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How to join our network

Agencies adding new staff

Are you an agency currently active in the High Fidelity Wraparound network, and want to add a High Fidelity Wraparound staff member?

Steps to adding new staff to your agency

  1. Obtain an individual National Provider Identifier for the new staff person (if they do not already have one)
  2. Complete a current state and national background screen as defined in Wyoming Medicaid Rules, Chapter 47, Section 17
  3. Complete the Interested Provider Form
    • Select "I am a practitioner representing a Magellan-contracted group practice."
      • Select "Online Roster"
      • You'll be directed to log into www.MagellanProvider.com. Log in.
      • Modify your roster in the provider portal 
      • Add you new roster staff to your roster
  4. Contact WYProvider@MagellanHealth.com and request a staff roster update
    • In the email subject line, type: Roster Update – Secured1
    • Include the following (required) –
      1. Staff name (first, middle, last)
      2. Date of birth
      3. Gender
      4. Education/Degree (HS diploma, GED, Bachelors, etc.)
      5. Clinical License (if any)
      6. Individual National Provider Identifier
      7. Mailing Address
      8. Phone Number/Fax Number
      9. Direct email to applicant
      10. Social Security number
      11. Primary Service Area (city or country where services will be provided)
      12. Services seeking to offer (i.e. Family Care Coordinator, Family Support Partner, Youth Support Partner and/or Respite)
  5. Once we receive the roster update, we will send the High Fidelity Wraparound Network Application* to the agency administrator/director/designated contact
  6. At the time we send the High Fidelity Wraparound Network Application, Magellan will issue the new staff member an Acknowledgement Letter which he/she will submit to Wyoming Medicaid to complete a Wyoming Medicaid Provider Enrollment* form.
  7. Check out the "Tools & training" section of our website for free High Fidelity Wraparound certification training opportunities.

 

*All forms/applications must be complete and include required supporting documents. An application is not accepted for processing until complete (including supporting documents).

 

Questions? Send us an email.