Magellan Member/Provider Resources

Magellan Behavioral Health

For information related to Magellan Behavioral Health, HealthChoices Services, member handbook, eligibility, etc., please call the Lehigh Magellan member line at 1-866-238-2311 or for (TTY) 1-866-238-2313. Information can also be accessed by clicking on the following link: http://www.magellanofpa.com/

For concerns or comments about the Lehigh County HealthChoices Program and/or Magellan Behavioral Health, you can:

o Contact the Consumer and Family Satisfaction Team through Recovery Partnership at 610-861-2741 or,

o Contact HealthChoices staff member Liz Fox (lizabethfox@lehighcounty.org) at 610-782-3520 or,

o Contact HealthChoices staff member Erika Shoemaker (erikashoemaker@lehighcounty.org) at 610-782-3842.

 

        

Magellan's Member Services

        

Magellan's Member Newsletter

To view the current & archived Magellan's Member Newsletters - please click on link below

http://magellanofpa.com/benefits-services-pa/member-newsletter.aspx

While you are in there be sure to sign up to receive the newsletters electronically

 

        

Magellan Member/Provider Resources

Magellan of PA website: www.MagellanofPA.com

Lehigh County Magellan Member Handbook Lehigh County Magellan Member Handbook (español)

New videos help members, families access services:

Magellan has produced two videos for members and their families to help them become informed and active participants in their own healthcare plans and decisions. Hosted by peers who share their lived experiences with behavioral health services, each video answers common questions, addresses the apprehension some individuals may feel when seeking or receiving these services, and helps them understand what to expect.

The videos provide key information, as well as tips and resources, in an easy-to-understand format. Below are the topics and links to the videos:

·         Getting help for mental health challenges

·         Taking psychiatric medication: It’s your choice

        

Suicide Prevention Month

Resources available for Suicide Prevention Month, Recovery Month in September

Magellan Health is supporting Suicide Prevention Month, which is observed nationally each September and aims to draw attention to the devastating effects of suicide and how to prevent it.

Barry M. Smith, chairman and chief executive officer of Magellan Health, Inc., and Sam K. Srivastava, chief executive officer of Magellan Healthcare, have issued a statement about the observance. September is also National Recovery Month, created to increase awareness and understanding of mental and substance use issues and celebrate the people who recover.

 As another way to show our support for both of these observances, Magellan has developed information sheets with details about how to prevent and cope with suicide, as well as details about mental health and alcohol and drug dependency. We encourage you to share these guides with individuals, their families and anyone else who may benefit.

Suicide Prevention Month:

       Suicide prevention

How to cope and heal after a suicide        

When a friend or family member commits suicide

Recovery Month:

Mental health: A key part of wellness

Alcohol and drug dependency

        

eMpowered for Wellness!

eMpowered for Wellness!
Peer Support Whole Heart and Wellness e-news

Videos tell compelling stories of peers making a difference
A message from Tom Lane, CRPS, senior director, consumer and recovery services

In this special edition of eMpowered for Wellness, we feature Magellan Healthcare's new videos highlighting the role of peer and parent/family peer support in the behavioral health recovery process. Six Magellan staff members who represent a range of peer and family support services in the organization highlight their unique experience and success with helping others. I am honored to have participated in this exciting project.

At Magellan, we employ highly skilled individuals with lived experience both directly and indirectly, through our provider networks across the country, and actively include peers and family peers as part of the recovery process. Their work is unique and powerful.

We are proud of our peer workforce. We encourage you to view the videos and share them with others.

"As the first company to recognize the critical role of peer support in the recovery process 17 years ago, Magellan considers peer/family peer support to be an invaluable service to our members."
                   
- Tom Lane, CRPS, senior director, consumer and recovery services

See the videos

Participants discuss how they offer support, strength and hope to their peers, which allows for personal growth, wellness promotion and recovery. View the following videos on our E-Learning Center.

  • Pilo Bueno, director, recovery and resiliency, Magellan/Presbyterian Healthcare Services, New Mexico
  • Cheryl DeHaven, manager, recovery and resiliency, Magellan of Virginia
  • Elyse Hunt, peer recovery navigator, Magellan of Virginia
  • Pat Hunt (family peer support), director, child and family resiliency services, Magellan Healthcare
  • Tom Lane, senior director, consumer and recovery services, Magellan Healthcare
  • Alex Ramos, peer support specialist, Magellan Complete Care of Florida

    Read more about peer services on our national Recovery and Resiliency E-Learning Center, www.MagellanHealth.com/Training.

    If you would like to be added to Magellan’s eMpowered for Wellness e-mail distribution list, please send a message to Elearning@MagellanHealth.com

        

Magellan Updates

Provider%20Notice.PNGMagellan releases model for serving high-risk children and adolescents
On Nov. 21, during the National Federation of Families for Children’s Mental Health Annual Conference, Magellan Healthcare will present its new, research-based model for the prevention and treatment of children  and adolescents.
Pat Hunt, director of child and family resiliency services and part of the team that created the model, will present the approach that keeps youth and their families central to the decision-making process and addresses individuals’ needs, strengths, preferences and culture.

Magellan's model:

  • Is developmentally appropriate, culturally competent and includes trauma-informed best practices.

Mental Health America introduces video featuring Magellan’s Integrated Health Home Initiative

Mental Health America (MHA) and ITN Productions recently selected Magellan as the only managed care company to feature in a new, online program examining the current state of mental health in America, aiming to improve mental health services and provide a better understanding of mental health conditions to help identify them far sooner.

 

#B4Stage4 is an in-depth, online program specifically aimed at those working to improve mental health across the nation. The news-style piece combines key industry interviews and news-style reports with sponsored editorial profiles of some of the leading organizations in the sector, including Magellan.

 

Magellan highlights its Integrated Health Home (IHH) Initiative in Iowa in its segment of the program, demonstrating the positive impact of the initiative from the perspective of a member and the IHH provider who has helped the member throughout the recovery process.

 

“Campaigns such as ITN and MHA’s #B4Stage4 are essential to eliminating stigma and promoting hope,” said Jim Stringham, senior vice president, Magellan Healthcare, who is featured in the video along with Magellan Complete Care’s chief medical officer Chuck Cutler. “Magellan is appreciative of the opportunity to be a part of this program, through sharing one of our initiatives that addresses whole person health and wellness—our integrated health home. We hope that this story will inspire others to continue their recovery journey.”

 

See the #B4Stage4 program at http://www.mentalhealthamerica.net/b4stage4-program. To access Magellan’s segment, hover over the video and click the word “Playlist” at the right of the video screen. Magellan’s is the last video in the playlist. Read more about the #B4Stage4 program in the press release from MHA and ITN.

 

 Magellan sponsors new documents from national Building Bridges Initiative targeted to family-serving systems

The Building Bridges Initiative (BBI) recently published two new Magellan-sponsored documents for child welfare, juvenile justice and mental health leaders interested in fostering permanency and positive long-term outcomes for youth:

· A Building Bridges Initiative Guide- Finding and Engaging Families of Youth Receiving Residential Interventions: Key Issues, Tips, and Strategies for Residential Leaders

· Finding and Engaging Families for Youth Receiving Residential Interventions: Interviews and Examples

 

Magellan’s sponsorship of these documents is part of a long-standing national partnership with the BBI in supporting their efforts to identify and promote practice and policy that creates strong and closely coordinated partnerships and collaborations between families, youth, community, and residentially based treatment and service providers, advocates and policy makers, to ensure that comprehensive mental health services and supports are available to improve the lives of young people and their families.

  

Magellan in Louisiana’s Margaret Mitchell receives award for work in advancing peer support

Margaret Mitchell, director of consumer recovery for Magellan Health in Louisiana, has received the Chris French Award, the highest honor from the Louisiana Association of Substance Abuse Counselors & Trainers (LASACT). During its annual conference last week, LASACT awarded Margaret for her efforts in advancing peer support as a professional designation and her collaboration with the association to develop a structured and recognized credential.

 

Throughout the event, Margaret, along with Children’s System Administrator Foley Nash and Lead Peer Specialist Carla Neely, shared information about the programs we manage in Louisiana and the successes of our work toward including peer support as a recognized professional complement to clinical services in the state.

 

 

 

Magellan videos highlight compelling stories of peers making a difference in others’ recovery Magellan Healthcare has produced a series of videos highlighting the role of peer and parent/family peer support in the behavioral health recovery process. The new videos feature six Magellan staff members who represent a range of peer support services in the organization. The participants share their inspiring stories, explain their roles and describe the positive impact of peer and family peer support on individuals in recovery.

The first company to recognize the critical role of peer support in the recovery process, Magellan considers peer/family peer support to be an invaluable service to our members. We employ individuals with lived experience both directly and indirectly, through our provider networks across the country, and actively include these individuals as part of the treatment process. Hundreds of peers currently participate in Magellan’s programs, and we continue to explore new ways to effectively expand peer support choices for our members nationwide.

What is peer support?

The use of peer supporters, individuals with mental health, substance use or co-occurring challenges who are living well in their recovery and are trained to help others with similar challenges, is recognized as an evidence-based practice and a key component of recovery-focused programs. These individuals are able to relate with their peers through shared experiences in a uniquely personal way.

The videos highlight each staff member’s unique experience, expertise and success with helping others. Participants discuss how they offer support, strength and hope to their peers, which allows for personal growth, wellness promotion and recovery.

Watch the videos

All of the following videos are available on Magellan’s E-Learning Center:

“We have very highly skilled, experienced, knowledgeable people doing peer support. Their work is unique and powerful. Magellan is an industry leader in bringing the value of peers to programs through initiatives designed to improve member engagement, increase access to care and realize improved personal health outcomes.”   Tom Lane, senior director, consumer and recovery services, and video participant

Pilo Bueno, director, recovery and resiliency, Magellan/Presbyterian Healthcare Services, New Mexico

Cheryl DeHaven, manager, recovery and resiliency, Magellan of Virginia

Elyse Hunt, peer recovery navigator, Magellan of Virginia

Pat Hunt (family peer support), director, child and family resiliency services, Magellan Healthcare

Tom Lane, senior director, consumer and recovery services, Magellan Healthcare

Alex Ramos, peer support specialist, Magellan Complete Care of Florida

Learn more

Read more about peer services on our national Recovery and Resiliency E-Learning Center, www.MagellanHealth.com/learning-opportunities.

        

Quarterly Connection

Magellan Health

Magellan celebrates two decades of PA HealthChoices

A message from VP/General Managers Diane Marciano and James Leonard 

Magellan Behavioral Health of Pennsylvania is proud to have been selected as a contracted Behavioral Health Managed Care Organization (BHMCO) from the inception of this first-in-class public policy program. Read more


"At Magellan, we pride ourselves on creating innovative solutions to behavioral health challenges in collaboration with


the administrative teams for each county."

         

 

NCQA Full Accreditation
"We are honored to receive this recognition from NCQA, which sets rigorous and important accreditation standards." Read more

Introducing Magellan Health Insights
Check out this new blog, including a recentpost about value-based purchasing.Read more

 

A clinical success story with "Jane"
Learn how medication-assisted treatment (MAT) helped this member transform her life. Read more

Nancy Lewis, a loyal volunteer
For 12 years, Nancy Lewis has enjoyed the opportunity to give back locally to the Bucks County Medical Reserve Corps. Read more

 

Timothy Connors, a strong ally and leader in peer support services
A supervisor that is focused on offering support for those in all stages of mental health recovery. Read more

John Lees, a member and family advocate for the Lehigh Valley
He is that "bridge" to help a family or individual through a behavioral health situation. Read more

 

Community footprints - mark your calendars
We actively participate in the communities where we live and work! Read more

Important updates for providers
Provider Focus is updated frequently to include important local updates and information critical to your day-to-day operations. You will find other updates on our website under “For Providers.”

                                                                                     

Some post-election thoughts: What happens now?

A message from VP/General Managers Diane Marciano and James Leonard  

Recently, we saw our democracy in action with the 2016 presidential election. We respect this process and look forward to an orderly transition of our country’s leadership. Change in any aspect of life brings understandable anxiety, and the results of presidential elections sometimes bring significant changes. Read more


"We don’t know what the future will bring,
but we do know what won’t change." 




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Peer videos earn top awards
Magellan received Platinum and Gold MarCom awards for its peer video series. Read more

FAST aims to reduce recidivism​
Forensic Awareness Skills Training (FAST) develops skills for work with justice-involved members. Read more

 

Training offers skills in COD treatment
Montgomery County providers received training to help young adults with co-occurring disorders. Read more

New Elwyn RTF program serves adults​
Elwyn has launched a residential treatment program for the forensic population. Read more

 

New federal rule aids nondiscrimination
A new rule requires notices of nondiscrimination in member publications. Read more

Regional FQHC providers focus on complete care
FQHC providers are working with Magellan and our county partners to integrate health services for members. Read more

 

Community footprints - mark your calendars
We actively participate in the communities where we live and work! Read more

Important updates for providers
Provider Focus is updated frequently to include important local updates and information critical to your day-to-day operations. You will find other updates on our website under “For Providers.”

 


Value-based purchasing:
Bridging the gap between cost and quality

A message from VP/General Managers Diane Marciano and James Leonard

In response to healthcare shifting toward a pay-for-performance instead of fee-for-service structure, Magellan has developed models that align incentives and reimbursement with value-based care. Through this approach, we are collaborating with our customers and providers to bridge the gap between cost and quality in our provider network. Read more


"The overarching goal of our value-based purchasing models is to
develop high-performance, high-value networks..."

 

 

MY LIFE tackles bullying prevention and holds sixth annual MY Fest event

 

MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment) earns a spot in the news and engages in the community. Read more

Magellan highlights leadership and collaboration at RCPAconference

 

Our team presented at two workshops and exhibited at the RCPA conference in Hershey.Read more

 

Health and wellness fair offers education/screenings

 

Montgomery County residents of all ages had access to flu shots, health screenings and educational resources.Read more

Advisorywork group gives members a voice

 

Magellan members in Bucks, Delaware and Montgomery counties lent their voices to help improve quality and services. Read more

 

Town halls connect with providers

 

In July, Magellan saw 200 providers turn out for town halls.Read more

Compliance forum addresses fraud, waste and abuse

 

More than 70 people attend training on fraud control, audit trends and more. Read more

 

Community footprints - mark your calendars

 

We actively participate in the communities where we live and work! Read more

Important updates for providers

 

Provider Focus hasimportant local updates critical to your day-to-day operations. Find more information on www.MagellanofPA.com under “For Providers.”

 

 





Magellan's statewide conference earns favorable reviews

A message from VP, General Managers Diane Marciano and James Leonard 

Magellan Behavioral Health of Pennsylvania held a statewide conference to address the escalating drug and alcohol epidemic in Pennsylvania. Advancing Addictions Treatment in the Era of Healthcare Reform, took place June 9-10, 2016, in Camp Hill, Pa. 
Read more


"Magellan's Statewide D&A Conference on June 9 and 10 was one of the best conferences I've ever attended." County behavioral health administrator

 

MY Fest '16 youth festival planned in PA

 

MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment) youth in PA will host sixth MY Fest event.

 

Compliance forum set for September

 

On September 16, Magellan’s Compliance Department will host a forum on Medicaid fraud, waste and abuse.

 

 

Advisory councils give members a voice

 

How do we improve quality of services? Find out what our members said.

 

Magellan's toy drive benefits children in need

 

“Magellan Cares for Kids” toy drive brings smiles to hospitalized children.

 

 

Magellan implements new ABA requirements

 

Magellan is working to implement the new requirements for providing Autism and Applied Behavior Analysis (ABA) services.

 

Magellan and Elwyn featured in national magazine

 

Magellan’s innovative trends in technology and Elwyn’s mobile services help meet members’ needs.

 

 

Community footprints - mark your calendars

 

We actively participate in the communities where we live and work!

 

Important updates for providers - check our website

 

Provider Focus is updated frequently with important local information critical to your day-to-day operations. For more news, visit www.MagellanofPA.com, "For Providers.”

 

Magellan forums address opioid epidemic in Pennsylvania

A message from General Manager Diane Marciano and James Leonard

News of the escalation of opioid abuse in Pennsylvania continues to appear frequently in the media.
At Magellan Behavioral Health of Pennsylvania, we are dedicated to managing quality care

for our members living with substance use disorders. 

Supporting our providers who specialize in these disorders is also important to us. Read more
Save the date! June 9-10, 2016:

Please join us for our first statewide conference to address drug and alcohol use.

 

My%20life.PNGFifth MY Fest celebrates youth in PA  - MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment) youth in PA hosted their fifth annual MY Fest event for the community. Read more

peer.PNGPeers make a difference in recovery process  - New videos tell compelling stories of peer and parent/family peer support in the recovery process. Read more

New%20approach.PNGNew approach to coordinated care - It's time to get personal about coordinated care! Wrap your arms around our new eMbraceCare, which offers a clearer focus on individuals. Read more

treating%20autism.PNGTreating autism in early childhood  - We offer a wide range of services for children and youth with autism. Learn about our new early intervention program. Read more

giving%20back.PNGGiving back during the holidays - Supporting families in our communities at holiday time is important to us! Read more

key.PNGVoice to Vision seeks member feedback  - What is the key to improved quality of services? We are asking members to unlock the answers. Read more

community.PNGCommunity footprints - mark your calendars! - We actively participate in the communities where we live and work! Read more

important.PNGImportant updates for providers - Provider Focus is updated frequently to include important local updates and information critical to your day-to-day operations. Read more under “For Providers.”

Magellan highlights integrated care in MHA video segment

A message from General Managers Diane Marciano and James Leonard

Mental Health America (MHA) and ITN Productions recently selected Magellan as the only managed care company to feature in a new, online program examining the current state of mental health in America, aiming to improve mental health services and provide a better understanding of mental health conditions to help identify them far sooner.

The segment focuses on Magellan’s Integrated Health Home initiative.   Read more

"#B4Stage4 is an in-depth, online program specifically aimed at those working to improve mental health across the nation."


MY LIFE youth active in PA

MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment) youth in PA participated in summer activities, including Youth Leaders Day and a summer luau, and are planning their annual MY Fest community event.    Read more

icon1Lehigh County pilot program outcomes

We recently published outcomes reports for two Lehigh County pilot programs: Project HOPE ICM and NHCLV/Haven House integrated care. We are seeing promising results.  Read more

icon1Patty Marth elected LV ACFE governor

Patty Marth, compliance and claims auditor, was elected to a governor’s position with the Lehigh Valley Chapter of the Association of Certified Fraud Examiners (LV ACFE).   Read more

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Videos improve members' access to care

Magellan has produced two videos for members and their families to help them become informed and active participants in their own healthcare plans. Read more

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Magellan sponsors BBI docs

The Building Bridges Initiative (BBI) has published new Magellan-sponsored documents for family-serving systems.   Read more

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Town hall meetings launched

In June, Magellan held inaugural town hall meetings in two locations for network providers. Nearly 200 people attended the sessions.   Read more

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Community footprints - mark your calendars!

Don’t miss these important events in your communities!   Read more

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Important updates for providers

Provider Focus is updated frequently to include important local updates and information critical to your day-to-day operations. You will find other updates on our website under “ For Providers.”

Quarterly Connection is a summary of the latest news for our customers, providers, state and county officials, legislators, and community stakeholders interested in behavioral health services.  Magellan Behavioral Health of Pennsylvania is committed to ensuring the delivery of high-quality, accessible healthcare to help individuals and families achieve their goals of wellness, recovery and resiliency.

        

eMpowered for Wellness!

Peer Support Whole Health and Wellness e-news

Focusing on youth health and wellness

A message from Thomas Lane, CRPS, Senior Director, Consumer and Recovery Services

This issue of eMpowered for Wellness focuses on issues and resources regarding youth health and wellness. Building on the foundation of our previous Peer Support Whole Health & Wellness e-newsletters, we continue to provide news, information and resources to help improve overall health through peer support and whole health planning and promote well-being.

Our distribution list continues to grow. Our newsletter reaches nearly 5,000 subscribers in the U.S. and abroad. Please feel free to share Magellan’s Peer Support Whole Health & Wellness e-news with others, so we are all eMpowered for Wellness! Thank you all for your continued interest and support.

"Youth should be recognized as experts in their own lives and recovery, and they should be meaningfully engaged and involved in their treatment..."
- Greg Dicharry, Youth Empowerment Director, Magellan Healthcare

MY LIFE and youth involvement matters

Youth Empowerment Director Greg Dicharry discusses MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment), Magellan's innovative program focused on youth involvement, empowerment and leadership around the country. Read more

 icon1 Thought leader interview: Lacy Kendrick Burk


An internationally known authority on youth engagement, Lacy applies her expertise and lived experience to systems transformation that includes child welfare, mental health, adoption and trauma-informed care.
Read more

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Apps designed with youth in mind

 Today's young people have grown up with technology. It's second nature to them. The use of technology to support health, wellness and social connectedness continues to grow. Read more

  icon1Web spotlight: Young People in Recovery 

Young People in Recovery is a national grassroots advocacy organization focused on creating recovery-ready communities for young people in, or seeking, recovery. This is a must-see website! Read more

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Health education library: NEW additions!

Three new documents are available in English and Spanish at no cost.  

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Take a moment to tell us what you think!

Please take a moment to complete a brief, one-question online survey to help us make our e-newsletter better. Click here. As always, we welcome your feedback, comments and suggestions. Please contact us at Elearning@MagellanHealth.com. Thank you!