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 manuals and forms.

Magellan of Florida QEN Manuals and Presentations

Florida QEN Overview (Rev. 3/12/19)
2019 Florida QEN Training Manual (Rev. 2/26/19)
Suitability Assessment Process Webinar (3/12/19)

Magellan of Florida QEN Process Charts

90-Day Suitability Referral Process (Rev. 3/12/19)
Initial Suitability Referral Process (Rev. 3/12/19)
Suitability Referral Process for Dependent Children (Rev. 3/12/19)
Suitability Referral Process Outlier (Rev. 3/12/19)

Magellan of Florida QEN Referral Forms

90-Day Review OOS Referral Form (Rev. 1/21/19)
90-Day Suitability Assessment Referral Form (Rev. 2/1/19)
Initial Suitability Assessment Referral Form (Rev. 2/1/19)
Reconsideration Request Form (Rev. 2/1/19)
Reconsideration Referral Form (Rev. 2/1/19)
60-Day Suitability Assessment Referral Form (Rev. 9/23/19