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.

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...

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...

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.

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.

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.

Submitting claims for telehealth services?

Be sure to include these essential details for smooth reimbursement.

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...

7 reasons to keep your practice data current

Starting with #1: You want to help members make informed choices about their behavioral healthcare.

Conducting routine self-audits

As a healthcare provider, it is important that your recordkeeping and claims submission processes are accurate and compliant with applicable regulations. Keep your practice compliant and avoid...

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.

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...

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...

Louisiana CSoC news & events

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

Magellan of PA provider announcements

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

Magellan of Wyoming provider announcements

Visit the Magellan of Wyoming website for recent communications.

Region/plan-specific information

For the latest region/plan-specific information, visit MagellanProvider.com.

Magellan appoints Caroline Carney, MD, as CEO

"I am honored to have been chosen for this role leading a mission-driven organization that delivers innovative and integrated behavioral health solutions," said Dr. Carney. Meet Magellan's...

Magellan adopts new clinical practice guideline

Magellan’s clinical taskforce recently adopted an external clinical practice guideline (CPG) for substance use disorders. Guidelines serve as the evidence-based framework for practitioners’...

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 —...

When you bill for individual and/or family therapy

Learn about common billing errors to avoid and check out some tips to ensure your claims accurately reflect the services you deliver.

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...

Magellan provider handbooks revised for 2026

The Magellan Handbook for the National Provider Network, and the accompanying Handbook Supplement for Organizational and Facility Providers, have been revised to reflect several new policies and...

'Tis the season for giving...presence

The holiday season often comes wrapped in ribbons of joy—but also tangled in stress, unrealistic expectations and exhaustion. This year, what if there were a way to focus on reducing seasonal...

Free CE: First responders and PTSD, Sept. 11

Register today then join Magellan and Charlie Health in September to discuss the impact of PTSD on first responders. CE offered for qualified attendees!

Electronic payments through ECHO Health to resume Sept. 2

We are pleased to announce that Magellan Healthcare will restore electronic claims payment capabilities via Optum Financial (formerly Change Healthcare) in collaboration with ECHO Health Inc. This...