This is the Magellan website for behavioral health providers
Magellan Health

Family Engagement Notification Form 

This form is used to communicate to Magellan when weekly Family Engagement did not occur for a member who is in a Psychiatric Residential Treatment Facility (PRTF) or Therapeutic Group Home (TGH). Please complete this form within 3 business days of a missed Family Engagement Activity or within 3 business days of the end of the week in which family engagement did not occur. If a Family Engagement Activity was missed but was rescheduled and did occur within that week you do NOT need to fill out this form.

Member Information
Provider Information
Family Engagement Information