Magellan Connection: Partnering with PCPs for Behavioral Healthcare
Magellan Healthcare® is contracted to perform behavioral health managed care functions for some Blue Cross and Blue Shield of Texas plan members. Magellan offers access to a variety of resources and services that can assist you in enhancing medical and behavioral outcomes for your patients.
The Magellan PCP Toolkit is designed to give medical practitioners the information and screening tools needed to assist in making behavioral health referrals. The Toolkit offers numerous platforms and tools for standardizing and streamlining effective collaborative relationship such as:
- Clinical Practice Guidelines
- HEDIS Quality Measure Information Specific to Behavioral Health
- Diagnostic Screening Tools
- Community Resources
Collaboration of the PCP and the behavioral health professional
- can improve the safety and efficacy of services to support better
- outcomes for members.
The Magellan Health member website offers useful behavioral health self-management and educational tools. The member website also provides access to the Magellan Provider Search (provider directory).
Magellan's Customer Care Contact Numbers:
For Blue Advantage HMOSM members call 1-800-729-2422 or call the number on the back of the member's ID card to arrange a referral to a behavioral health provider, request a consultation with a Magellan medical director or speak with a care manager.
- Contact Magellan Healthcare for assistance with screening your patients for co-occurring depression and substance abuse.
- Magellan also offers case management support for members with complex behavioral health needs to assess, plan, implement, coordinate and evaluate options and services to meet a member's clinical and medical needs. Activities vary based on the specifics of the member's needs.
- Case managers help create a personalized plan of care for every member.
We strongly recommend referral to Magellan's case management program for patients whom you suspect may be suffering from severe and persistent mental illness.
The information in this article is being provided for educational purposes only and is not the provision of medical care or advice. Physicians and other health care providers are to their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.