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Magellan Behavioral Health Case Management Referral Form Email to: medicalicmreferrals magellanhealth.com ICM contacts: DATE OF INITIAL Pam Glover 678 319 3730 Roger Matthews 678 319 3782 Richard
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How to fill out Magellan Behavioral Health Case:

01
Start by gathering all necessary information and documents related to the individual's behavioral health case. This may include medical records, previous treatment history, insurance information, and any relevant documentation.
02
Begin by carefully reading and understanding the instructions provided in the Magellan behavioral health case form. Familiarize yourself with the required sections and fields that need to be completed.
03
Ensure that you have the individual's personal information, such as their full name, date of birth, contact information, and insurance details, readily available. These details are essential for accurate identification and processing of the case.
04
Fill out the demographic information section, which usually includes data such as the individual's address, gender, marital status, and employment status.
05
Moving forward, provide a detailed account of the individual's behavioral health history. Include information about previous diagnoses, medications, treatments, and any hospitalizations they may have had. Be comprehensive and accurate when documenting this information.
06
If the individual already has a primary care physician or mental health professional, include their contact information and any relevant details about the ongoing treatment or therapy sessions.
07
Describe the reason for the current case submission, including any symptoms or concerns that led to seeking behavioral health assistance. It is important to be thorough yet concise in explaining the main issues.
08
If applicable, provide a summary of any medications currently being taken, including dosage and frequency. Include information about any allergies or adverse reactions to medications as well.
09
Include any additional information or supporting documentation that may be relevant to the case. This could consist of previous medical reports, test results, or referrals from other healthcare providers.
10
Double-check all the entered information for accuracy and completeness. Ensure that all required fields have been filled out correctly before submitting the Magellan behavioral health case.

Who needs Magellan Behavioral Health Case:

01
Individuals seeking behavioral health assistance or treatment for mental health conditions.
02
Patients referred to Magellan or their network of behavioral health providers by primary care physicians, insurance companies, or other healthcare professionals.
03
Individuals who require specialized behavioral health services, such as counseling, therapy, substance abuse treatment, or psychiatric evaluations.
It is important to consult with the specific guidelines and requirements of the healthcare organization or insurance provider when seeking and filling out a Magellan Behavioral Health Case.
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Magellan Behavioral Health case refers to a case involving mental health and behavioral health services provided by Magellan Health, a managed care company.
Healthcare providers and facilities that provide mental health and behavioral health services to patients covered by Magellan Health are required to file Magellan Behavioral Health cases.
Magellan Behavioral Health cases can be filled out electronically through the Magellan Health provider portal or by submitting paper forms with the required information.
The purpose of Magellan Behavioral Health case is to ensure proper documentation and reimbursement for mental health and behavioral health services provided to patients covered by Magellan Health.
Information such as patient demographics, treatment provided, diagnoses, service dates, and provider information must be reported on Magellan Behavioral Health case.
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