For Providers

Providing Care

Whether you are initiating care or providing ongoing treatment, obtaining authorizations and utilizing appropriate clinical protocols are essential to the delivery of quality care.

Online Tools for Providers

By signing in to the Magellan Provider Web site with your secure username and password, you can view authorizations, check member eligibility and much more. You also can update your practice data so that Magellan can provide the most accurate information when making member referrals.

Medical Necessity Criteria

• Admission Psychiatric Acute Hospital and Sub-Acute Authorization Criteria
• Continued Stay Psychiatric Acute Hospital and Sub-Acute Authorization Criteria
• Admission Residential Treatment Center Authorization Criteria
• Continued Stay Residential Treatment Center Authorization Criteria
• Electroconvulsive Therapy Criteria for Authorization
• Psychological Testing Criteria for Authorization

Clinical Guidelines

• Magellan Provider Clinical Guidelines
• ADHS/DBHS Clinical Guidance Documents

Clinical Monographs

The following Clinical Monographs are available to download.

• Referenced EEG (PDF 50K)
• Hippotherapy (PDF 34K)
• Prometa Protocol (PDF 47K)
• Vagus Nerve Stimulation (PDF 52K)
• Vivitrol for Opiate Addiction (PDF 77K)

Prevention Resource

• Coalition Functioning Instrument Retrospective Survey (PDF 50K)
• Coalition Functioning Instrument Retrospective Survey (Spanish Version) (PDF 50K)
• Coalition Functioning Instrument Survey Instructions (PDF 50K)
• Coalition Functioning Instrument Training Power Point Presentation (PDF 50K)
• Community Assessment Training Power Point Presentation (PDF 50K)
• Community Readiness Assessment Instructions (PDF 50K)
• Community Readiness Assessment Interview Questions (PDF 50K)
• Community Readiness Assessment (Spanish Version) (PDF 50K)
• Community Readiness Assessment Training Power Point Presentation (PDF 50K)
• Risk and Protective Factors Training Power Point Presentation (PDF 50K)
• Substance Abuse Data Resources (PDF 50K)

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