Magellan Member/Provider Resources

Announcements

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BHRS Family Educational Video Series

Lehigh County Member Link

https://www.magellanofpa.com/for-members/county-info/lehigh-county/bhrs-family-educational-series/

In collaboration with Lehigh County HealthChoices, Northampton County HealthChoices and local providers, Magellan created this series of 11 educational videos for our members, caregivers, providers, and local stakeholders. The purpose of these videos is to provide a basic overview of BHRS through short, informative videos. We hope you enjoy these videos and that they are helpful for you.

 read more ...
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Section 1557 is the Nondiscrimination Provision of the Affordable Care Act (ACA)

The law prohibits discrimination on the based on: Race, Color, National Origin, Sex, Age, Disability.   We provide free help and services to people with disabilities. Qualified sign language interpreters.  Written information in many formats - these may include: Large print, audio, accessible electronic formats, other formats.

We also provide free language services to people whose first language is not English. We offer:   Qualified interpreters, information that is written in other languages.   Contact us at 610-782-3520 if you need any of these services.

 

Click on this link for more detail information

 

   

 
        

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 Newsletter

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

Magellan's Member Newsletters

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,MagellanHealth 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 Notice


We are pleased to announce the addition of our new Member and Family Advocate, John G. Lees, MSW, LSW, to the Magellan team.   John will be dedicating his time to HealthChoices members in the Lehigh and Northampton counties.  He is available at 610-814-8025 or JGLees@MagellanHealth.com

As a licensed social worker for 16 years, John possesses skills in a variety of settings, including outpatient mental health, residential treatment facilities, crisis intervention, juvenile detention, and children's services, provide him with a well-rounded approach to member's needs. 

He holds a Master of Social Work from the University of Pennsylvania, and has worked at Magellan in various capacities, including child and adolescent care manager, child and adolescent care management supervisor, and director of clinical and operations training.   John's previous positions included serving as executive director for KidsPeace in Bethlehem, Pa.; psychotherapist for Klingberg Family Center in New Britain, Conn.; and safe school specialist at Project Reach in Delaware County and a crisis clinician for Community Behavioral Health in Philadelphia. 

In his role, John will serve as a liaison between Magellan and members, their families and other support individuals.   This position will be a source of information and referral; serve as a guide for families seeking services and solutions on behalf of member; advocate for fair processes and aid in answering questions and concerns. 

In addition, John will act as a neutral representative and provide direct conflict resolution services, including coaching, facilitation and mediation between members, families, employees, providers, clinics and other inter-departmental areas.  He will also assist in facilitating appropriate access to care through identification and prevention, analyzing root causes of challenges and identifying strategies for resolutions. 

Please join us in welcoming John to his new role at Magellan.    www.MagellanProvider.com


Read the article here.

Magellan 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.

“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

 

        

Quarterly Connection

 

Magellan Health





A message from Jim Leonard, CEO, Magellan Behavioral Health of Pennsylvania

Recovery Support Navigators bridge the gap

What I find most impressive is how the Recovery Support Navigators (RSNs) are able to bridge the gap for Members that have a mental health and substance use disorder diagnosis. The RSNs are tasked with creating hope and supporting resiliency, and they work to achieve these goals by identifying community-based resources for Members while connecting them to appropriate levels of care.  Read More....

 

9th annual MY FEST is Sept. 21 in Lansdale

MY FEST will have live entertainment, food, family fun and community resources this Saturday at White's Road Park in Lansdale from 12-4 p.m.  Read more

 

ARCH of Lehigh Valley celebrates 10 years

ARCH of Lehigh Valley is an Elwyn program providing all-inclusive services to people and families impacted by Autism Spectrum Disorder (ASD).   Read more

5th annual Montgomery County Wellness Fair is Oct. 19

Come by the Plymouth Meeting Mall on Oct. 19 for a free event featuring health screenings, fitness demos, food sampling and community resources.  Read more

2nd annual S.T.A.R. Summit in Cambria County

This event on May 8 included presentations and an awards ceremony that highlighted positive stories involving recovery and resiliency. Read more

 

 

Community HealthChoices is coming to Lehigh and Northampton counties

On Jan. 1, 2020, Lehigh and Northampton counties are scheduled for Phase Three of the statewide implementation of CHC.  Read more

Resources related to social determinants of health are available

Social determinants of health are the economic and social conditions that impact health, and they encompass a wide range of factors.  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 updatesand information critical to your day-to-day operations. You will find other updates on our website under 'For Providers.'

 




 

Benefits of Behavioral HealthChoices
In Harrisburg, Senate Bill 268 (SB 268) and House Bill 335 (HB 335) call for the elimination of the Behavioral Health Carve-out, known as Behavioral HealthChoices. Magellan leadership has reviewed SB 268 and HB 335, and strongly opposes these bills.  read more.....

 

 

Dual-Diagnosis Addictions Treatment Program

 

KidsPeace and Orchard Behavioral Health hosted an open house for this innovative program on St. Luke's Sacred Heart Campus in Allentown. Read more

Peer Recovery Navigation i-Poster in Nashville, TN

 

Magellan employees representingour Care Management Center in Johnstown had a unique opportunity at NatCon19 to talk about peer recovery navigation.Read more

 

Lehigh Valley Summit on May 30

 

The 'Many Aspects of Prevention' Summit increases the focus on relapse prevention andhow to reducedeaths from overdose in the Lehigh Valley.Read more

E-SolutionsFor Care Coordination and Wellness

 

Magellan and its county partners continue to create e-solutions to improve care coordination and wellness forour members, to include provider suggestions. Read more

 

Jared Box Project for Magellan Cares Month

 

Magellan’s three Care Management Centers are serving as collection locations for a Jared Box Project to bring some joy to children inlocal hospitals.Read more

'Duffle Bag Project' in Cambria County

 

Cambria County’s Youth Advisory Board started a ‘Duffle Bag Project’ to help foster youth in coordination with CYS, and our MY LIFE group supports the effort.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.”

 

 

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.

  

 

 

New! Magellan Health Crisis Communications Resource Page

A message from Thomas Lane, NCPS, CRPS, senior director, community and recovery supports 

Sadly, nearly every day we are faced with traumatic events that impact everyone in our communities and across the U.S. Whether it be weather-related events, shootings or other emergencies, these traumatic events are frightening. Some of the events make national news and impact people in many areas, while other events are more local and may impact only a small group of people. When an event impacts many people in a region, Magellan Health opens a crisis line and encourages the public to call for counseling and other resources.
 

In response to traumatic events, Magellan has developed a central location for crisis communications resources. The resource page, magellanhealth.com/crisiscommunications, includes four Magellan tip sheets available to download, and links to resources on the Ready.gov website, such as guides and videos for nearly 30 different types of traumatic events. We realize that we may not be aware of all traumatic events that occur in the U.S., so we've made our resources available 24/7/365. 

'Life always waits for some crisis to occur before revealing itself
at its most brilliant.' – Paulo Coehlo

                                                                                   Read more......

 

 

 

 

 

 

 

 

 

 

 

 

 

 






A message from Jim Leonard, CEO, Magellan Behavioral Health of Pennsylvania