Provider Information and Forms

Thank you for participating in Magellan of Florida’s Qualified Evaluator Network (QEN). Below you will find links to resources such as forms and guides.

Magellan of Florida Instructional Guides

QEN 2.2 Referral Process (Guide)

QEN 2.2 BQRTP Referral Process (Guide)

QEN 2.2 Suitability Assessment + Review – Referral Form (Guide)

QEN 2.2 Reconsideration Request and Outcome Form (Guide)

Magellan of Florida QEN Referral Forms

QEN 2.2 Suitability Assessment + Review – Referral Form

QEN 2.2 Reconsideration Request and Outcome Form

QEN 2.2 BQRTP Referral Form

QEN 2.2 BQRTP Preliminary Recommendation Referral Form

QEN 2.2 BQRTP Reconsideration Request and Outcome Form

Magellan of Florida Qualified Evaluator (QE) Listing (July 2024)