Magellan of Virginia (Magellan) has been selected by the Virginia Department of Medical Assistance Services (DMAS) to serve as the Behavioral Health Services Administrator (BHSA). Beginning Dec. 1, 2013, Magellan will administer behavioral health services for members enrolled in Virginia’s Medicaid and FAMIS programs. Magellan will be responsible for management of all behavioral health services for the members enrolled in these programs as well as the behavioral health services not covered through DMAS’ managed care programs.
Magellan is committed to a successful implementation. A significant part of that success is building a relationship with providers to ensure organizations and practitioners transition smoothly, avoid any disruption in care for members, and make providers aware of critical next steps to becoming part of the Magellan network.
Magellan administers behavioral health services for members enrolled in Virginia’s Medicaid and FAMIS programs. Magellan previously sent credentialing and contracting packets to all existing Department of Medical Assistance Services (DMAS) behavioral health provi . . .
For an Update on Administrative Processes with the Implementation of the BHSA - Magellan of Virginia effective Dec 1, 2013, please see the Department of Medical Assistance Services' Medicaid memo (select 2013, then the Oct. 31 memo).
See a list of providers' Freq . . .
Magellan network providers must be familiar with and follow the policies and procedures contained in the National Provider Handbook and the Virginia BHSA Provider Handbook Supplement.
Virginia BHSA Provider Handbook Supplement
Appendix A: Service Registration/Aut . . .
Magellan's provider website, www.MagellanHealth.com/provider, offers an extensive set of user-friendly, Web-based tools designed to give providers convenient access to online resources and support.
This secure site allows providers to more efficiently perform th . . .
Friday Provider Call and Q&A Sessions
Magellan of Virginia hosts a weekly call each Friday. While the weekly call is scheduled for 1 p.m. - 2:30 p.m., based on agenda items and discussion, it may end earlier than 2:30 p.m. The call is open to all providers to . . .
Before submitting any form to Magellan, please refer to this webpage for the most up-to-date version of the form. Thank you.
Use the forms below as needed to support member care and administrative functions.
Fax completed Registrations with ICD 10 autism code a . . .
Click the topics below for more details about checking member eligibility, obtaining authorizations, and submitting and checking the status of claims.
Instructions for filtering a claims spreadsheet
EDI Companion Guid . . .
The changes to the Residential Treatment Program and Independent Certification Team processes will go into effect July 1, 2017. Between now and July 1, Magellan and DMAS will continue to work with providers and localities to ensure a successful implementation. Pl . . .
Virginia Governor's Access Plan (GAP)
GAP Information for GAP Members and Potential GAP MembersGAP Basics
GAP Flyer - Eligibility Information
GAP handout for potential GAP members
GAP Screener Training
Completing the GAP SMI Screening -- posted March 2017
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Effective April 1, 2017, changes are planned for the DMAS Addiction and Recovery Treatment Services (ARTS) benefit. This new benefit expands access to a comprehensive continuum of addiction treatment services for all enrolled members in Medicaid, FAMIS and FAMIS . . .
Integrated care is the best practice model that addresses the whole health of an individual. While full integration is not always possible, behavioral health providers (BHPs) have the opportunity to improve coordination of care across disciplines by collaborating . . .
Recorded overview - 2015 Summary: Treatment Record Review (TRR) Clinical Practice Guidelines (CPG)Treatment Record Review and Clinical Practice Guidelines 2015 Summary (pdf)Treatment Record ReviewTreatment Record Review (TRR) - Magellan documentation standardsRes . . .
Magellan of Virginia launched its screening programs to target individuals who may have co-occurring mental health and substance use disorders, as well as a brief screening tool for depression.Magellan of Virginia chose the following screening tools:
The Globa . . .
Magellan's Provider Focus, our e-newsletter for providers, offers current news and information relating to Magellan and our local service centers. You also can review past issues of Provider Focus. Check back as a new issue of our newsletter is re . . .
Provider Q&A Sessions on Fridays
Magellan of Virginia hosts a weekly call each Friday from 1 p.m. - 2:30 p.m. The call is open to all providers to address their questions and issues. The weekly calls will continue until further notice.
NEW DIAL-IN NUMBER
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Magellan welcomes training topics from providers to help support clinical best practices and quality care. Please email your suggestions to: VAProviderQuestions@MagellanHealth.com.
Upcoming Provider Training - please join us!
Upcoming Training for Crisis Stabi . . .
Magellan's Provider Focus, our e-newsletter for providers, offers current news and information relating to Magellan and our local service centers. You also can review past issues of Provider Focus. Check back as a new issue of our newsletter is rel . . .
2015 Provider Communications and Engagement
FINAL REMINDER: DMAS Medicaid Disclosure Form--posted December 30
REMINDER: DMAS Medicaid Disclosure Form -- posted December 23
Magellan's continuum of care workgroup -- posted December 18
DMAS SUD Notice of Public Hea . . .
2016 Provider Training: Presentation Materials and Recorded Webinars
Recorded training - IACCT provider trainingIACCT provider training (pdf)Recorded training - Managed Care Organization (MCO) Guide to the IACCT ProcessManaged Care Organization (MCO) Guide to t . . .
2015 Provider Training: Presentations Materials and Recorded Webinars
December 15 training materials for Residential Interventions:
Overview: Building Bridges Initiative
Overview: Family-driven and Youth-Guided Care
Overview: Six Core Strategies
Real Reduction . . .
2014 Provider Training: Presentation Materials and Recorded Webinars
December 11, 2014 Effective Assessment and Service Planning: The Basics -- training presentation deck
December 16, 2014 Disclosing member records training -- trainng presentation deck
Quality . . .
2013 Provider Training: Presentation Materials and Recorded Webinars
Magellan's presentation to the VA SEC (PDF) - July
Introductory Provider Training recorded webinar & presentation (PDF) - July
Provider Training Forum presentation (PDF) - September
Magella . . .
2014 Provider Communications and Engagement
December 11, 2014 Effective assessment and individual service planning training -- posted November 25
December 16, 2014 training Disclosing member records - What are the HIPAA rules? -- posted December 5
December 18, 2 . . .