Provider Focus - Search - Provider Portal
Filters
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.
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...
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...
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...
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.
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...
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.
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.
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...
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.
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...
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.
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...
Free CE: Treatment refractory depression, Sept. 16
Join Magellan as we welcome Dr. Martha Koo, chief medical officer of Your Behavioral Health, to present an in-depth exploration of treatment refractory depression for September's lunch-and-learn.
Sparking holiday joy
Magellan joins with you in planning for emotional wellbeing and celebration during the holidays and beyond with these tips and resources.
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...
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.
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...
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...
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...
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...
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...
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 —...