California
Interested in Joining our California Provider Network?
Visit the Join the Network page for more information.
Questions? Contact us at CaliforniaProvider@MagellanHealth.com or the Provider Services Line at 1-800-788-4005.
Handbook Supplement
Handbook Supplement for California (PDF)
Appendices A, B, D and E link to the Magellan National Provider Handbook Appendices.
- Appendix A: Audit Tools
- Appendix B: Professional Provider Selection Criteria
- Appendix C: Medical Necessity Criteria
- Appendix D: Member and Provider Rights, Responsibilities
- Appendix E: Clinical Practice Guidelines
- Appendix F: California Member Grievance Form -- English (PDF)
- Appendix F: California Member Grievance Form -- Spanish (PDF)
- Appendix G: Independent Medical Review Policy (PDF)
- Appendix H: Claims Settlement Practices and Dispute Resolution (PDF)
- Appendix I: Language Assistance Services (PDF)
- Appendix K: Sample Patient Financial Responsibility Acknowledgement Form (PDF)
California Provider Quick Reference Guide (PDF)
Provider Specialty Information
California providers can update their specialty information via our online Provider Data Change Form. Sign in to this website, then click Display/Edit Practice Information.
Applied Behavior Analysis
Applied behavior analysis (ABA) coding changes, effective Jan. 1, 2019
For California-specific ABA resources, sign in to this website. From the Resources section, select State & Plan Information, then choose California.
Electroconvulsive Therapy and Transcranial Magnetic Stimulation
California ECT Authorization Request Form (PDF)
California TMS Prior Authorization Form (PDF)
California TMS Concurrent Review Authorization Form (PDF)
California Provider Orientation
Provider Orientation Training (PDF)
California Medicaid Enrollment
Medicaid/Medi-Cal providers: Enroll with California Medicaid today (PDF)
California DHCS Provider Enrollment Application Packages
Med-Cal Managed Care Provider Enrollment Frequently Asked Questions (FAQs) (PDF)
California Telehealth Billing
California telehealth billing (PDF)