Magellan is committed to keeping you informed on the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the transition from ICD-9-CM (International Classification of Diseases, 9th Edition, Clinical Modifications) diagnosis codes to ICD-10-CM diagnosis codes. Click Here for information on these topics.
To access Magellan's Provider Focus, our e-newsletter for providers, go to www.magellanproviderfocus.com. You'll find current articles and information relating to Magellan and our local service centers. You'll also find past issues of Provider Focus. Check back as a new issue of our newsletter is released each quarter.
Information on Behavioral Specialist License:
DPW Implementation Plan - General Stakeholder Wed-Ex: January 29, 2014
BSL Tracking Webinar
Behavioral Specialist Licensure - DPW Implementation Plan - General Stackholder Web-Ex: April 17, 2013
Announcement: WebEx Link & April Application
Responses to Questions Raised on the April 17, 2013 Web Ex Training for Behavioral Specialist License (BSL)
Behavior Specialist Licensing Update - Provider Announcement - March 6, 2013
Bureau of Autism Services Behavior Specialist License - Current Status as of February 21, 2013
Application for Behavior Specialist License
Behavioral Specialist License Application Process
Behavior Specialist Frequently Asked Questions
Content Area Descriptions for Licensure
Commonwealth of Pennsylvania Department of Public Welfare Letter - Behavior Specialist
Provider Screening Tools
Magellan Behavioral Health of Pennsylvania launched its screening programs to target individuals who may have co-occurring mental health and substance use disorders, as well as a brief screening tool for depression. Magellan chose the following screening tools:
The Global Appraisal of Individual Needs-Short Screener (GAIN-SS) | Short Screener Description
The Patient Health Questionnaire two-item scale (PHQ-2) | Questionnaire Description
The GAIN-SS is a brief five minute instrument designed to quickly and accurately screen general populations of both adults and adolescents to detect psychiatric disorders, substance use disorders, or crime and violence problems. The screener helps identify those who would benefit from further assessment or referral for these issues, and also rules out those who do not have a behavioral health disorder.
The PHQ-2 consists of the first two items from the longer Patient Health Questionnaire-9, which consists of nine items that align with the DSM criteria for major depression. The PHQ-2 inquires about the frequency of depressed mood and loss of pleasure or interest over the past 2 weeks. Its purpose is not to establish a final diagnosis but to screen for depression as an initial approach. A PHQ-2 score ranges from 0-6, with recommendations for further screening with a PHQ-9 for anyone scoring a 3 and above.
Screening tool access:
The screening tools will be of use to identify any member suspected of possibly having a depressive disorder and/or individuals with a mental illness who could also potentially have a substance use disorder. It will be recommended that these tools be utilized for every potential candidate on initial evaluation and at least on a quarterly basis.
Webinar - Screening Tools
Magellan created a provider webinar to teach providers about Magellan's screening tool program and how to utilize the tools selected. The webinar training covered the following:
- Purpose of the program
- Identify the targeted population for the tools
- Descriptions of the tools selected
- Benefits of using the screening tools
Metabolic Syndrome Materials
A Practitioner's Resource Guide: Helping Families to Support their LGBT Children
DHS has prepared the attached training/informational guides to help providers, business and community partners in the transition to the new HealthChoices Expansion Program. The following were added to the HealthChoicesPA.com website under the Provider Information tab:
Magellan Behavioral Health of Pennsylvania, Inc. (Magellan) strives on being proactive and using education as a preventative tool to provide our members the highest quality of care through you, the provider. The Quality Improvement and Compliance Departments at Magellan have committed to sending monthly e-mails to targeted providers on a Compliance related subject. Click Here to view our Monthly Compliance Alerts.
CPT Code Changes
The American Medical Association (AMA) issued major changes to behavioral health CPT codes for dates of service on and after January 1, 2013, impacting both payors and providers. This affects all provider types (psychiatrists, psychologists, clinical social workers, etc.) that provide CPT professional services in all states.
Click here to view the 2013 CPT Code Changes, Background and Frequently Asked Questions for Pennsylvania HealthChoices Providers.
Click here to view Magellan's 2013 CPT Code Crosswalk for Pennsylvania HealthChoices Providers.
Magellan Clinical Practice Guidelines for Assessment and Treatment of Autism Spectrum Disorders