Agencies Adding New Staff

Steps to adding new staff to your agency

• Obtain an individual National Provider Identifier for the new staff person (if they do not already have one)
• Complete a current state and national background screen as defined in Wyoming Medicaid Rules, Chapter 47, Section 17
• 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
• Contact WYProvider@MagellanHealth.com and request a staff roster update
  • In the email subject line, type: Roster Update – Secured1
  • Include the following (required) –
    • Legal Name (first, middle, last)
    • Preferred Name
    • Date of birth
    • Gender
    • Education/Degree (HS diploma, GED, Bachelors, etc.)
    • Clinical License (if any)
    • Individual National Provider Identifier
    • Mailing Address
    • Physical Address
    • Phone Number/Fax Number
    • Direct email
    • Social Security number
    • Primary Service Area (city or country where services will be provided)
    • What type of provider do you want to be?
      • While you can certify in multiple roles, we ask that you select one role to start.
      • What are the roles? You can learn more about each one:
        • Family Care Coordinator
        • Family Support Partner
        • Youth Support Partner
        • Respite Provider
    • How did you hear about us?
• Once we receive the roster update, we will send the High Fidelity Wraparound Network Application* to the agency administrator/director/designated contact
• 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.
• 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.