Provider Focus

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Share your ethnic background, language

Fact: 75% of Magellan providers currently share their ethnic origin with members.

Featured: Featured Issue: Winter 2026
Share your ethnic background, language

Why measurement informed-care matters

"Am I making a difference with my clients?” Many clinicians often wonder. When progress feels invisible, consider how screening tools can help.

Featured: Featured Issue: Winter 2026
Why measurement informed-care matters

Re-diagnosis of PDD or autism not required

Effective Jan. 1, 2026, Assembly Bill 951 (AB 951) prohibits commercial health plans from requiring a member previously diagnosed with pervasive developmental disorder (PDD) or autism to receive a...

Re-diagnosis of PDD or autism not required

Observing American Heart Month

February’s American Heart Month affords a timely reminder that physical and mental health are deeply connected. Even brief, supportive conversations about heart health can reinforce whole-person...

Observing American Heart Month

Add specialties in support LGBTQIA+ members

Magellan gives you additional options when sharing your specialties with potential clients who identify as LGBTQIA+. It's easy (we show you how).

Featured: Featured Issue: Winter 2025
Add specialties in support LGBTQIA+ members

4 ways to support patients with substance use disorders

Effective follow-up care is critical for improving outcomes for patients diagnosed with substance use disorders (SUDs). Impact your patients' recovery journeys and long-term health with these best...

Featured: Featured Issue: Winter 2025
4 ways to support patients with substance use disorders

It's a win-win

When Magellan network providers give our communications, such this Provider Focus newsletter, a high score, it means the world to us.

Featured: Featured Issue: Winter 2025
It's a win-win

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

May marks Mental Health Awareness Month

During May and throughout the year, Magellan is committed to increasing awareness about mental health. This year, we highlight the signficant role that feeling connected to others plays in mental...

Featured: Featured Issue: Spring 2026
May marks Mental Health Awareness Month

Magellan adopts new clinical practice guidelines

Magellan’s clinical taskforce recently adopted several external clinical practice guidelines (CPGs). These guidelines serve as the evidence-based framework for practitioners’ clinical...

Featured: Featured Issue: Spring 2025
Magellan adopts new clinical practice guidelines

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

The 2024-2025 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for the release.

Featured: Featured Issue: Summer 2024
MNC updates this fall

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

Specialize in maternal mental health?

In support of increasing awareness of maternal mental health, Magellan gives you several options when sharing your specialties via the provider portal.

Featured: Featured Issue: Summer 2024
Specialize in maternal mental health?

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

Patient safety depends on coordinating care

While the overall response rate in 2024 remained steady compared to the previous year, survey results showed a downward trend in compliance with recommended standards.

Featured: Featured Issue: Winter 2025
Patient safety depends on coordinating care

Magellan seeks to understand barriers providers face

In a recent analysis of the Magellan provider network, we’ve noticed that a significant number of practices have not attested to their information within the past quarter or submitted any claims...

Featured: Featured Issue: Winter 2025
Magellan seeks to understand barriers providers face

The new, enhanced online EASI Form is here

Magellan is enhancing provider portal applications to make it easier for providers to complete essential tasks securely. One such task? Requesting reimbursement for EAP services. Now you have...

The new, enhanced online EASI Form is here

Louisiana CSoC news & events

Visit the Louisiana CSoC website for recent communications and upcoming events.

Louisiana CSoC news & events

Magellan of PA provider announcements

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

Magellan of PA provider announcements

Magellan of Wyoming provider announcements

Visit the Magellan of Wyoming website for recent communications.

Magellan of Wyoming provider announcements
MARCOM Awards

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