Magellan Health

Library & Training

Quality Improvement Library

Welcome to the Quality Improvement Library. Here, you will find various resources that Magellan of PA hopes will be beneficial to you. 

 

Quality Matters at Magellan

Quality care for our members and their families is important to us. We constantly measure the quality of our member services. We are proud of the care that Magellan members receive today. And, we are always looking for ways to make them better.

Read about our accomplishments and opportunities. 

  

Helping Providers E-connect with Members

In a fast-paced world filled with technological advances, consumer advocates and accreditation bodies are asking providers to become innovators in connecting members to services quickly. Magellan supports the goal of increasing the utilization of secure technology to make accessing services more convenient for members.

As a provider, here are some ways you might consider using technology in these areas of service:

  • E-visit: Communicate with members via email after the first face-to-face visit.
  • E-prescribing: Ask the physician to send a prescription directly to the member’s pharmacy.
  • Refill reminders: Send email reminders to members when it is time to refill medications.
  • E-appointment: Provide a secure means for members to schedule appointments electronically.
  • Online personal health records: Provide a secure means for members to track their personal health information online.

 

Adverse Incident Reporting

As part of Magellan's incident management process, the designation of an incident as a "Sentinel Event" has been added.

This designation will allow for clearer communication between the provider and Magellan so that we can provide timely responses to situations of imminent patient safety concern.

Magellan's definition of a Sentinel Event is consistent with The Joint Commission's 2015 Sentinel Event Policy and Procedures for Behavioral Health Care accredited facilities (see page 2).

Appendix A to the Pennsylvania HealthChoices Supplement to the Magellan National Provider Handbook offers an updated Incident Reporting Form, Provider Instructions and Definitions. Please note that the form is now located at the beginning of the document for convenience and rapid access.

We request that providers begin using the new form effective immediately, and call Magellan's Quality Improvement Department at 877-769-9779 if an incident is identified as a Sentinel Event.

For questions, please contact Randi Rosenthal at RKRosenthal@MagellanHealth.com or 215-504-3926.


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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.

Links

Addiction Technology Transfer Center Network

Choose My Plate

COMPASS: CLICK. APPLY. BENEFIT

Eat Right

HealthChoicesPA

MedlinePlus

Million Hearts

NAMI PA

National Council for Community Behavioral Healthcare

National Diabetes Education Program

NIH Senior Health

Pennsylvania Department of Health

Pennsylvania Department of Human Services

Philabundance

PROACT

SAMHSA's Wellness Efforts 

Pharmacy Links:

AmeriHealth Caritas

Gateway Health

United Healthcare

Aetna Better Health

UPMC Health Plan

Health Partners

Keystone First

Contact Information

Member Services:
Bucks County: 877-769-9784
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
Delaware County: 800-686-1356
Lehigh/Northampton: 866-780-3368

Fraud & Abuse: 800-755-0850

For emergency situations always call 911

Nondiscrimination & Languages