You must submit the EASI Form (PDF) by fax or mail only for the following EAPs.

• Federal Aviation Administration Management Substance Abuse Evaluation referred case or Mandatory Referral
  • Fax: 888-656-5032  
  • Address: Attn: Affiliate Specialist, MO22 PO Box 1899 Maryland Heights, MO 63043
• Department of Transportation Substance Abuse Professional case or Mandatory Referral
  • Fax: 888-656-5032
  •  Address: Magellan Healthcare, Inc. FOH Team MO22 PO Box 1899 Maryland Heights, MO 63043
• Department of Energy or Nuclear Regulatory Commission Substance Abuse Expert case or Mandatory Referral 
  • Fax: 888-656-5032 
  • Address: Magellan Healthcare, Inc. FOH Team MO22 PO Box 1899 Maryland Heights, MO 63043
• Magellan employee EAP case
  • Contact 1-866-266-2376 for the custom EASI Form. Submission is by mail only.

If you need assistance, return to MagellanProvider.com and use the Chat with us button to reach a representative.