Community Connection Newsletter

The Magellan member portal is for Idaho Behavioral Health Plan (IBHP) members. It is easy to use and helps you find all your behavioral health information in one place.
Once you create your account, you can:

• See your claims or bills for services
• Track your care plan
• View behavioral health assessments like the CANS

You can also access personalized resources such as videos, articles, webinars, and more related to your behavioral health.

Please note: Please have your Magellan or Medicaid ID ready to create an account for you or your child(ren). This requirement will change in August.

Need help getting started? Visit MagellanofIdaho.com. Click the For Members tab at the top of the page. Look for the Member Portal Step-by-Step Guide under Member Resources.

Since Magellan began managing the Idaho Behavioral Health Plan (IBHP), new programs have launched to support individuals and families across the state.

Child and Adolescent Needs and Strengths (CANS)
The CANS is a tool that helps providers and families work together to understand a child’s strengths and areas needing support. It helps guide care planning to ensure your child’s unique needs are met.

• The CANS is not a test or interview. It is a tool to help create the best plan for your child and family.
• The CANS is required to be updated every 90 days for child/youth progress tracking.

Parenting with Love and Limits (PLL)
Do you feel like it’s hard to connect with your child or teen? PLL is a program that helps youth ages 10-18 and their families build stronger relationships. It teaches parents how to set rules and consequences and helps families communicate and support each other better.

• PLL is a short-term program that lasts 8-10 weeks.
• Families attend group and individual family sessions each week.
• The program helps families to address intense emotions and behavioral concerns.

Idaho Wraparound Intensive Services (WInS)
Wraparound helps kids and teens with complex needs. If your family works with more than one system, such as schools, child welfare, or health providers, Wraparound brings everyone together to create one care plan that supports your child and family. You help lead the plan, and the team supports you every step of the way. Wraparound also:

• Gives your child and family a voice in the care process.
• Builds a strong support system around your child’s and family’s needs.
• Helps your child stay at home, in school, and on a positive path.
• Learn more about WInS at yes.idaho.gov.

Assertive Community Treatment (ACT)
ACT is for adults who have serious and ongoing mental health needs. It includes help with substance use and is available 24/7.

• A full care team works together to help you recover.
• ACT helps people:
  • Stay out of the hospital or jail.
  • Focus on their strengths and goals.

Early Serious Mental Illness (ESMI)
ESMI helps young people ages 15-30 who are going through early signs of psychosis. Psychosis can be part of conditions like schizophrenia or bipolar disorder. Getting help early can lead to better results and a healthier future.

• A care team helps you set and reach your goals, like going back to school or work.
• ESMI is an evidence-based, team approach that helps young people recover.

• Behavioral health – How your thoughts, feelings, and actions affect your overall health. It includes mental health and how you handle stress, relationships, and daily decisions.
• Covered services – Services that Medicaid or your insurance will pay for if you meet certain rules.
• Crisis – A time when you feel very upset or unsafe and need help right away to stay safe and calm.
• Crisis and safety plan – A list of steps to follow if you're in a crisis. It includes who to call, what to do, and how to stay safe.
• Eligibility – Meeting the rules needed to get a service or be in a program.
• Prior authorization – When a doctor or provider asks permission from Medicaid or your health plan before providing a service.
• Stabilization – Getting help quickly to calm down during a mental health crisis. It helps you feel safe and figure out what to do next.
• Substance Use Disorder – When a person keeps using drugs or alcohol even though it causes struggles.

1. Scammers approach people in public places like grocery stores, gas stations, or office buildings.
2. They offer help with mental health treatment, rides, food, clothing, or money to gain trust.
3. Once they earn trust, they take people to fake treatment centers or sober homes.
4. Some scammers provide alcohol during the trip or at the fake treatment center.
5. The scammers then bill for services not provided and steal other personal and medical information.

• Focuses on Native Americans going through substance use issues or homelessness.
• Offers free food, money, or gifts to convince people to go to treatment centers or sober homes.
• Provides little or no mental health or substance use treatment.
• Claims to support sobriety but gives alcohol instead.
• Limits contact with family and community.

Real treatment centers do not randomly approach people or make unexpected offers.

This scam harms people and takes resources away from Native American communities. If you suspect fraud, report it right away. Call the Magellan member helpline at 1-855-202-0973 (TTY 711).

• People may need to help pay for services before getting other help from the state through Magellan.
• The most anyone will need to pay is 5% of their yearly income (after certain deductions).
• If someone has already paid that 5%, they can get help from Magellan for services.
• If they haven’t paid that 5%, they may not qualify—unless they have a hardship.

What is a hardship?
A hardship means someone can’t pay their 5% without giving up things like food, housing, or childcare. In that case, Magellan might lower or remove the amount they need to pay.
What else to know:

• This rule does not apply to people getting help for substance use disorder (SUD) services.
• If a child is in a residential treatment program now, this won’t apply until their next yearly eligibility review.
• This new cost share rule will start for new people applying on or after July 1, 2025.
• Current members can keep their services until their next yearly eligibility review. At that time, they will learn about how the new cost rule will apply to them.
• Magellan will ask about income when someone applies for help. The information is given through a simple phone call.

We’ll talk with families and providers before this change starts on July 1, 2025. If you have questions or think this might affect you, please reach out to Magellan.