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.
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..