Magellan Health

For Members

Medical necessity criteria

Magellan of Arizona is committed to the philosophy of providing treatment at the most appropriate, least intensive level of care necessary to provide safe and effective treatment and meet the individual patient's biopsychosocial needs. The Magellan of Arizona medical necessity criteria guide both providers and reviewers to the most appropriate level of care for a patient. While these criteria will assign the most safe and effective level of care in nearly all instances, an infrequent number of cases may fall beyond their definition and scope. Decisions regarding treatment are the responsibility of the member or the member's representative and the provider of service.

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Are You in Crisis?

If you are in crisis, call the Crisis Line at (800) 631-1314, TTY (800) 327-9254. For emergencies, always call 9-1-1


Everyone has the right to have personal information kept private. We work hard to protect your privacy. Read more.

Contact Information

Mercy Maricopa Integrated Care (Mercy Maricopa) is now the Regional Behavioral Health Authority (RBHA) serving members in the Maricopa County Region. For questions regarding your services, please call 1-800-564-5465 or TDD/TTY 711.

** To file a grievance or appeal for services provided on or before March 31, 2014 please call Magellan Health Services 602-652-5907, x8590