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Provider Handbook Updated for 2009
Your Magellan National Provider Handbook has been updated for 2009 and is available on this website.
Please note a number of important updates to the handbook for 2009:
- An expanded list of the “new technologies” Magellan considers investigational (p. 3-15)
- An expansion of our provider Cultural Competency philosophy (p. 4-3)
- A revision of our provider site visit policy (p. 4-12)
- A new formal name for our Regional Network and Credentialing Committees (p. 2-4 and 4-17)
- New information about providers’ ability to correct previously submitted claims (p. 5-3).
Our updated provider handbook appendices include:
- The new 2009 Medical Necessity Criteria in Appendix C (effective October 1, 2008)
- Three new Clinical Practice Guidelines in Appendix E (autism, generalized anxiety disorder and OCD) and updates to several existing guidelines
- An updated list of Magellan-approved claims clearinghouses for provider electronic claims submission in Appendix F
- Significant revisions to our Q&A documents on provider credentialing/re-credentialing in Appendix G.
In addition to the National Provider Handbook, the following Magellan handbook supplements have been recently updated and are available online:
- Magellan Organizational (i.e., facility) Supplement
- EAP Supplement
- California
- Advocare® of Tennessee – Medical Necessity Criteria
- Florida Medicaid (including a new supplement for Molina Healthcare)
- Georgia Medicaid
- Pennsylvania HealthChoices
- Vermont.
You can find state-, plan- and EAP-specific information under the “News & Publications” top-menu item on this website.
In accordance with your agreement(s) with Magellan and/or its affiliated companies, you should adhere to the policies and procedures outlined in the national handbook and any supplements that apply to states in which you practice or lines of business for which you are eligible to see members.