Magellan Healthcare
Provider Focus Newsletter
News & information for Magellan network providers

2024 handbook and supplements now online

Check out updates to the Magellan National Provider Handbook and several of the handbook supplements that pertain to EAP providers and to serving specific plans and/or states.

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featured articles

Create a top-notch provider profile

Want to increase the chances that Magellan members will contact YOU when they are looking for services? These tips could help you stand out from the crowd.

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Setting healthy boundaries during the holidays

The holidays can bring joy. They can also exacerbate stress, anxiety and sadness. Readying ourselves to cope with holiday stress requires a mindset shift. These resources can help!

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Medical necessity criteria updates posted in October

The 2023-2024 Magellan Care Guidelines become effective Nov. 18, 2023.

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What's the difference between an audit and an investigation?

Magellan may conduct a desk audit, an on-site audit, or request that a provider conduct a review of a subset of their records as a self-audit. We share more on what you can expect if this happens to you.

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New Medicare Advantage access-to-care standards for 2024

Do you provide services to members in Medicare Advantage plans? Make sure you're up on CMS changes to the minimum standards for appointment wait time for behavioral health services.

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LMFTs and LMHCs: join our Medicare Advantage networks

Help increase Medicare beneficiaries’ access to mental health services! If you are a marriage and family therapist (MFT) and/or mental health counselor (MHC), you could be be eligible to participate in Medicare Advantage networks beginning Jan. 1, 2024. 

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When to bill CPT add-on code for interactive complexity

The add-on code 90785 refers to communication difficulties during a member's provider visit. If you bill this code, make sure you're in the know.

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3 ways for providers to improve 988 in year 2

Check out this nationally published article by Magellan’s Dr. Andrew Sassani on how to help improve the impact of the 988 Suicide and Crisis Lifeline.

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About 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.

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