EAP Reimbursement
In order to receive payment for EAP services rendered, you must complete
the information requested on both pages of the Employee
Assistance Service Information (EASI) Form 
(formerly
Case Closing Form). The EASI form must be
submitted within 90 days of the end of the date indicated on the Magellan
face sheet, found in the referral packet for each specific case. Please
refer to the client's original EAP Certification Packet for the specific
billing address.
EASI
Form (PDF
77K)
EASI
Form Instructions (PDF
117K)
EAP
Reimbursement Contact Information (PDF
57K)
EAP EFT Form (PDF 100K)
You can find information about Employee Assistance Program (EAP) Reimbursement
in section 7 of the EAP
Handbook Supplement .