Search results with tag "Magellan provider"
Policy and Standards - Magellan Provider
www.magellanprovider.comFALSE CLAIMS LAWS AND WHISTLEBLOWER PROTECTIONS Page 2 of 23 —PROPRIETARY Magellan Health policies apply to all subsidiaries and affiliates, including but not limited to Magellan Healthcare, Magellan Complete Care, Magellan Healthcare Provider Group, National Imaging Associates, HealthPeaks MD, Magellan Rx Pharmacy, Magellan Medicaid Administration, AlphaCare …
Organization & Facility Handbook ... - Magellan Provider
www.magellanprovider.comsupplements the Magellan National Provider Handbook, addressing policies and procedures specific for the organizations in our provider network, including facilities, agencies and community mental health centers (CMHCs). Use this provider handbook supplement in conjunction with the . Magellan National Provider Handbook, as applicable.
What You Need to Know About Group ... - Magellan Provider
www.magellanprovider.comfrequently asked questions we receive about credentialing and group contracting. This information is a general guideline for group practices. We invite you to visit us on line at . www.MagellanProvider.com (or the sites of Magellan’s contracted vendors, as directed) for more information about Magellan and our provider network. Q.
ABA Provider Orientation - Magellan Provider
www.magellanprovider.comProvider Level 8 to 12 hours or equivalent units 97151 - Initial assessment and plan development Performed by BCBA/credentialed licensed provider 1 97156 Caregiver training Provided by behavior analyst or bachelors/ non-certified support staff-level provider 1.5 97155 – Supervision ABA services rendered conjointly, in-person, by a behavior ...
Independence Blue Cross Quick ... - Magellan Provider
www.magellanprovider.comProvider inquiries • Call the general 800 number listed in this Quick Reference Guide for claims and authorization questions. • Call the Magellan national Provider Services Line at 1-800-788-4005 for general inquiries, including credentialing and network status.
Clinical Assessment - Magellan Provider
www.magellanprovider.com©2004-2015 Magellan Health, Inc. This document is the proprietary information of Magellan. Rev 10/15 Clinical Assessment (page 2 of 2)
What Is Provider Recredentialing?
www.magellanprovider.comWhat Is Provider Recredentialing? Q. Will I be notified if I am not recredentialed for the Magellan provider networks? A. Yes. You will receive a letter explaining why your recredentialing …
EAP Progress Notes - Magellan Provider
www.magellanprovider.com©2004-2014 Magellan Health, Inc. This document is the proprietary information of Magellan. Rev. 11/14 EAP Progress Notes CLIENT NAME: _____ CASE #: _____
Policy and Standards - Magellan Provider's Home Page
www.magellanprovider.comMEDICARE PART C: COMPLIANCE PROGRAM Page 2 of 18 —PROPRIETARY Magellan Health policies apply to all subsidiaries and affiliates, including but not limited to Magellan Healthcare, National Imaging Associates,
Employee Assistance Service ... - Magellan Provider
www.magellanprovider.comCase # / MAT #: _____ 7. Member Experience Survey 001 OverallGiven to client 002 Social Not given to client 003 Not applicable (under 16) 8. In the past 4 weeks as a result of EAP counseling: Employee only (if employed by organization providing Magellan EAP):
Treatment Record Review Tool - Magellan Provider
www.magellanprovider.com3B) Psych advance directives, or refusal documented . 4B) Informed consent for medications signed, or refusal documented ; 5B) Release(s) for communication with PCP, other providers and involved parties signed, or refusal documented . C - Initial Evaluation. 1C) Reason membe r is seeking services (presenting probl em) and mental health status exam
Treatment Plan Template - Magellan Provider
www.magellanprovider.comTreatment Plan Template ©2017 Magellan Health, Inc. Rev. 11/17 Treatment plans need to: Include goals that are objective and measurable with estimated time frames for goal completion Be developed with the patient and document the patient’s agreement to the treatment plan (patient’s signature)
Initial Evaluation Template - Magellan Provider
www.magellanprovider.comInitial Evaluation Template ©2017 Magellan Health, Inc. rev. 11/17 Page 2 Presenting Problem (include onset, duration, and intensity): Precipitating Event (why treatment now):_____ Mental Status (circle appropriate items): Appearance: Appropriate …
Elements of a Clean Claim - Magellan Provider
www.magellanprovider.comElements of a Clean Claim . 1. Clean claim defined: A clean claim has no defect, impropriety or special circumstance, including incomplete documentation that …
Simplified Billing Codes - Magellan Provider
www.magellanprovider.com5.12 Home Health Therapy Services 058x Applicable CPT codes Applicable CPT codes 12‐Home 5.13 Nursing Home/Domiciliary or Rest Home Visit N/A Applicable CPT codes Applicable CPT codes Ancillary Services 6.1 Telehealth Administrative Services 078x Q3014 Q3014 02‐Telehealth 6.2 Non‐Emergency Transportation S0209 S0215 A0100 S0209
Federal Occupational Health (FOH ... - Magellan Provider
www.magellanprovider.comEAP Supplement Appendix: FOH EAP Rev. 11/18
Univ Services - Magellan Provider's Home Page
www.magellanprovider.comJun 12, 2019 · 1. HOSPITALIZATION - Hospitalization is the highest level of skilled psychiatric or substance abuse services provided in a facility. Services at this level are licensed at the hospital level and provide 24-hour medical and nursing care.
(CANS 1.0) - Magellan Provider
www.magellanprovider.comThe Child and Adolescent Needs and Strengths is a multi-purpose tool developed to support care planning and level of care decision-making, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The CANS was developed from a communication perspective in order to facilitate the linkage between the
Second Generation Antipsychotic Sheet - Magellan Provider
www.magellanprovider.comeffects vary between the different drugs Monitoring can reduce the risk of metabolic side effects Practitioners should base selection of antipsychotic on individual risk factors for each patient. For instance, previous response, side effect profiles, family history, co-morbid
Coordination of Benefits - Magellan Provider
www.magellanprovider.comCoordination of Benefits When Medicaid is a payer, it is always the payer of last resort. For more information on COB with Medicaid and/or Medicare subscribers, please refer to the CMS website
Provider Handbook Supplement for - Magellan Provider
www.magellanprovider.com1 - ©2004-2018 Magellan Health, Inc. rev. 11/18 Magellan Behavioral Health of Pennsylvania, Inc.* Provider Handbook Supplement for Healthhoices’ Program Providers for
Magellan EAP Reimbursement Contacts - Magellan Provider
www.magellanprovider.comAttn: Affiliate Specialist, MO22 14100 Magellan Plaza Maryland Heights, MO 63043 1-800-274-2477 Fax: 1-888-656-5032 Magellan Health Services of California Care Management Center (Excludes Blue Shield of California; use contact information below.) Magellan Health Services of California – Employer Services P.O. Box 710430 San Diego, CA 92171
Provider Handbook - Magellan Provider
www.magellanprovider.comNational Provider Network Handbook 6—© 2000-2022 Magellan Health, Inc. 11/21 Magellan Behavioral Care Management: Designed to promote our members’ behavioral health and wellness while responsibly managing our customers’ healthcare dollar, our approach is based on a
Magellan Healthcare, Inc.* 2021 2022 ... - Magellan Provider
www.magellanprovider.comdefinition for the purposes of establishing medical necessity for these health care services. Particular rules in each criteria set apply in guiding a provider or reviewer to a medically necessary level of care (please note the possibility and consideration of exceptional patient situations described in the preamble when these rules may not apply).
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