Did you know studies* have shown pharmacotherapy can have a significant role in treating a variety of substance use disorders, including opioid dependence?
Help pave the way to addiction recovery.
For individuals with substance use disorders—those struggling with addiction . . .
We’re pleased to report the overall aggregate 2017 treatment record review (TRR) score was 91 percent, which was a 5-percentage point increase from the 2016 audit results. Thank you for your efforts to improve the quality of care you provide to members, as well as your doc . . .
Due to some recent trends we’ve observed, we need to remind you of the timeframe for responding to an EAP member.
If you contract with Magellan* to provide EAP services, this excerpt from the EAP Handbook supplement applies to you:
Respond to Magellan members within 24 bu . . .
The Healthcare Effectiveness Data and Information Set (HEDIS®) is a component of NCQA that quantifies health plans’ performance on several measures, such as follow-up after hospitalization.
This measurement specifically reports the percentage of patients with a follow-up a . . .
Are you a Magellan* network Medicare provider with service locations in/around the Orange County service area? If you are, participation in the Interdisciplinary Care Team (ICT) program for CalOptima’s OneCare and OneCare Connect members is a contractual obligation. Your i . . .
Interpreters, translation offered free of charge
In the 2017 provider satisfaction survey, California providers gave Magellan's language assistance program an overall score of 88.5 percent!
However, we also asked you to assess specific aspects of our program (see below), . . .
Under the California Provider Handbook Supplement to the Magellan* National Provider Handbook (Appendix J) you have responsibilities to obtain precertification:
Precertification is required for non-routine services, subject to the member’s benefit plan (e.g., IOP, ABA, O . . .
Have your clients mentioned facing any of the following challenges in keeping their appointments with you?
Difficulty finding childcare
Anxiety issues or other personal reasons
Living in rural area or overly populated urban area
Offering telehealth . . .
If you served Magellan* members in California in 2017, we invited your input in our annual provider satisfaction survey. Did you take time to weigh in? Provider feedback is vital to our quality improvement program. We make changes to our programs and services based on your . . .