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Magellan Healthcare, Inc.* 2021 2022 Magellan Care Guidelines

Magellan care Guidelines 2007-2019 Magellan Health, Inc. rev. 04/18 2018 2019 Magellan care Guidelines Introduction Effective July 1, 2018 June 30, 2019 Updated April 4, 2018 In California, Magellan does business as Human Affairs International of California, Inc. and/or Magellan Health Services of California, Inc. Employer Services. Other Magellan entities include Magellan Healthcare, Inc.; Merit Behavioral care ; Magellan Behavioral Health of Florida, Inc.; Magellan Behavioral of Michigan, Inc.; Magellan Behavioral Health of New Jersey, LLC; Magellan Behavioral Health of Pennsylvania, Inc.; Magellan Providers of Texas, Inc.; Florida MHS, Inc. d/b/a Magellan Complete care ; Magellan Complete care of Arizona, Inc. and their respective affiliates and subsidiaries; all of which are affiliates of Magellan Health, Inc.

2021 – 2022 Magellan Care Guidelines 3 Preamble - Principles of Medical Necessity Determinations Magellan uses MCG Guidelines®, along with its proprietary clinical criteria, Magellan Healthcare Guidelines, as the primary decision support tools for our Utilization Management Program.

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