for how...

Reporting self-audits in the Pennsylvania HealthChoices program

Starting the conversation about MAT

Starting the conversation about medication-assisted treatment for alcohol Magellan Behavioral Health of Pennsylvania and our county partners believe we need to change the mindset that the only way...

Starting the conversation about MAT

Supporting those living with disabilities

Tune into the latest podcast on resources to support living with disabilities A new episode of Magellan Behavioral Health of Pennsylvania’s Behavioral Health Matters podcast is now available for...

Supporting those living with disabilities

Promoting suicide awareness

As a mental/behavioral health provider, you’re likely all too aware that suicide and substance use disorders are a serious public health concern. Help prevent suicide by promoting awareness with...

Featured: Featured Issue: Summer 2024
Promoting suicide awareness

Magellan of PA earns NCQA Health Equity accreditation

Magellan Behavioral Health of Pennsylvania earns NCQA Health Equity accreditation As shared in a recent Magellan press release, Magellan Behavioral Health of Pennsylvania, Inc. has earned a...

Featured: Featured Issue: Summer 2024
Magellan of PA earns NCQA Health Equity accreditation

Screening for risk with Neuroflow

NeuroFlow uses a type of artificial intelligence (AI) known as natural language processing to analyze members’ journal entries and alert providers about members who may be in urgent need or...

Featured: Featured Issue: Summer 2024
Screening for risk with Neuroflow

Practitioners: Medical recordkeeping required

In facility settings, practitioners who bill for their services using their own tax identification number as a separate entity are essentially operating as independent entities within the facility.

Featured: Featured Issue: Summer 2024
Practitioners: Medical recordkeeping required

Podcast: Navigating trauma-informed care

"I think the idea of trauma awareness really helps us as an industry to be less judgmental and more able to make empathic connections," said Magellan's Steven Pratt, MD.

Featured: Featured Issue: Summer 2024
Podcast: Navigating trauma-informed care

Life lessons help with recovery

Magellan Behavioral Health of Pennsylvania and our county partners support recovery efforts in our communities. Magellan employee authors op-ed to increase awareness To help reduce stigma around...

Life lessons help with recovery

Agency expands on its HFWA mission

Wraparound Solutions in Wyoming, led by Diva Bermudez, is a beacon of support for families facing various challenges. Founded in 2019, the Wraparound agency goes beyond traditional High Fidelity...

Agency expands on its HFWA mission

Battling hunger in Wyoming

The High Fidelity Wraparound Program in Wyoming is actively engaged in First Lady Jennie Gordon's Wyoming Hunger Initiative. Launched in October 2019, this initiative is dedicated to eradicating...

Battling hunger in Wyoming

Collaborative Connections Conference held in June

The Collaborative Connections Conference, a joint effort of Magellan of Wyoming and the Wyoming Department of Health and Healthcare Financing, was a huge success! Held in Casper, Wyoming, June...

Collaborative Connections Conference held in June

What members want

Meeting members’ needs is the most important component of a positive member experience, but it's not enough to guarantee high member satisfaction.

Featured: Featured Issue: Summer 2024
What members want

Progress notes vs. psychotherapy notes

Compliance with documentation standards matters. Magellan’s Special Investigation Unit (SIU) discusses how progress and psychotherapy notes differ, and why it matters.

Featured: Featured Issue: Summer 2024
Progress notes vs. psychotherapy notes

Scheduling timely follow-up at year's end

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...

Featured: Featured Issue: Fall 2025
Scheduling timely follow-up at year's end

Medical necessity criteria updated Nov. 8

  The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.

Featured: Featured Issue: Fall 2025
Medical necessity criteria updated Nov. 8

Help firefighters and dispatchers

Magellan Federal* now supports the Federal Wildland Firefighter Behavioral Health Program As a current Magellan provider, you’re invited to join the Wildland Firefighter Behavioral Health Program...

Featured: Featured Issue: Fall 2025
Help firefighters and dispatchers

Classify as a small or minority-owned business?

Let us know! Striving to build a diverse and inclusive provider community to match our members’ needs, Magellan values your participation in our network and the services you provide our members. ...

Featured: Featured Issue: Fall 2025
Classify as a small or minority-owned business?
MARCOM Awards

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