PA Magellan Behavioral Health Initial Referral for Family-Based Services 2014 free printable template

Magellan Behavioral Health of Pennsylvania, Inc. Initial Referral for FamilyBased Services (FBS) Bucks County Delaware County Lehigh County Montgomery County Northampton County Current evaluation

How to fill out PA Magellan Behavioral Health Initial Referral

How to fill out PA Magellan Behavioral Health Initial Referral for Family-Based

1. Obtain the PA Magellan Behavioral Health Initial Referral form.
2. Fill in the patient information at the top of the form, including name, date of birth, and contact details.
3. Provide details of the referring provider, including name, address, and contact number.
4. Specify the reason for referral and any relevant behavioral health concerns.
5. Complete the section on the patient's current symptoms and history of mental health issues.
6. Include any previous treatments or interventions the patient has received.
7. Document family involvement and support systems available to the patient.
8. Review the form for completeness and accuracy before submitting.
9. Submit the completed form as per the specified instructions.

Who needs PA Magellan Behavioral Health Initial Referral for Family-Based?

1. Families seeking behavioral health services for children or adolescents.
2. Providers who need to refer a patient for family-based behavioral health interventions.
3. Individuals experiencing mental health challenges that require family involvement.

People Also Ask about

What is the Magellan companion guide?

The Magellan Companion Guides provide detailed instructions on exchanging HIPAA compliant ASC X12N transactions with Magellan. The documents are designed for the technical departments or areas responsible for submitting electronic transactions to Magellan.

What is the phone number for Magellan of Virginia?

For quality of care concerns, general questions or comments please call: Toll-free: 1-800-424-4046.

What is the difference between paper and electronic claims?

To send out paper claims, billers will have to enter claim details in the forms provided by insurance companies and send the completed details across. In contrast electronic claims are created and sent to clearinghouses/insurers via their EHRs.

What is Magellan electronic payer ID?

When using the services of a contracted clearinghouse, it is critical that the proper Payer ID is used so the electronic data interchange (EDI) claims are sent to Magellan. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260. 837I Institutional: 01260.

What is Magellan Health legal name?

Magellan Health Inc. (formerly Magellan Health Services Inc.), is an American for-profit managed health care company and subsidiary of Centene that's focused on special populations, complete pharmacy benefits and other specialty areas of healthcare.

What is the payer ID for devoted health?

Magellan's Payor ID number is 01260. Devoted Health will continue to manage the AHCA Medicaid covered services (targeted case management and community behavioral health services) for their members in Medicare dual-eligible special needs plans (D-SNP).

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What is PA Magellan Behavioral Health Initial Referral for Family-Based?

The PA Magellan Behavioral Health Initial Referral for Family-Based is a formal document used to initiate the process of accessing behavioral health services for families in need of support and intervention.

Who is required to file PA Magellan Behavioral Health Initial Referral for Family-Based?

Individuals such as healthcare providers, social workers, or any authorized personnel involved in a family's care are required to file the PA Magellan Behavioral Health Initial Referral for Family-Based.

How to fill out PA Magellan Behavioral Health Initial Referral for Family-Based?

To fill out the PA Magellan Behavioral Health Initial Referral for Family-Based, you should gather all relevant patient information, document the reasons for referral, and provide any necessary details about the family's situation and previous interventions.

What is the purpose of PA Magellan Behavioral Health Initial Referral for Family-Based?

The purpose of the PA Magellan Behavioral Health Initial Referral for Family-Based is to facilitate access to necessary behavioral health services, ensuring families receive appropriate support tailored to their specific needs.

What information must be reported on PA Magellan Behavioral Health Initial Referral for Family-Based?

The information that must be reported includes the patient's demographic details, history of behavioral health issues, current concerns, and any previous services accessed or treatments received.