Magellan is committed to promoting quality care for its members. In support of this commitment, practitioners must meet a minimum set of credentialing criteria in order to be able to provide services to our members as in-network providers.
To be eligible for referrals, Magellan network providers must successfully complete the credentialing review process prior to being accepted as a network provider. We credential providers in accordance with our credentialing criteria and in accordance with specific criteria required by applicable regulatory agencies and/or client companies.
Magellan participates in CAQH®, which offers ProView™ for online data collection, to help providers reduce the amount of administration and paperwork involved in credentialing and re-credentialing.
For more information about credentialing, consult the Magellan National Provider Handbook, section 2, and for information on facility/organization credentialing, consult the Organizational Provider Handbook Supplement.
To be eligible for referrals, Magellan network providers are required to successfully complete the credentialing review and contracting process.