News - Provider Portal
Provider Focus
Provider Focus
View recent spotlight topics
Provider Focus
View recent spotlight topics
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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.
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The 2024-2025 Magellan Care Guidelines will become effective later this year. Stay tuned to our provider website, MagellanProvider.com, for the release.
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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.
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When Magellan network providers give our communications, such this Provider Focus newsletter, a high score, it means the world to us.
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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.
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Find out ways YOU can promote patient safety in 2023 and beyond.
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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.) -
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.
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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.
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .
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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 . . .