Oral Buprenorphine Products SA Form (PDF) Growth Hormone SA Form (PDF) -- updated January 2020. (PAGE_LAST_UPDATED 03/2020) An authorization is not a guarantee of payment. The site you are trying to access is currently being improved. ©2013-2020 Florida MHS, Inc. d/b/a Magellan Complete Care a subsidiary of Magellan Health, Inc. All Rights Reserved. Our electronic prior authorization (ePA) solution is HIPAA-compliant and available for all plans and … Our electronic prior authorization (ePA) solution is HIPAA-compliant and available for all plans and … To access utilization management forms, visit our Provider Tools. We’ve designed the documents in this section to support you in your quality care of Magellan members. Offers prior authorization of MRI, CT, and PET modalities, as well as certain primary imaging procedures such as vascular and general ultrasound. Magellan’s automated prior authorization solution, DecisionPoint, gives providers authorizations and clinical decision support at the point of care.

Check back soon to see how Magellan Health is leading humanity to healthy, vibrant lives. Magellan manages a network of Qualified Evaluators who perform assessments on children who are i n the care and custody of the State of Florida and being placed, or already living in, a psychiatric residential treatment facility. Instructions: Please fill out all applicable sections on both pages completely and legibly. For most plans Magellan manages, routine outpatient visits do not require pre-authorization or concurrent review. Our online Treatment Request Form (TRF) is designed to process requests for additional outpatient behavioral healthcare services for members whose plans require authorization for outpatient care. EAP ; Administrative ; Clinical Advanced Analytics Leverages advanced clinical analytics to identify quality and savings opportunities based on provider practice pattern variation, utilization, and cost trends. Prior authorization requests . Our electronic prior authorization (ePA) solution is HIPAA-compliant and available for all plans and all medications at no cost to providers and their staff.

©1999-2020 Magellan Health, Inc. ALL_RIGHTS_RESERVED. DIRECTIONS: Use this form to submit a request for reconsideration of Magellan’s non-authorization of services or in response to a claim denial outlined in your Explanation of Benefit. CCC Plus Service Authorization Forms. Visit MagellanCompleteCare.com. Magellan Rx Providers. COVID-19: Magellan Healthcare responds to the novel coronavirus outbreak.
Attach any additional documentation that is important for the review (e.g., chart notes or lab data, to support the prior authorization or step-therapy exception request [CA ONLY]). Magellan Complete Care of Florida’s Preferred Method for Prior Authorization Requests CoverMyMeds is the fastest and easiest way to review, complete and track PA requests.

Antimigraine Agents, Others SA Form (PDF) Antipsychotics in Children SA Form (PDF) Cytokine CAM Antagonists SA Form (PDF) -- updated January 2020. Members must be eligible at the time services are rendered. Note that most plans Magellan manages do not require authorization for routine outpatient services; call the number on the member's benefit card if you have questions about plan requirements. You simply file your claim and respond to any outreach calls from a Magellan care advocate, should such occur. The areas of the form notated with a red asterisk (*) are required. Services must be a covered health plan benefit. You cannot submit the form if those areas are blank. Services must also be medically necessary with prior authorization as per Magellan Complete Care of Arizona’s policies and procedures. In support of our philosophy of promoting the delivery of quality behavioral healthcare to members, we adopt, develop and distribute clinical guidelines that are founded upon evidence-based scientific and clinical literature and are relevant to the needs of our members..