Member Handbooks and Forms
Member Handbooks
Your Member Handbook explains services that are available to eligible children/young adults and their families.
Forms
You will need to download and install Adobe Acrobat Reader from this site to use the pdf forms.
- Authorization for Use and Disclosure of/Consent to Release Protected Health Information (PHI)
- English instructions (pdf)
- English form (pdf)
- Spanish instructions (pdf)
- Spanish form (pdf)
- Magellan Complaint (Grievance) Form
- Online form
- English form (pdf)
- Spanish form (pdf)
- Magellan Appeal Form
- English form (pdf)
- Spanish form (pdf)
- Idaho Department of Health and Welfare Appeal/State Fair Hearing Form
- English form (pdf)
- Spanish form (pdf)
- Intensive Care Coordination Referral Form
- English form (pdf)
- Spanish form (pdf)