Credentialing

Practitioners must meet and maintain a minimum set of credentials to be able to provide services to IBHP members as a Magellan network provider. You must successfully complete the credentialing review process and have your credentials re-reviewed every 36 months through the recredentialing process. 

Magellan participates in CAQH® for online data collection to help providers reduce the amount of administration and paperwork involved in credentialing.

For more information:

• Refer to the documents posted on the For Providers / Handbooks page for Magellan’s credentialing policies and your responsibilities. 
• Watch our brief credentialing videos for individual practitioners or for organizational providers.
• Review this required documents checklist (PDF).
• Explore the training recordings on the For Providers / Events and Training / On-Demand Training page.

Contracting

To be eligible for referrals and reimbursement for covered services rendered to IBHP members, each provider – whether an organization, individual practitioner, or group practice – must sign a Magellan Network Provider Agreement agreeing to comply with Magellan’s policies, procedures, and guidelines.

For more information:

• Refer to the documents posted on the For Providers / Handbooks page for Magellan’s contracting policies and your responsibilities. 
• Explore the training recordings on the For Providers / Events and Training / On-Demand Training page.
• Review a brief video on how to complete the Medicaid Disclosure Form.

For questions about credentialing or contracting, email our provider services team at IdahoProvider@MagellanHealth.com.