Magellan has had sites accredited by URAC since 1992. Blue Shield of California This website may provide you with the opportunity to voluntarily submit forms to request additional information about Magellan. Provider Search | Magellan Healthcare Employee Assistance Program Members This link will take you to the "Find my Company" page of the EAP member website. Click continue to proceed with verification. The UnitedHealthcare Group Medicare Advantage (PPO) plans include Medicare Part D prescription drug coverage. This website and its contents are protected by copyright, all rights reserved. If you are under the age of 13, you must talk to your parents or guardians and obtain their consent before registering or filling out any information on this website and sending it to us. Phone: (800) 541-6652. Those other websites contain information created, published, maintained, or otherwise posted by persons or entities independent of Magellan. Search for a participating provider by name, location, specialty, or medical procedure. Behavioral Health | Blue Cross and Blue Shield of Texas BCBSTX has been around for over 90 years and is the largest provider of health benefits in the state of Texas. The content of this website and all AlphaCare's websites is directed at adults. This provider/listing includes all providers contracted / participating with any Magellan Network. Are you a child, adolescent or adult having difficulty functioning at work, school, or in relationships? OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan. I am a bilingual licensed marriage family therapist, fluent in English & Spanish. 34 Magellan sites have been granted "Full Re-Accreditation" by the American Accreditation Health Care Commission under the Health Utilization Management Standards. BarbGris@aol.com. California You should direct any questions concerning personal health care to licensed physicians or other appropriate health care professionals. Never disregard your physician's or other healthcare provider's advice or delay seeking their advice as a result of anything you have read on this website. now=new Date();year=now.getFullYear(); 1999-document.write(year); Magellan Health, Inc. Learn more Vision care Locate a Davis Vision provider. You can learn to master your vision through the power of your mind. Enrollment in Blue Shield of California depends on contract renewal. We do share the reports of aggregate usage of our sites with our customers. iLinkBlue is Blue Cross and Blue Shield of Louisiana's secure online provider resource for eligibility and coverage . As part of researching or fulfilling your request, your information may be shared with other Magellan employees or third parties including without limitation Magellans customers and subcontractors. These email communications are necessary to protect the privacy and security of your account. Medical Necessity Criteria. Our system provides instant access to much of the prior authorization information that our call center staff provides. Select Mental Health If you're prompted, select "Search Blue Shield of California's extensive provider network" (NOT MHSA Network). Magellan leads the industry in NCQA accreditation and is uniquely positioned to work with MCO customers to take full advantage of new NCQA standards and guidelines. For: PCPs & RNs. *Blue Shield of California member plans only, Pre-service review for out-of-area members. As a participant in the Blue Shield of California or Blue Shield Promise Health Plan network, you must verify your directory information at least every 90 calendar days to meet both state and federal requirements. Find a provider - Blue Shield of California All health plans have geographical restrictions except for PERS Platinum. Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program. The benefits mentioned are part of special supplemental benefits available in select plans. Find a Doctor | Blue Cross Blue Shield You may not, without obtaining Magellan 's written permission, republish, redistribute or otherwise make any copies of the content on this site as part of the link, including by framing or similar means, or otherwise. The information on this website is not to be construed as medical advice or recommendations or as a substitute for professional medical advice. Magellan uses physical, electronic and procedural safeguards to protect any personally identifiable data stored on its computers. Copyright 2022Health Care Service Corporation. For the best experience, use the latest version of Google Chrome or Microsoft Edge. Magellan does not knowingly allow children under the age of 13 to register on our site. 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Local News Blue Shield improperly denied mental health, drug treatment claims, suit alleges Blue Shield of California and its claims administrator wrongly restricted patients' access to. Please enter a valid ZIP code for your region. If you have questions, call the Provider Customer Service team at (800) 541-6652 from 6:00 a.m. to 6:30 p.m. PT, Monday through Friday. . Magellan may revise and update this Disclaimer from time to time without notice. Website Design & Marketing by AbundantPractices, [contact-form-7 id=231 title=Newsletter Sign-Up Form]. Go directly to an emergency room. Refer to the, How Medicare affects your current coverage, Medicare Advantage Prescription Drug Plans. Information from emails may be transcribed into other Magellan systems such as a calls database. Magellan was the first MBHO to be accredited under URAC's Case Management standards. Your child must see a Magellan provider for these services. NCQA is a national organization that accredits both Managed Behavioral Health Organizations (MBHOs) and Managed Care Organizations (MCOs). This site may be unavailable briefly for maintenance every Thursday from 5:30 - 6:30 a.m. Central time. Each of the parties acknowledges that this section is a material inducement for the other party entering into these Terms of Use, Disclaimer and/or Privacy Policy. Call me for a free telephone consultation, or select "Appointment Request" on my website. Access Blue Shield of Californias Transparency in Coverage Machine Readable Files on their website. In the event of any breach of the terms of this provision by you and/or any individual designated by you, you acknowledge and agree that Magellan would suffer irreparable harm and shall therefore be entitled to seek relief, including, but not limited to, injunctive relief. If a visitor enters a year of birth 12 years or less, we do not allow them to complete their registration. The accreditation recognizes Magellan Health Services for meeting rigorous standards for professional performance in the delivery of high quality EAP services. Some information on this website may be out of date at any given time. California Physicians Service DBA Blue Shield of California 1999-2023. Here are some tips to help you choose the doctor who is right for you. A range of security features protects the privacy of any individualized information you provide over a secure sign-in to the Magellan website. PDF File is in portable document format (PDF). As the user of this website, you acknowledge that you are the recipient of this information and therefore you must take full responsibility for how you use the information on this website, and you comprehend and agree that Magellan is neither responsible nor liable for any claim, loss or damage resulting from this website usage. Which members are covered by this program? The CCPOA plan is available only to dues-paying members of that organization and their families. When these negative emotions and thoughts lead toward undesirable choices, it only reinforces those negative messages from our inner critic. Do you feel as if you have lost control over your life? Provider and facilities that fail to comply will be suppressed. The site may also contain non-Medicare related information. Blue Cross and Blue Shield of Texas (BCBSTX) works with Magellan Health Services (Magellan) for some mental health and substance abuse services. Per state and federal law, providers and facilities must attest every 90 days to the accuracy of directory information to stay visible in our Find a Doctor directory. Behavioral health resources | Blue Shield of CA Provider The owners/operators of those websites do not necessarily endorse Magellan products or services, nor are they responsible for the content of this website. CAHP prescription benefits are administered by Express Scripts. Behavioral Health Providers Employee Assistance Program (EAP) Providers. Crossroads Institute offers psychotherapy services for all ages, psychiatry, clinical, educational, and neuropsychological assessment, and brain training services, including qEEG based Neurofeedback and Biofeedback services. Where can I find medical policies criteria and guidelines for the medical benefit treatments in this program? You must belong to the specific employee association and pay applicable dues to enroll in the CAHP. RADMD | Sign In Choosing a provider | Blue Shield of CA Your program is here to help with information and resources to cope with stress and anxiety, staying emotionally well, preventing compassion fatigue and more. California Correctional Peace Officers Association (CCPOA) (PPO). The information is used as defined herein. Your continued use of this website means you accept those changes. This information is retained and periodically deleted from the site; no back-up copies are made. You can download the toolkithere. Plans & Rates - CalPERS By accessing, browsing and/or using this website, you accept and agree to be bound by this agreement, the Privacy Policy, Disclaimer and all other policies, restrictions, conditions and notices found by clicking on the links on the bottom of the home page and any page of this website, all of which are incorporated herein by reference. Magellan was the first MBHO to complete a corporate survey in which scores were received that apply to sites' surveys. Medicare has neither reviewed nor endorsed this information. Magellan offers its Members the opportunity to reach a Member Services Representative who is available to discuss personal information related specifically to a members health care. Behavioral Health Services are provided byMagellan Health Services. If you have a preexisting agreement with Magellan, that agreement will specify your rights and obligations regarding the use of Magellan service/trademarks. Find your provider portal 1:1 non-emergent telephonic consultations with a Magellan psychiatrist including, but not limited to: I have also done a lot of work with adolescents dealing with substance abuse and adults facing workplace issues. I work with a broad spectrum of individuals. There are a few web resources for finding a provider in your network, you may find a link below based on your location. Links to other websites are provided as internet navigation tools only. Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer health plans for individuals who qualify for Medicaid (STAR, STAR Kids) and CHIP programs. Enter your company name in the search box, select the group name from the drop-down, check the box at the bottom and then click the "Go" button. In that time, I have helped hundreds of clients gain perspective and move out of their stuck place to a more fulfilling life. Call (877) 200-9615 TTY: 711 to enroll! Specialty pharmacy - Arkansas Blue Cross and Blue Shield Primarily designed for Imaging Facilities, Hospitals and Health Plans, logging on to RadMD can provide up-to-the-hour information on a member's authorization, including date called, date approved, exam category, valid billing codes (CPT) and much more. Through diagnostic evaluations, we construct a treatment plan aligned with meeting your current goals towards resiliency and healing. Magellan does not control those websites; nor does Magellan guarantee the content, accuracy, completeness, or timeliness of information on other websites. MAGELLAN MAKES NOT WARRANTY, EXPRESS OR IMPLIED, AND THERE ARE EXPRESSLY EXCLUDED ALL WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. California Quick Reference Guide Change of Address Update your demographics online using the Provider Data Change Form. Has work history ranging from non-profit social service agencies, private psychiatric offices, inpatient addiction treatment centers, and outpatient primary mental health facilities. Clinical Social Work/Therapist, LCSW, NSW-C. Have you been diagnosed with a medical illness that has knocked you off your feet? We are an organization of mental health professionals with a common goal of providing excellent and expert services in Los Angeles, Orange County, and San Diego counties. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. We also recommend, if you are under the age of 13, that you talk with your parents or guardian before filling out any information on our site and sending it to us. My work with individuals includes anxiety, PTSD (trauma), abuse, depression, grief, and lifes transitions. Kaiser administers its own prescription benefits. Or call your doctor or therapist for help. Find a Doctor, Dentist, Hospital, Vision, Urgent Care, Pharmacy, Health - Blue Shield of California Are you ready to find solutions to your problems? Who is Magellan Rx Management? During this time, you can enroll, change health plans, add eligible dependents, delete dependents, or cancel coverage. Blue Shield mental health service administrator for HMO and PPO commercial plan members. Further, each party hereto certifies that no representative or agent of either party has represented, expressly or otherwise, that such a party would not in the event of such litigation, seek to enforce this waiver of right to jury trial provision. If you have questions or need help creating an account call 1-800-Teladoc (835-2362). Where sign-in is required to access a website, email addresses are collected as part of the registration process for the website. Log in to get your questions answered by a live representative, Monday through Friday, 6 a.m. to 6:30 p.m. View the 2024 health premiums approved by the CalPERS Board of Administration: View the 2023 health premiums approved by the CalPERS Board of Administration: Below are the contribution rates. In such cases, arbitration shall be administered by the American Arbitration Association under its Commercial Arbitration Rules (including without limitation the Supplementary Procedures for Consumer-Related Disputes, if applicable), and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Visit the Magellan Healthcare COVID-19 Response Page to access webinars, tip sheets and more. If you choose, you may block or delete our cookies from your hard drive; however, blocking or deleting cookies may cause some of Magellans website features and functionality to work incorrectly. I will provide you with valuable tools to help you cope so you can live the full, peaceful and happy life God intended you to have. 3For non-emergency, plan-approved health related locations within the plan service area. *If the member's Blue Shield of California's plan provides . Phone: 1-877-263-9870. Use this guide . Medicare Advantage Drug Plans - Blue Shield of California Anthem Blue Cross EPO is available only in Del Norte county. Find Blue Shield Therapists, Psychologists and Blue Shield Counseling in Torrance, Los Angeles County, California, get help for Blue Shield in Torrance, get help with Blue Shield of California in . Nora Escobedo is a Licensed Clinical Social Worker in California who has been practicing since 2014. We do not collect any personally identifiable information about you in the log files. . This website is not intended for that purpose and we do not provide this type of information via email. Change is necessary at the mind, body and spiritual level for adaptation to occur. If you visit one of the Magellan websites where you are required to sign-in, additional information may be collected, including without limitation personally identifiable information and personal health information. By submitting your phone number or email address, you agree to have a BlueShield sales agent contact you to discuss BlueShields Medicare coverage options. Provider: Enter a name, license, or NPI (National Provider ID) Location: Enter a specific ZIP code and refine the search with gender or other search filters. If you are under the age of 18, please consult with a parent or guardian and do not use this website without their monitoring and assistance. California Residents Provider Search Find a Provider? Use of any information obtained from other websites is voluntary, and entirely at your own risk. License to be you, permission to know yourself; however, effort required! I help clients by providing techniques, tools, conversation and support and not to feel alone on the path to wellness. Not all plan members will qualify. Blue Shield Therapists in Torrance, CA - Psychology Today Many of the licensed therapists contracted with us are experts in marriage and family counseling and offer many areas of specialization including play and art therapy, EMDR, trauma therapy, and more. If you absolutely need to call, please try again at a later date. You may not post Magellan content on a public access website. Or, schedule an appointment online with a Medicare Adviser today! Have you been minimized or abandoned by those you thought were close to you? The site may also contain non-Medicare related information. Independence Blue Cross - Magellan Provider California Correctional Peace Officers Association (CCPOA) Access+ (HMO). Magellan also has the right to make changes to the products, benefits and features described within its websites. 552a (72 KB PDF). Peace Officers Research Association of California Blue Shield of California prescription benefits are administered by CVS Caremark. This website may contain specific health and medical information, none of which should be implied as specific to your personal medical or health condition. OptumRxis the PBM providing prescription benefits for this health plan. The last nine years have included adults, families, and the substance abuse population. Verify eligibility of Blue Shield of California, Blue Shield of California Promise Health Plan, other Blue plan and Federal Employee Program members, and access associated benefits information. Learn more Dental care Search for a participating dentist by name, location, or specialty. IT IS VERY IMPORTANT THAT YOU READ THESE TERMS AND CONDITIONS VERY CAREFULLY. iLinkBlue is your one-stop for: We seek to hold third party vendors to the same privacy practices as Magellan, however, when you are transferred to or you otherwise visit a third party website, the privacy policy, disclaimer and other terms and conditions of that website will apply to your use of or visit to that website. (PORAC) (PPO). Blue Shield of California 601 12th Street, Oakland, CA 94607. Blue Shield improperly denied mental health, drug treatment claims Reliance on any information provided on this website or otherwise from Magellan Health, Inc. and its subsidiaries and affiliates (Magellan) is solely at your own risk. Available for commercial, Shared Advantage, and BlueCard. Go paperless by submitting claims and managing payments online for free. Access Anthem Blue Cross Transparency in Coverage Machine Readable Files on their website. I work towards ending stigma related to prioritizing emotional & mental health. Applied Behavioral Analysis (ABA) therapy is now a benefit for STAR members as a covered benefit through Texas Medicaid. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. This information is used to measure the number of visitors to the different sections of our site and to help us make our site more useful to our visitors. Find a Doctor, Dentist, Hospital, Vision, Urgent Care, Pharmacy, Health Each time you visit this website or any Magellan website it is your responsibility to review the most current Privacy Policy, Terms and Conditions , Disclaimer and any other policies, restrictions, conditions and notices on this website or any Magellan website and by accessing, browsing, and/or using this website or any Magellan website, you accept and agree to be bound by the most current Privacy Policy, Terms and Conditions, Disclaimer and any other policies, restrictions, conditions and notices on this website or such other Magellan website. Please enter your phone number with area code. As a standard practice, as described below, we collect general statistical information on the content viewed, which is used to help us provide better service to you. All works of authorship contained at this site, including, but not limited to, text, images, and their arrangement, are owned by Magellan (except as otherwise noted). For that reason, to protect your privacy, if you have concerns about treatment, or questions that would involve the communication of confidential/personal health information, please call your physician or other healthcare professional, Magellan representative provided in your plan Welcome Package (or supervisor where applicable). Some Blue Shield Medicare Advantage Prescription Drug Plans (MAPD) provide affordable benefits like an allowance to pay for over-the-counter items, coverage for the cost of transportation to appointments and frames and eyeglass lenses or contact lens allowance. Click the link below to find the provider portal for your needs. Please do not send us any medical questions, requests for service, or clinical concerns regarding care or treatment via email. Provider Utilization Management | Florida Blue As a therapist with a doctorate degree from the University of Southern California (USC), I create an environment which is safe, kind, and non-judgmental. The above limitation or exclusion may not apply to you to the extent that applicable law may not allow the limitation or exclusion of liability for incidental or consequential damages. Be sure to check our, CIP Appeals Full and Fair Review and Arbitration, First Choice Health Network in Alaska, Idaho, Montana, North Dakota, Oregon, South Dakota, Washington, and Wyoming, - Find an in-network provider outside of these states, PPO Medical Coastwise Indemnity Plan Outside of California, PPO/HMO Chiro Chiropractic Health Plan of California, PPO Mental Health Magellan Health Services, HMO Medical/Mental Health/Vision Kaiser, PPO Medical/Mental Health/Chiro Coastwise Indemnity Plan, PPO Medical Coastwise Indemnity Plan Outside of AK, ID, MT, ND, OR, SD, WA, and WY. As a result, like most, if not all, non-encrypted internet email communications, such email correspondence may be accessed and viewed by other Internet users without your knowledge and permission while in transit. Magellan Behavioral Health Providers
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