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Magellan Health Services | Provider Gateway

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Skip to global menu. Skip to left menu. News and Publications :. Fraud, Waste, and Abuse. State-, Plan- and EAP-Specific Information. Military and Family Life Counseling. EAP - Dept. of Transportation. 1999 - 2016 Magellan Health, Inc. Terms and Conditions of Use.

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Medical Necessity Criteria

http://www.magellanprovider.com/MHS/MGL/providing_care/clinical_guidelines/MNC.asp

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. Member Rights and Responsibilities. Do you have a comment or suggestion on how we can improve our Medical Necessity Criteria? We want to hear from you. Please print and complete our comment form. PDF), and fax, mail, or email it to the address on the form. Or simply write us a letter. Either way, your feedback will be considered during our annual Medical Necessity Criteria review. Substance abuse criteria for:.

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CEUs and CMEs

http://www.magellanprovider.com/MHS/MGL/education/cont_ed_credits/index.asp

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. Fraud, Waste and Abuse. Earn Free Continuing Education Credits. Magellan offers free continuing education courses to our contracted providers. Through our online education partner, Relias. To access the complimentary courses, sign in to our provider website. With your secure username and password. After sign-in, select CEUs and CMEs. Terms and Conditions of Use.

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Getting Paid

http://www.magellanprovider.com/MHS/MGL/getpaid

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. National Provider Identifier (NPI). We understand that getting your claims paid promptly and correctly is critical to the success of your practice. To assist you in submitting and tracking claims, and receiving prompt and accurate payment, we have a number of tools and resources accessible from the left-hand menu. Terms and Conditions of Use.

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Magellan Health, Inc. | Providers | Forgot Password

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Fraud, Waste, and Abuse. State, Plan and EAP Specific Information. Please enter the information below to initiate a reset of your password. If you are unable to provide the information requested, please contact us. Click here to continue. Click here to cancel. Terms and Conditions of Use.

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Clinical Practice Guidelines

http://www.magellanprovider.com/MHS/MGL/providing_care/clinical_guidelines/clin_prac_guidelines/index.asp

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. Member Rights and Responsibilities. Acute Stress Disorder and Post-Traumatic Stress Disorder. We also encourage you to periodically return to this webpage for updates. Acute Stress Disorder and Post-Traumatic Stress Disorder. Magellan ADHD Clinical Practice Guideline. The American Academy of Pediatrics’ (AAP) Practice Guideline for the Management of Children With Autism Spectrum Disorders. The American Psychi...

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HIPAA Coding

http://www.magellanprovider.com/getting-paid/hipaa-coding.aspx

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. National Provider Identifier (NPI). HIPAA mandates that all electronic transactions include only HIPAA compliant codes; therefore, Magellan requires the use of HIPAA compliant codes on all claims. If a claim is found to contain a non-compliant code, it will be rejected and returned to you for correction before processing. Professional Services (claims submitted primarily on CMS-1500). Type of Bill Codes.

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Forms

http://www.magellanprovider.com/MHS/MGL/forms

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. The forms and documents provided here are designed to help you navigate Magellan's policies in support of providing quality care to our members. Terms and Conditions of Use.

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Education

http://www.magellanprovider.com/MHS/MGL/education

For Behavioral Health Only-. Fraud, Waste and Abuse. State-, Plan- and EAP-Specific Information. Fraud, Waste and Abuse. In this section we provide educational resources, training opportunities and more. Visit regularly for up-to-date information. Terms and Conditions of Use.

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2016 Communications

http://www.magellanofvirginia.com/for-providers-va/communications.aspx

Claims Eligibility Auths Rates. Quality Improvement Resources and Tools. Screening Programs and Tools. GAP Training and Information. Prepare for Your Appointment. Health and Wellness Library. Member Handbook and Additional Resources. Member Rights and Responsibilities. GAP Info for Members Family Members Advocates. Magellan Medical Necessity Criteria. Health and Wellness Library. Mental Health and Well-being Tip Sheets and Resources. Continuum of Care Work Group. Claims Eligibility Auths Rates. Magellan ...