Provider Focus

Welcome to Provider Focus, our award-winning e-newsletter for network providers! Here you’ll find articles and information to keep you up-to-date on news and topics relevant to serving Magellan members, including a section for regional- and plan-specific news. Check back as a new issue is released each quarter.

View spotlight topics here

Provider Focus

Welcome to Provider Focus, our award-winning e-newsletter for network providers! Here you’ll find articles and information to keep you up-to-date on news and topics relevant to serving Magellan members, including a section for regional- and plan-specific news. Check back as a new issue is released each quarter.

View recent spotlight topics

Provider Focus

Welcome to Provider Focus, our award-winning e-newsletter for network providers! Here you’ll find articles and information to keep you up-to-date on news and topics relevant to serving Magellan members, including a section for regional- and plan-specific news. Check back as a new issue is released each quarter.

View recent spotlight topics
  • Change Healthcare updates

    On April 22, 2024, UnitedHealth Group issued a press release providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024.

    spring 2024
  • This Month Featured Article Duplicate 2

    Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nunc nec risus venenatis, lobortis metus et, fermentum purus. Nulla ultrices ante lorem, dignissim cursus enim vestibulum quis. Suspendisse vulputate euismod venenatis. Maecenas vel

    spring 2024
  • 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. 

    spring 2024
  • This Month Featured Article

    During May and throughout the year, Magellan is committed to increasing awareness about mental health. This year, we highlight the connection between movement and mental health with resources you can share.

    spring 2024
  • And the winner is...

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

    winter 2023
  • Tell medical providers about Magellan's PCP Toolkit

    We’ve recently added resources to support child and adolescent issues in alignment with the Surgeon General’s call to action to help address the youth mental health crisis.

    winter 2023
  • Patient safety depends on coordinating care

    Find out ways YOU can promote patient safety in 2023 and beyond.

    winter 2023
  • Making a change to your practice information? Do this

    For your practice information to remain active in our provider search,
    you must attest at least quarterly and anytime you make an update to your information. (It's easy, and we share how.)

    winter 2023
  • Top 10 tips for using Availity Essentials

    As you are aware, providers now use Availity Essentials for Magellan member eligibility and benefits, and claims inquiry functions. These tips/FAQs can help you get the most out of the portal.

    winter 2023
  • Coding changes for E/M services

    Don't miss these key highlights about the AMA's changes to the CPT evaluation and management (E/M) coding and guidelines, effective Jan. 1, 2023. The changes affect both payers and providers. 

    winter 2023
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  • Handbook supplement updated

    For Magellan providers serving Virginia Medicaid enrollees We recently posted the updated provider handbook supplement for serving the Virginia DMAS Medicaid Program. The new mailing address for claim reconsideration became effective Jan. 6, 2023 (see page 52). You can f . . .

    winter 2023
  • Importance of family engagement in treatment and recovery

    Magellan, its county partners, and its provider network understand that people in recovery have higher rates of success when supported by caring, committed family members. Regardless of where the support comes from, families are encouraged to seek help. Magellan employ . . .

    winter 2023
  • Supporting individualized patient journeys in substance use recovery

    Harm reduction (and not abstinence alone) plays a part By Chris Squillaro, DO, and Anita Kelly We are five years into the declaration of the opioid epidemic as a public health emergency. Thirty years have passed since the first wave of the epidemic started in the early 1 . . .

    winter 2023
  • Does your client know what to expect?

    It is the first session with your new client. After some discussion around the presenting problem you ask, “What changes would you like to accomplish in therapy?” The client envisions what life would be like without the weight of this issue. Together you develop a simple . . .

    winter 2023
  • Help make sure your Texas Medicaid claims get paid

    You must include the taxonomy codes for both billing and rendering providers on all Texas Medicaid claims filed to Magellan, as of Sept. 1, 2022.* Taxonomy codes are the administrative codes that identify the practitioner type and specialty for healthcare providers. Make . . .

    winter 2023
  • Help members access timely care

    Review Magellan’s appointment access standards in Texas. With the new year underway and setting goals fresh on our minds, it’s a good time to take a look at Magellan’s appointment access standards, which are crucial elements of quality member service. For individual prac . . .

    winter 2023
  • Verify member eligibility, benefits and co-pays

    A new year can mean change, including changes to patients’ benefit plans. This is why it is imperative that you, as the provider, verify member eligibility and benefits for requested services, as well as confirming member co-payments and deductibles, before care is provid . . .

    winter 2023
  • Help members access timely care

    Review Magellan’s appointment access standards in California. With the new year underway and setting goals fresh on our minds, it’s a good time to take a look at Magellan’s appointment access standards, which are crucial elements of quality member service. For individual . . .

    winter 2023
  • Harm reduction in substance use can save lives

    Magellan Behavioral Health of Pennsylvania and our county partners support harm reduction efforts in our communities. To help reduce stigma around this topic and bring increased attention to this discussion, Magellan clinical contract advisor Anita Kelly recently shared t . . .

    spring 2024
  • Podcast: NAMI's history of fighting for stigma

    A new episode of Magellan Behavioral Health of Pennsylvania's Behavioral Health Matters podcast is now available to listen! In this episode, host John Lees, Magellan’s member and family advocate for Lehigh and Northampton Counties, welcomes guest Maggie Murphy, executive . . .

    spring 2024
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