California
Interested in Joining our California Provider Network?
Visit the California Join the Network page for more information.
Questions? Contact us at CaliforniaProvider@MagellanHealth.com or 1-800-430-0535, option # 4.
Handbook Supplement
Handbook Supplement (PDF 41K)
- Appendix A: Audit Tools
- Appendix B: Professional Provider Selection Criteria
- Appendix C: California Medical Necessity Criteria
- Appendix D: Member and Provider Rights, Responsibilities
- Appendix E: Clinical Practice Guidelines
- Appendix F: California Member Grievance Form -- English (PDF 19K)
- Appendix F: California Member Grievance Form -- Spanish (PDF 19K)
- Appendix G: Independent Medical Review Policy (PDF 28K)
- Appendix H: Claims Settlement Practices and Dispute Resolution (PDF 47K)
- Appendix I: Language Assistance Services (PDF 62K)
Language Capability Verification Form (PDF 40K)
California Provider Quick Reference Guide (PDF 23K)
California Provider Specialty Information Form
California Provider Specialty Information Form
California Provider Orientation
Provider Training (listen to the recorded version)
Adobe Reader is required to view PDF files.