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

region/plan-specific news : 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.

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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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