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

Single points of contact for clinical coordination

• GMHSA provider single point of contact grid (51K)

Clinical monographs

The following clinical monographs are available to download.

• Referenced EEG (50K)
• Hippotherapy (34K)
• Prometa protocol (47K)
• Vagus nerve stimulation (52K)
• Vivitrol for opiate addiction (77K)

Prevention resources

• Coalition functioning instrument retrospective survey (50K)
• Coalition functioning instrument retrospective survey (Spanish version) (50K)
• Coalition functioning instrument survey instructions (50K)
• Coalition functioning instrument training Power Point presentation (50K)
• Community assessment training Power Point presentation (50K)
• Community readiness assessment instructions (50K)
• Community readiness assessment interview questions (50K)
• Community readiness assessment (Spanish version) (50K)
• Community readiness assessment training Power Point presentation (50K)
• Risk and protective factors training Power Point presentation (50K)
• Substance abuse data resources (50K)
• ADHS core instrument for adolescents (50K)
• ADHS core instrument for adolescents (Spanish version) (50K)
• ADHS core instrument for older adults (50K)
• ADHS core instrument for older adults (Spanish version) (50K)
• Parent-child bonding instrument (50K)

Access to interpretation services

• Magellan language service vendor directory (77K)
• Interpretation service flow chart (18K)
• Web site access to qualified interpreters (39K)
• Interpreter request form (11K)

Error resolution guide

• Error resolution guide (163K)

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