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Facility Admission, Recertification, and Discharge Notification Form Fax: 888-656-1637 E-mail: BCBSMNotification MagellanHealth.com Phone Number: 800-762-2382 ADMISSION: DISCHARGE: RECERTIFICATION:.

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How to fill out the Magellan Facility Admission online

Filling out the Magellan Facility Admission form is an important step in ensuring effective communication and care during a patient's stay. This guide will provide clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Magellan Facility Admission form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling in the admission section. Enter necessary details such as the facility name, contact information, and the date of admission.
  3. Provide demographics of both the subscriber and the patient. Include last names, first names, date of birth, addresses, and contact numbers.
  4. Fill out the precertification section, indicating the type of treatment (e.g., hospitalization, detox). Be sure to specify the estimated length of stay and admission date.
  5. Complete the intensive case management triggers section, indicating any applicable conditions such as age and specific diagnoses.
  6. Provide the admitting diagnosis by filling in the Axis I, II, and III details as necessary.
  7. Proceed to the discharge notification section, where you will record discharge information including the date, diagnosis, and aftercare provider details.
  8. If applicable, fill out the clinical recertification section with the necessary patient demographics and medical necessity attestations.
  9. Complete any additional notes or comments that may provide further clarification regarding the patient's treatment.
  10. Once all required fields are filled, review the form for accuracy. Save your changes, then download, print, or share the completed form as necessary.

Ensure efficient processing of your documents by completing the Magellan Facility Admission form online.

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California awarded the Medi-Cal Rx program to a unit of Magellan Health, a company with expertise in pharmacy benefits and mental health. But Magellan was then gobbled up by industry giant Centene, worth roughly $50 billion, which was looking to expand its mental health portfolio.

In California, Magellan currently manages benefits for members of the following plans: Blue Shield of California Western Health Advantage Health Plan of San . . .

By Mail, Fax, or E-mail: Written requests containing up to five entity names may be submitted by mail directed to the Department of State, Division of Corporations, One Commerce Plaza, 99 Washington Avenue, Albany, NY 12231; by fax to (518) 473-1654; or by e-mail (corporations@dos.ny.gov).

To request consent for dissolution: Call the automated processing system to request at (518) 485-2639; or. Fax a written request to (518) 435-2995.

Any questions regarding security guard registration cards or licensing issues should be directed to the NYS Department of State at (518) 474-7569.

Submit a request for records in person: Our offices are located at One Commerce Plaza, 99 Washington Avenue, Albany, NY 12231, 11th Floor. Suite 1100. Upon entering the main entrance door to Suite 1100, use the phone next to the interior door inform staff that you would like to request records.

For help with renewing your real estate license online via New York's elicense portal or general information, call the NY DOS customer support number at (518) 474-4429. We recommend calling first thing in the morning before “the line” gets too long.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232