Medical necessity criteria updates to occur in August
The 2022-2023 Magellan Care Guidelines will become effective Aug. 27, 2022. Stay tuned to our provider website, MagellanProvider.com, for its release. The 2021-2022 Magellan Care Guidelines will remain in effect until Aug. 26, 2022.
Magellan uses the MCG Behavioral Health Guidelines® (“MCG”) in addition to Magellan’s proprietary clinical criteria (“Magellan Healthcare Guidelines”) as the primary decision support tools for its Utilization Management Program.
Note that criteria for some levels of care, plans and states differ. Please visit our Medical Necessity Criteria webpage for more information.