Magellan Health

Library & Resources

Magellan Medical Necessity Criteria

On December 1, 2015 Magellan will no longer use InterQual medical necessity criteria to make authorization decisions. Instead, we will begin using Magellan's Medical Necessity Criteria (MNC), which is free to the public.

To learn more about Magellan's Medical Necessity Criteria:

Inpatient Hospitalization

Outpatient Substance Abuse

Outpatient Mental Health

Residential A and B

Residential C Treatment


Return to Top

Contact Us

Magellan Members
TDD: 1-800-424-4048
TTY: 711

Magellan Providers
For questions about credentialing, contracting, provider website issues or general provider concerns, please contact us or call 1-800-424-4536.

For claim, authorization, discharges or clinical questions: email or call 1-800-424-4046.

Fraud and Abuse
Special Investigations Unit Email:

For quality of care concerns, general questions or comments, please call:
Toll-free: 1-800-424-4046