Magellan is committed to promoting treatment at the most appropriate, least intensive level of care necessary to provide safe and effective treatment to meet the member’s biopsychosocial needs. We apply Magellan Care Guidelines based on the members’ individual needs.

• Magellan Care Guidelines for Idaho Behavioral Health Plan - effective Nov. 8, 2025 (Current Version) (PDF)
  • Magellan Care Guidelines for Idaho Behavioral Health Plan - effective Jan. 1, 2025 (Previous version) (PDF)
  • Magellan Care Guidelines for Idaho Behavioral Health Plan   - effective July 1, 2024 (Previous version) (PDF)

Note that Magellan’s criteria are available at the link above; however, MCG Care Guidelines®  and American Society of Addiction Medicine criteria (The ASAM Criteria®  ) are not published publicly.

To view a guideline associated with an IBHP member’s clinical review: log in to Availity Essentials, choose the Magellan Healthcare Idaho tile from Payer Spaces, then click on Medical Necessity Criteria.