Magellan Health administers behavioral health benefits for Texas Medicaid managed care organizations — serving as the prior authorization and clinical management entity for substance use disorder and mental health treatment. When Magellan administers behavioral health for your Texas Medicaid plan, Promises DFW’s utilization review team works directly with Magellan’s Medicaid clinical reviewers to authorize detox, residential treatment, and other levels of care. Call (469) 546-9303 to verify your Magellan Medicaid coverage.
Ready to take the first step? Promises DFW is located at 400 Highland Dr, Lewisville, TX 75067. Our admissions team is available 24/7. Call (469) 546-9303 or verify your insurance online — all calls are free and confidential.
Frequently Asked Questions
What is Magellan Medicaid in Texas?
Magellan Health administers behavioral health benefits for Medicaid managed care organizations in Texas. In this role, Magellan acts as the behavioral health carve-out for Medicaid plans — managing prior authorizations, clinical reviews, and provider network access for Medicaid-covered mental health and substance use treatment.
Does Promises DFW work with Magellan Medicaid?
Yes. When Magellan administers behavioral health for your Texas Medicaid plan, our utilization review team submits prior authorization requests directly to Magellan’s Medicaid clinical review team.
What does Magellan Medicaid cover for addiction treatment?
Magellan Medicaid covers medical detox, residential treatment, outpatient levels of care, and medication-assisted treatment when medically necessary. Texas Medicaid requires coverage for substance use disorder treatment as an essential benefit.
How is Magellan Medicaid different from Magellan commercial?
Magellan commercial administers employer health plan behavioral health benefits; Magellan Medicaid manages behavioral health for state Medicaid programs. Different clinical criteria, authorization timelines, and coverage structures apply to each.
Magellan Medicaid in Texas and the DFW Area
Magellan Health administers behavioral health for Medicaid managed care organizations in Texas through contracts with specific MCOs. In the DFW area, Magellan’s Medicaid behavioral health contracts serve residents in Dallas, Tarrant, and surrounding counties. The practical implication: if your Texas Medicaid MCO uses Magellan for behavioral health management, Magellan’s clinical reviewers — not the MCO’s general team — make the prior authorization decisions for residential treatment and detox. Our utilization review team identifies the correct Magellan Medicaid contact for your specific MCO and submits documentation that addresses Magellan’s Texas Medicaid-specific level-of-care criteria.
OSAR as a Parallel Pathway
For Medicaid-eligible residents navigating the authorization process, OSAR through the North Texas Behavioral Health Authority provides a parallel access pathway to state-funded treatment. OSAR can sometimes place residents in treatment faster than the Medicaid prior authorization process for residential care — our admissions team helps identify which pathway is faster and clinically appropriate for your specific situation. Call (469) 546-9303 with your Medicaid information to explore all available options.