Provider Focus - Search - Provider Portal
Filters
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....
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...
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...
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...
Outpatient provider bonuses paid in 2023
Maximize your bonus potential in 2024 Each quarter, Magellan* sends all high-volume outpatient behavioral health providers in California personalized practice dashboards, which display the...
BCBS TX: ABA criteria to change for Blue Advantage Nov. 2
Effective Nov. 2, 2024, the medical necessity criteria for applied behavior analysis for all Blue Cross and Blue Shield of Texas Blue Advantage members will change to BCBS TX Applied Behavior...
Beware of false requests for medical records or PH
Magellan recently learned that individuals posing as employees of other managed care organizations have sent false requests for information via email and texting to fraudulently obtain patients'...
MNC updates this fall
The 2025-2026 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for the release. The 2024-2025 Magellan Care Guidelines will...
5 tips for billing psychological testing
Psychological testing is a critical component of patient assessment and treatment planning. However, accurate billing and compliance with applicable plan, federal and state requirements are...
Supporting mental health at every age
Resources to share with patients, family, friends and colleagues From childhood to older adulthood, our mental health needs evolve. Understanding and prioritizing what matters most at each stage...
TX Medicaid: Maternal mental health matters
Let Magellan know! Magellan is expanding our network of providers who support maternal mental health. If you specialize in postpartum and reproductive mental health, we invite you to share this...
Latest podcast explores PTSD
A new episode of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast is now available! In this episode (#6), host John Lees, Magellan’s member and family advocate for...
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...
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...
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...
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...
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...
Medical necessity criteria updated Nov. 8
The 2025-2026 Magellan Care Guidelines became effective Nov. 8, 2025.
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...
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. ...
White paper shows breakthrough in pediatric outcomes
Magellan's team-based approach fosters clinical partnerships and provides tools to support physicians who treat children with mild to moderate behavioral health conditions.
Review these guidelines for interns/associates
Thank you for participating in the Magellan Healthcare* network. We recognize members’ increased need to access behavioral health services and appreciate your support by utilizing your...
Keep referrals coming your way
Keep referrals coming your way Atlas Systems, via PRIME-Hub, will again support Magellan’s* network providers (you!) in completing the required annual review and update of your provider directory...
Anonymous EAP registration allowed for State of CA
Due to confidentiality concerns driven by state job classification (e.g., California Highway Patrol officers), the State of California asks Magellan* to allow its employees to register for EAP...
Why work-life harmony matters for providers
Magellan Federal's Trina Hammonds, PhD, LPC, CEAP, discusses practical strategies to prevent burnout, sustain resilience, and enhance wellbeing in today's workplace.
Maintaining EAP records
Picture a vintage vinyl record collection—The Beatles, The Rolling Stones, maybe some Fleetwood Mac or Led Zeppelin. The owner would likely safeguard those records as treasured keepsakes. Your EAP...
Podcast: Preventing suicide in schools
Episode 11 of the Behavioral Health Matters podcast is live! Host Jim Lees, Magellan’s member and family advocate for Lehigh and Northampton counties, sat down with Jim Presto, co-chair of the...
Building stronger systems together
Highlights from Magellan’s third Collaborative Connections Conference In June, Magellan of Wyoming’s High Fidelity Wraparound providers came together for the third annual Collaborative Connections...
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...
Region/plan-specific information
For the latest region/plan-specific information, visit MagellanProvider.com.
Magellan of Wyoming provider announcements
Visit the Magellan of Wyoming website for recent communications.
Magellan of PA provider announcements
Visit the Magellan of PA website for recent communications, upcoming events and more.
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.
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...
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...
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...
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...
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...
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...