This is the Magellan website for behavioral health providers
Magellan Health

Blue Shield of California (BSC)

Interested in joining Magellan’s network for BSC Medi-Cal and Medicare plans?

Learn more by emailing [email protected]. To participate, you must also enroll with the California DHCS. Start the enrollment process today!

Handbook Supplement and MNC

Provider Handbook Supplement for BSC (PDF)

Medical Necessity Criteria for BSC 

California Senate Bill 855

For key points relating to SB 855, see Handbook Supplement for California (PDF), section 3.

California Review Criteria / Guidelines Grid (PDF) 

Access Standards

Telephone access standards require that all in-network providers respond to members within one business day (24 hours) in accordance with Senate Bill 1135. For more information, refer to the California provider handbook supplement, section 3 (PDF).

Applied Behavior Analysis

Visit our California ABA COVID-19 webpage for information on using telehealth for ABA during the crisis.

For BSC-specific ABA resources, sign in to this website. From the Resources section, select State & Plan Information, then choose Blue Shield of California.

Concurrent Review Forms for Intensive Outpatient Treatment

Behavioral Health (PDF)

Eating Disorders (PDF)

Substance Use Disorders (PDF)

In-Office Injectable Medications

Obtaining In-Office Injectable Medications (PDF)

How to Access In-Office Injectable Policies on BSC Provider Portal (PDF)

Prescription Drug Prior Authorization or Step Therapy Exception Request Form (PDF) for use beginning April 19, 2021

California Provider Information

Visit the California webpage for the California handbook supplement and other important resources, such as a California provider orientation and quick reference guide.

Out-of-Network Providers

Out-of-Network Authorization Request Form (PDF) -- for out-of-network providers requesting a single case agreement