How to get services

Magellan will help you get the right kind of care based on your needs. We work with people and groups who may care for you in an office, your home, or your community.

Pre-Authorizations

You will need a pre-authorization to get care. A pre-authorization is an approval to get a service. If your care coordinator thinks you need a service, they will help you get a pre-authorization.

We use Medical Necessity Guidelines to see if a service is right for you. “Medically necessary” means that a service or medicine does one of the following:

  • Prevents an illness, condition or disability
  • Reduces or improves the physical, mental or developmental effects of an illness, condition, injury or disability
  • Helps you get or keep the ability to perform daily tasks expected of people like you

If you would like a copy of these Guidelines, please do one of these things:

 

How do I?

Schedule an appointment

When you need to make an appointment with a provider, call them to schedule it. Your Care Coordinator can help schedule your appointment if you are having a hard time doing so.

Change or cancel an appointment

As soon as you know you need to change or cancel an appointment with a provider, your care coordinator or another person at Magellan, please call the provider or Magellan as soon as you can and tell them.

Your care coordinator can help you change or cancel appointments with providers.

Change providers

If you want to change your provider, talk to your care coordinator about what to do. If you change providers, be sure to call your old provider to cancel any appointments.

If you give a written OK, your old provider may call your new provider. You can give your written OK by signing a form called the Authorization of Use and Disclosure of Protected Health Information (AUD) form. By signing this form, it gives your old provider permission to talk to your new provider about your care.

Tell someone I'm not happy with the way a provider treats me?

If you are not happy with the way a provider treats you, or if you think they violated your rights, you can file a Complaint/Grievance. See Complaints/Grievances and Appeals, for information on how to do this. You can also change providers.

Crisis resources

Mental health crisis

A mental health crisis is when a person does something unexpected or suddenly acts in a way that:

  • Puts them at risk of hurting themselves or others, and/or
  • Prevents them from functioning or being able to care for themselves

If you or someone you know is in immediate danger of harm to self or others, call 911 or 988, or go to the nearest emergency room.

If you need mental health crisis help:

  • Go to the nearest emergency room or crisis center
  • Call, text, or chat 988 for Crisis Support Services of Nevada, 24 hours a day, 7 days a week
  • Call the Children’s Mobile Crisis Response Team:
    • (702) 486-7865 (TTY 711) Southern & Rural Nevada
    • (775) 688-1670 (TTY 711) Northern Nevada

You do not have to get approval from Magellan to get mental health crisis services. You can go to any emergency room or crisis center you choose.

How to get Mental Health Crisis help when you are out of town

If you need mental health crisis help when you are out of town, call 911 or 988, or go to the closest emergency room or crisis center. You can use any hospital for emergency care even if you are in another city or state.

What to do After the Mental Health Crisis is over

Before you go home, the hospital will help you get an appointment for follow-up care. Magellan and your Child and Family Team can also help you get an appointment if you contact us for assistance. Some services may need to be approved first.

Mobile Crisis

The Mobile Crisis Response Team (MCRT) provides crisis intervention and short-term support to Nevada families dealing with a behavioral or mental health crisis.

  • Visit: knowcrisis.com/
  • Call:
    • (702) 486-7865 (TTY 711) Southern and Rural Nevada
    • (775) 688-1670 (TTY 711) Northern Nevada

Emergency help

An emergency is when a person thinks they must act fast to prevent or get help for serious health problems. If you don’t know if you need emergency help, call Magellan at 1-833-396-4310 (TTY 711), 24 hours a day, 7 days a week.

How to get help in an emergency

  • Call 911 for medical emergencies
  • Call 988 for mental health crises
  • Go immediately to the nearest emergency room or crisis center

You can use any hospital for emergency care even if you are in another city or state. You do not need approval from Magellan to get medical emergency or mental health crisis care.

Medical emergency

An emergency medical condition is a physical problem so bad that a person with no medical training would say someone’s life or long-term health is at risk. You do not have to get approval from Magellan to get emergency care. You can go to any emergency room you choose.

If you have a medical emergency:

  • Call 911, or
  • Go to the nearest emergency room.

How to connect to other support services

Nevada 211

Through Nevada 211, you can find assistance for a variety of services, such as:

  • Addiction counseling
  • Affordable housing
  • Alzheimer’s assistance
  • Child care
  • Counseling
  • Education
  • Emergency Food

 

  • Dental & medical healthcare
  • Drug abuse treatment
  • Homeless services
  • Senior services
  • Suicide prevention
  • Volunteer opportunities

 

For more information, visit Nevada211.org or dial 211 on your phone, 24 hours a day, 7 days a week.

Division of Child and Family Services (DCFS)

Adult Protective Services (APS)
Report vulnerable adult abuse, neglect, exploitation, isolation, or abandonment.

  • Submit a report 24 hours a day, seven days a week at https://www.nevada211.org/aps/.
  • Talk to an APS representative by phone, Monday through Friday 8:00 a.m. – 5:00 p.m. at:
    • (702) 486-6930 (TTY 711) in Clark County              (Las Vegas)
    • 1-888-729-0571 (TTY 711) in all other areas

Child Protective Services (CPS)
CPS looks into reports of child abuse and neglect. They provide helpful services to children and families.

  • Visit: dcfs.nv.gov/Programs/CWS/CPS/CPS
  • Call:
    • 1-833-900-7233 (TTY 711) in Washoe County (Reno/Sparks)
    • (702) 399-0081 (TTY 711) in Clark County               (Las Vegas/Henderson)
    • 1-833-571-1041 (TTY 711) in all other counties
    • After hours and weekends, please call local law enforcement

Victims of Crime

The Victims of Crime Program provides assistance to qualified victims of violent crimes that occur in Nevada. Business Hours: 8:00 a.m. to 4:00 p.m.

  • Visit: voc.nv.gov/
  • Email: VOCP@dcfs.nv.gov
  • Call:
    • (702) 486-2740 (TTY 711) Southern Nevada
    • (775) 688-2410 (TTY 711) Northern Nevada
  • Fax: (702) 486-2825

Division of Public and Behavioral Health (DPBH)

DPBH protects, promotes and improves the physical and behavioral health of the people of Nevada.
Business Hours: 8:00 a.m. to 5:00 p.m.

Division of Welfare and Supportive Services (DWSS)

DWSS provides public assistance benefits to all who qualify and reasonable support for children with absentee parents to help Nevadans achieve safe, stable, and healthy lives. DWSS oversees many programs for child support and care, energy assistance, food, healthcare, welfare and financial assistance.

 

 

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