This is the Magellan website for behavioral health providers
Magellan Health

DISCHARGE FORM

Directions: This form is used to communicate to Magellan when a member is being discharged from a service which has an open authorization. Please complete this form within a timely manner, preferably 3 business days, of discharge from services. Business or clinical staff may complete this form. Thorough discharge information increases Magellan’s ability to monitor continuity of care and collect member focused outcome data.

MEMBER INFORMATION
PROVIDER INFORMATION
SERVICE INFORMATION
Member’s Primary Care Physician
Member Outcome Questions