Magellan Health

Provider Communications

Monthly Compliance Alerts

Compliance News

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.

 

2017 Compliance News

 

August - TSS Supervision

 

July - Electronic Health Records and Maintaining Compliance

 

June - Compliance Forum Planning Survey

 

May - Responsibility of Payment for Medication Assisted Treatment Services (MAT)

 

April - Documentation and Billing for Neuropsychological Testing

 

March - Billing for Travel & Transportation in Peer Support and Case Management Services

 

February - Documentation of Start and End Times on Progress Notes

 

January - Provider Self-Audits & Self-Reports of FWA

 

2016 Compliance News

 

December - Compliance Notebook's Year in Review

 

November - Certified Peer Support Training Requirements

 

October - Outpatient Group Therapy & Structured Breaks

 

September - Compliance Resources

 

August - Family Based Services Family Support Funds

 

July - Billing for No-Shows & Holding Members Harmless

 

June - Treatment/Service Plans

 

May - Outpatient Regulations for Group Size

 

April - CRNP Services in Outpatient Clinics

 

March - TSS Training & Supervision for ABA

 

February - Provider Self-Reports of Fraud, Waste, & Abuse

January - Educational Requirements for Behavioral Specialist Consultant Services

 

2015 Compliance News

 

December - Compliance 2015 - Year in Review

 

November - Interpreter Services

 

October - Mobile Therapy - Mandatory Meeting

 

August - Family Based Services Family Support Funds



July - Peer Support Training on Collaborative Documentation

 

June - Guidance for BSC's Attending Evaluations

 

May - Case Management & Peer Support Eligibility Criteria

 

April - Mandatory Reporting

 

March - Provider Self-Reports of Fraud, Waste, & Abuse

 

February - DSM-5 & ICD-10 Resources

 

January - Outpatient Group Therapy
           - Travel in Certified Peer Support (CPS) and CRS Services

 


2014 Compliance News

 

December - The Year in Review

 

November - Provider Manual Update

 

October - Website Enhancements

 

September - Reporting Changes in Licensure



August - Psychiatric Diadnostic Evaluations (90791) Billing

 

July - Rounding Up of Billable Units

 

June - D&A Lab Services

 

May - Self-Disclosures

 

April - Collaborative Documentation

 

March - Partial Hospital Group Services

 

February - Release of New MA Bulletins 'listserv' Option

 

January - Policy Change on Signed Encounter Verification Forms


 
2013 Compliance News


December - 2013 Year in Review and PA Website

 

November - Outpatient Individual & Family Therapy




October - Community Treatment Teams (CTT) & Assertive Community Treatment (ACT)

 


September - Family Based Mental Health Services Policy Clarification

 


August - OMHSAS LGBTQI Regulations

 


July - Waste & Abuse

 


June - Psychiatric Rehabilitation Services

 


May - BHRS Psychological Evaluations

 


April - D&A Outpatient Clinic Regulations

 


March - Medical Assistance Provider Self-Audit Protocal

 


February - Pennsylvania Regulations & Bulletins for Targeted Case Management

 


January - Family Based Mental Health Regulations - Chapter 5260

 

 

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Recovery & Resiliency

Learn about Magellan’s Integrated Health Home (IHH) Initiative in #B4Stage4 Video

E-Learning Center
Magellan's E-Learning Center offers educational information, videos and professional learning opportunities about peer support, whole health and wellness.

Contact Information

Member Services:
Bucks County: 877-769-9784
Cambria County: 800-424-0485
Delaware County: 888-207-2911
Lehigh County: 866-238-2311
Montgomery County: 877-769-9782
Northampton County: 866-238-2312

Provider Services:
Bucks/Montgomery: 877-769-9779
Cambria County: 800-424-3711
Delaware County: 800-686-1356
Lehigh/Northampton: 866-780-3368

Hearing Impaired Lines (TTY):
Bucks County TTY: 877-769-9785
Cambria County TTY: 877-769-9785
Delaware County TTY: 888-207-2910
Montgomery County TTY: 877-769-9783
Lehigh County TTY: 866-238-2313
Northampton County TTY: 866-780-3367
AfterHours TTY (6:00p - 8:00a): 800-787-1730

Fraud & Abuse: 800-755-0850

For emergency situations always call 911

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