Provider Materials

We appreciate your commitment to serving our special needs population. To make it easy for you to focus on your patients, we’ve compiled our provider materials all in one place. If you have questions or suggestions, please contact us.

Provider Relations phone: 1-800-424-4495
Provider Relations email: MCCVAProvider@MagellanHealth.com

Member Information

2020 Model Formulary
Medicare Part C Drugs Requiring Prior AuthorizationMedicare Part D Drugs Requiring Prior Authorization/Step TherapyMedicare Medical Prior Authorization Grid

Provider Training

Provider Handbook
Model of Care Training Presentation
Model of Care Training Attestation Form

Bulletins and Announcements

Provider Notice: Services and Drugs Requiring Prior Authorization effective 10/01/2020
Provider Notice: J-codes – Drugs Requiring Prior Authorization effective 10/01/2020Provider Update on Coronavirus
MCC Webinar: Building Resilience During the Pandemic
Drug Recall List

Compliance

Magellan Health Code of Conduct
Magellan Policy: False Claims Laws and Whistleblower Protection
Magellan HIPAA Compliance Statement
Magellan Policy on Nondiscrimination
Magellan Policy: How to Report Fraud, Waste and Abuse