Grievances & Appeals
Magellan Healthcare of Idaho believes in providing a mechanism for providers and external agencies to express complaints related to care, service, confidentiality, policy, procedure, payment, or any other communication or action by Magellan. External agencies and/or providers can also file grievances about a network provider.
Please note that we process member grievances and appeals filed by providers on behalf of a member using our member grievance and appeals policies (in the member handbook.)
To submit a complaint, call 1-855-202-0983 (TTY/TDD: 711) 8 a.m. to 6 p.m. Mountain time, fax us at 1-888-656-9795, or email us at IDAC@MagellanHealth.com. You also may submit complaints in writing to: Magellan Healthcare, Inc., Attn: Idaho Quality Department, P.O. Box 2188, Maryland Heights, MO 63043.
- If the complaint is about the Youth Empowerment Services (YES) system of care and you wish to file anonymously, you may file a complaint with the Idaho Department of Health and Welfare (IDHW). Find contact information on the YES Contact Us webpage. Complaints about YES that do not need to be made anonymously can be filed with Magellan.
For claim disputes, log in to the Availity Essentials portal and click the Claim Disputes tile in the Magellan Healthcare IDAHO Payer Space.