Magellan Health Services

For Providers

Forms

Below you'll find all of the forms you need to provide care through the Iowa Plan.

Ambulance Notification

Consent to Release of PHI Form

Critical Incident Report

Emergency Room Notification Form

Existing Provider Request

Gap in Service Form 

Group Provider Data Change Form 

Interested Provider Form

Provider Authorization Letter

Provider Data Change Form

Psychotherapy for Crisis Authorization Request

Request for Psychological Testing Preauthorization

Staff Roster 

 

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Recovery & Resiliency

Learn more about the Iowa Crisis Stabilization Program

Learn about promoting choice, direction and control for those with serious mental illnesses.

e-Courses
Magellan has partnered with national behavioral health experts to offer e-courses.

 

Contact Information

We are available 24 hours every day.

Provider Line:

800-638-8820

 Member and Crisis Line:
Toll-free: 800-317-3738
TTY: 800-787-1730

Fraud & Abuse: 800-755-0850