Medical Necessity Criteria

Magellan wants to make sure you get the right care at the right place at the right time. We apply Magellan Care Guidelines based on your individual needs.

Magellan Care Guidelines for Idaho Behavioral Health Plan - effective January 1, 2025 (Current 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 copy of a guideline associated with your care, please login or create an account on the IBHP Member site and then access the URL below once logged in:
https://member.magellanhealthcare.com/-/clinical-guidelines.