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Top 7 reasons to keep your practice information updated

(It's easy, and we share how)

1. Help members make informed choices about their behavioral healthcare.
2. Prevent frustration—if you’re not accepting new clients, let us know. Use the Provider Data Change Form (PDCF) to update appointment availability (see instructions below).
3. Stay eligible to receive referrals from Magellan members. Note: If you don’t attest to your information with Magellan each quarter, your listing will not appear in our directory, making it more difficult for Magellan members to find you.
4. Avoid delays in reimbursement for services you’ve provided.
5. Ensure you receive timely communications from Magellan.
6. Fulfill your contractual obligation to update administrative information through the online PDCF, as outlined in the Magellan provider handbook.
7. Protect your participation status in the Magellan network. 

Help ensure members' timely access to care when you update your appointment availability and other information online.

It's easy to validate your practice data online

1. Go to www.MagellanProvider.com and sign in securely.
2. Under My Practice in the left-hand menu, click Display/Edit Practice Information. The first tab is the Provider Data Change Form.
3. Select your TIN/MIS combination and click Go.
4. Verify that all information is correct and update as needed. This includes your name, service address, phone number, office hours, website URL and email address that members can use, and your ability to accept new clients. Group practice administrators: Be sure to validate information for all practitioners on the roster by clicking Roster Maintenance.
5. Attest to the accuracy of your practice information on a quarterly basis and anytime you make an update to your information. To fully complete this step, review each category (updated categories will reflect a green check mark), then click the red “I Attest” button.

Why it matters

When provider information is incomplete or out-of-date, this can lead to greater frustration and inconvenience for members seeking timely care. Depending on the region where you practice, a Magellan member could generate a lengthy list of potential “matches” when they conduct a search or ask us for help finding providers in their area. Yet, not all providers may be a good fit for a member’s needs. Sifting through 100 or more provider listings can take time, and when a member might already be feeling overwhelmed, this can seem especially daunting. Including your specialties allows members to filter for more pertinent results and get the care they need more quickly.

Federal requirements

Providers must submit updates to their directory information (e.g., address, phone number, specialty, digital contact info) at least every 90 days.

California requirements

Providers must review and update their directory information at least every 90 days.

Health plans must verify provider data and remove providers who fail to respond.

Changes like address, phone number, specialty, TIN, or practice status must be reported with at least 90 days’ notice to avoid payment delays or termination.

For more information

See the Magellan National Provider Handbook (PDF), Section 2 for policies about updating practice information.

Questions?

Contact us at ProviderServices@MagellanHealth.com.