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"No Surprises" rules
Always check member eligibility and benefits
Telehealth and audio-only billing changes, Jan. 1, 2022
Use correct coding to ensure your telehealth claims pay
Centene completes acquisition of Magellan Health
Sharing your gender can help members connect to you
Appropriate use of psychotropic drugs in children and adolescents
Wellness in 8D can build resilience, free CE
Minding mental health with a cancer diagnosis
For EAP providers only
And the winner is...

region/plan-specific news

California
Commercial Health Plans in AZ, DC, DE, FL, GA, IL, MD, NJ, OH, PA, TX, VA
District of Columbia Medicaid
Employer Plans Nationwide
Louisiana CSoC
Pennsylvania HealthChoices
Virginia Medicaid
Wyoming CME

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"No Surprises" rules

You’ve probably heard about the Consolidated Appropriations Act of 2021 (“No Surprises” rules), which became effective Jan. 1, 2022. If you’ve perused the legislation at all, you will see there’s a lot to it. Essentially, the rules seek to protect members from excessive ou . . .

Always check member eligibility and benefits

It’s easier than ever with Availity Essentials Member benefits and eligibility renew annually, so keep in mind that changes are likely at this time of year. Remember to verify eligibility/benefits to confirm 1) insurance coverage and 2) the appropriate amount to charge per . . .

Telehealth and audio-only billing changes, Jan. 1, 2022

Revised definition of place of service (POS) code 02 and new POS code 10 The Centers for Medicare & Medicaid Services (CMS) has issued changes to POS codes for use when reporting telehealth services*: POS code 02 description changed to “telehealth provided other . . .

Use correct coding to ensure your telehealth claims pay

The Center for Medicare and Medicaid Services (CMS) has issued coding changes for services provided via telehealth or audio-only, effective Jan. 1, 2022. You can avoid unnecessary claim payment denials or delays by submitting correct coding on all claims. Magellan requires . . .

Centene completes acquisition of Magellan Health

Your existing relationship with Magellan remains in place On Jan. 4, 2022, Centene Corporation announced that it has completed its acquisition of Magellan Health, Inc. The acquisition enables Centene to provide whole-health, integrated healthcare solutions to deliver bette . . .

Sharing your gender can help members connect to you

New gender options available when you update your practice information In support of efforts around diversity, equity and inclusion, Magellan now gives you additional options when sharing your gender via the Provider Data Change Form. This means members seeking care will b . . .

Appropriate use of psychotropic drugs in children and adolescents

Magellan's updated monograph can enhance your services In January 2022, Magellan completed an extensive review and update of its clinical monograph, Appropriate Use of Psychotropic Drugs in Children and Adolescents. Addressing a critical issue in the children's mental heal . . .

Wellness in 8D can build resilience, free CE

(Earn 1 CE credit for this recorded webinar) In Magellan Healthcare’s first webinar of the year, Peggy Swarbrick leads participants through an exploration of how wellness in eight dimensions can be a lens to build resilience. As you know, a wellness philosophy supports hea . . .

Minding mental health with a cancer diagnosis

February is National Cancer Prevention Awareness Month The stress that comes with a cancer diagnosis can be overwhelming. One in three people with cancer experience mental or emotional distress. Learn more about the role of mental health in helping cancer patients and car . . .

For EAP providers only

Tell EAP clients about NeuroFlow. Through the secure, anonymous convenience of NeuroFlow’s app and website, available with most of our EAP plans, members have access to activities to help them improve their overall health and wellbeing. Read more

And the winner is...

As a Magellan provider, your satisfaction with our communications means the most. However, we’re thrilled to share the news of the following industry awards we received in 2021. MarCom Awards Platinum: Behavioral health toolkit for primary care providers Gold: Provider . . .

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