Credentialing Process
Magellan is committed to promoting quality care for its members. In support of this commitment, practitioners must meet a minimum set of credentialing criteria in order to be able to provide services to our members as in-network providers.
To be eligible for referrals, Magellan network providers must successfully complete the credentialing review process prior to being accepted as a network provider. We credential providers in accordance with our credentialing criteria and in accordance with specific criteria required by applicable regulatory agencies and/or client companies.
Magellan participates in CAQH® for online data collection to help providers reduce the amount of administration and paperwork involved in credentialing and recredentialing.
For more information about credentialing, consult the Magellan National Provider Handbook, section 2, and for information on facility/organization credentialing, consult the Organizational Provider Handbook Supplement.
