Magellan National Provider Handbook Appendices
Professional Provider Selection Criteria for Individual Providers (PDF)
Frequently Asked Questions - Credentialing and Contracting
- Individual Credentialing and Contracting (PDF)
- Group Provider Credentialing and Contracting (PDF)
- Recredentialing (PDF)
Rights and Responsibilities
- Member Rights and Responsibilities -- English (PDF)
- Member Rights and Responsibilities -- Spanish (PDF)
- Medicaid Enrollee Rights and Responsibilities -- English (PDF)
- Medicaid Enrollee Rights and Responsibilities -- Spanish (PDF)
Magellan Clinical Practice Guidelines
Audit Tools
- Treatment Record Documentation Worksheet (PDF)
- Major Depressive Disorders/Suicide Management Clinical Practice Guideline Audit Tool (PDF)
- Substance Use Disorder/Suicide Management Clinical Practice Guideline Audit Tool (PDF)
- Attention Deficit Hyperactivity Disorder Clinical Practice Guideline Audit Tool (PDF)
Fraud and Abuse Compliance Policies
- Medicaid: Program Integrity and Compliance Program Policy (PDF)
- Medicare Advantage: Compliance Program Policy (PDF)
- False Claims Laws and Whistleblower Protections Policy (PDF)
Claims
- Coordination of Benefits (PDF)
- Elements of a Clean Claim (PDF)
- Claim "Dos" (PDF)
- Claim "Don'ts" (PDF)