Magellan’s Outpatient Treatment Request Form, reproduced with permission in Appendix C, was implemented in October 2001. The form, which replaces a request for a narrative description of the treatment plan, was developed partly in response to provider complaints about information requests but primarily because Magellan found it was not cost-effective to manage every case. One provider commented that “the Magellan form is back to the old style, where the MCO just required minimal information and trusted the clinician to make the right treatment decisions.”
The Magellan form requests more information than the APA guidelines, including current medications, the number of times the provider has seen the patient to date, and whether any of the following symptoms are mild, moderate, or severe: self-injurious behavior, suicidal ideation, homicidal ideation, and substance abuse problems. However, the form includes considerably less information than the Maryland Outpatient Treatment Plan Form on, for example, symptoms, planned treatment, and expected treatment outcomes.
"MHPrivacy.pdf" (pdf, 768.25Kb)
"appen-b.pdf" (pdf, 224.4Kb)