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


October - Updated Peer Support FAQs and Changes to Eligibility Criteria

September - Treatment and Service Plans

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: PA Relay 7-1-1
Cambria County TTY: PA Relay 7-1-1
Delaware County TTY: PA Relay 7-1-1
Montgomery County TTY: PA Relay 7-1-1
Lehigh County TTY: PA Relay 7-1-1
Northampton County TTY: PA Relay 7-1-1
AfterHours TTY (6:00p - 8:00a): PA Relay 7-1-1

Fraud & Abuse: 800-755-0850

For emergency situations always call 911

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