Magellan maintains Full MBHO Accreditation through 2023 from the National Committee for Quality Assurance (NCQA).
NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral healthcare organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs, and other health-related programs.
NCQA reviews include rigorous on-site and off-site evaluations conducted by a team of physicians and managed care experts. A national oversight committee of physicians and behavioral health providers analyzes the team’s findings and assigns an accreditation level based on the MBHO’s performance compared to NCQA standards. NCQA MBHO Accreditation standards are purposely set high to encourage MBHOs to continuously enhance their quality. There are approximately 60 standards for quality included in the following categories: utilization management; credentialing and re-credentialing; members’ rights and responsibilities; and preventive behavioral health care services.
Magellan also has earned the Distinction for Multicultural Healthcare from NCQA through 2024. This award verifies that Magellan provides culturally and linguistically sensitive services and is works to reduce health care disparities.