: Commercial Health Plans in AZ, DC, DE, FL, GA, IL, MD, NJ, OH, PA, TX, VA
Florida facilities: Working with Magellan for TCM and CBH services to dual-eligible members
What you need to know
On July 1, 2021, Magellan began managing claims for targeted case management and community behavioral health services for members with full Medicaid benefits in Dual-Eligible Special Needs Plans (D-SNP) under The Agency for Health Care Administration (AHCA). Previously you would have billed these services to AHCA.
The change requires that you obtain authorization/register cases for TCM and CBH services through Magellan, as well as submit claims directly to us, for Doctors Healthcare and CarePlus plans in Florida.
You can find more information about authorization and billing TCM and CBH services on MagellanProvider.com, including case registration forms and frequently asked questions.