Upcoming changes to Magellan benefit administration for Texas Medicaid plans, effective Sept. 1

On Sept. 1, 2026, Magellan Healthcare will no longer manage the behavioral health services for Texas Medicaid members.

We understand the importance of continuity of care and provider support. Magellan and the impacted health plan are working together to provide transition support and resources

What you need to know about network participation

Ongoing participation with Magellan

Your Magellan contract will remain active for other plans still managed by Magellan, which may include employer-sponsored, state or federal programs.

In-network status for transitioning plans

You’ll need to have a contract directly with the impacted health plan or its new plan administrator to continue to see plan members as an in-network provider. Your Magellan contract will not transfer.

Eligibility, benefits and claims

• For dates of service through the plan termination date of Aug. 31, 2026, continue using Magellan’s current processes.
• For dates of service after the plan termination date, you must follow the health plan’s new procedures, including:
  • Eligibility and benefits verification
  • Prior authorization requirements
  • Claims submission

Find the latest information at www.MagellanProvider.com/TXMedicaid.

Thank you for your continued participation in our network and the quality care you provide for members. We look forward to continuing our collaboration.