Provider Performance

Magellan’s Provider Performance Standards are intended to serve as a tool to promote progression toward best practice, continuous quality improvement, and improvement of member outcomes. The Standards will add to current licensing guidelines and regulations and are not intended to replace regulations. Providers are encouraged to refer to these documents and utilize the Standards in the development of internal quality improvement and monitoring activities. These Standards will periodically be reviewed and revised. Provider feedback is welcome and, if appropriate, incorporated into the documents as revisions are made.

Note: Service delivery exceptions or modifications during COVID-19 are not necessarily included.

Provider Performance Standards

• Assertive Community Treatment (Posted February 4, 2022)
• Crisis Residential (Posted June 11, 2021)
• Crisis Services (Posted June 11, 2021)
• Family Based Mental Health Services (Posted September 23, 2021)
• Federally Qualified Health Centers (Posted March 1, 2022)
• LGBTQIA+ Members (Posted February 10, 2022)
• Mental Health Case Management (Updated March 21, 2022)
• Mental Health Outpatient/Intensive Outpatient (Posted July 2, 2021)
• Methadone Treatment (Posted June 8, 2021)
• Peer Support Services (Posted June 8, 2021)
• Psychiatric Rehabilitation Services (Updated March 21, 2022)
• Recovery Support Services (Posted September 23, 2021)
• Residential Treatment Facility (RTF) & Intensive Residential Treatment Facility (IRTF) (Posted June 8, 2021)
• School Based Outpatient Mental Health Services (Posted February 10, 2022)
• Substance Use Disorder Case Management (Posted June 11, 2021)
• Substance Use Disorder Outpatient and Intensive Outpatient (Posted June 8, 2021)
• Telehealth (Posted May 2, 2022)

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