PA Magellan Behavioral Health Initial Referral for Family-Based Services 2022-2025 free printable template

Magellan Behavioral Health of Pennsylvania, Inc. Initial Referral for FamilyBased Services (FBS) Bucks CountyCambria CountyLehigh County Montgomery County Northampton Concurrent evaluation must be

How to fill out PA Magellan Behavioral Health Initial Referral

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

1. Begin by obtaining the PA Magellan Behavioral Health Initial Referral form.
2. Fill in patient and guardian details in the designated sections.
3. Provide a detailed description of the patient's behavioral health issues.
4. Include any previous treatment information and current medications.
5. Specify the services being requested and reason for the referral.
6. Confirm insurance information and eligibility.
7. Obtain necessary signatures from the guardian and referral source.
8. Submit the completed form to PA Magellan for processing.

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

1. Families seeking behavioral health services for children or adolescents.
2. Guardians or caregivers of a child requiring mental health support.
3. Healthcare providers needing to refer a patient for family-based therapy.

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?

PA Magellan Behavioral Health Initial Referral for Family-Based is a process that initiates access to behavioral health services for families seeking support for mental health or substance use issues.

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

Typically, healthcare providers, case managers, or family members acting on behalf of the individual in need of services are required to file the referral.

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

To fill out the referral, one must provide detailed information about the individual in need of services, including demographic details, the nature of the problem, and any relevant medical history.

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

The purpose of the referral is to ensure that individuals and families receive timely access to appropriate behavioral health services tailored to their specific needs.

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

Required information typically includes the client's personal details, presenting problems, previous treatment history, and any immediate needs for support or intervention.