Provider Performance
Magellan’s Provider Performance Standards are intended to serve as a tool to promote progression toward best practice, continuous quality improvement, and improvement of member outcomes. The Standards will add to current licensing guidelines and regulations and are not intended to replace regulations. Providers are encouraged to refer to these documents and utilize the Standards in the development of internal quality improvement and monitoring activities. These Standards will periodically be reviewed and revised. Provider feedback is welcome and, if appropriate, incorporated into the documents as revisions are made.
Note: Service delivery exceptions or modifications during COVID-19 are not necessarily included.
Provider Performance Standards
- ABA Best Practices (Posted May 23, 2024)
- Assertive Community Treatment (Updated January 17, 2025)
- Children and Adolescent Residential Treatment Facility (RTF) (Updated October 3, 2024)
- Clinically Managed High-Intensity Residential Services (Posted January 17, 2025)
- Clinically Managed Low-Intensity Residential Services (Halfway House) (Posted January 17, 2025)
- Crisis Residential (Updated October 3, 2024)
- Crisis Services (Updated October 3, 2024)
- Family Based Mental Health Services (Updated February 8, 2024)
- Federally Qualified Health Centers (Updated May 23, 2024)
- Inpatient Withdrawal Management (Posted January 17, 2025)
- LGBTQIA+ Members (Updated December 21, 2023)
- Medically Monitored Intensive Inpatient Services (Posted January 17, 2025)
- Mental Health Case Management (Updated May 31, 2023)
- Mental Health Outpatient (Updated June 7, 2023)
- Methadone Treatment (Updated February 8, 2024)
- Opioid COE (Updated January 17, 2025)
- Peer Support Services (Updated October 3, 2024)
- Psychiatric Rehabilitation Services (Updated November 4, 2024)
- Recovery Support Services (Updated October 3, 2024)
- School Based Outpatient Mental Health Services (Updated May 23, 2024)
- Substance Use Disorder Case Management (Updated October 3, 2024)
- Substance Use Disorder Outpatient and Intensive Outpatient (Updated January 17, 2025)
- Telehealth (Updated July 22, 2024)
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