For application developers

Developing FHIR® resources to deliver clear, standardized data formats to registered application, or app, developers.


Sharp Health Plan has created a portal for third-party app developers to access application programming interfaces, known as APIs, documentation and registration services pursuant to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule,
CMS-9115-F.

Magellan Health manages mental health services and substance abuse disorder on behalf of Sharp Health Plan. Pursuant to the Centers for Medicare & Medicaid Services (“CMS”) Interoperability and Patient Access Final Rule (CMS-9115-F), Magellan has published a behavioral health Provider Directory API to allow Third Party Applications to retrieve the applicable Magellan provider directory information.


Sharp’s developer portal

The following is intended for app developers only.

Log in or register a new account

Support

If you have technical questions or concerns, please call Sharp HealthCare’s Technical Assistance Center at 1-858-627-5201.


API documentation

Sharp Health Plan

  • Provider Directory API documentation
  • Retrieve, as applicable, certain Sharp Direct Advantage® and Covered California provider and pharmacy directory information.

  • Patient Access API documentation
  • Retrieve, as applicable and with the approval of the requesting Covered California or Medicare enrollee or personal representative, certain data concerning adjudicated claims, encounter data from capitated providers, formulary data and certain clinical data, if Sharp Health Plan maintains any such data.

Magellan Health


Machine-readable files

Sharp Health Plan files

Pursuant to CMS regulations under the Transparency in Coverage rule, developers may access Sharp Health Plan’s machine-readable files using the links below.

These files are in JSON format and are updated monthly as required by CMS. Visit our frequently asked questions for more information about Transparency in Coverage.

Last updated: 3/12/2024

Magellan Health files

Magellan Health manages mental health services and substance abuse disorder on behalf of Sharp Health Plan. Pursuant to CMS regulations under the Transparency in Coverage rule, developers may access Magellan’s machine-readable files using the links below. These files are in JSON format and are updated monthly.

Support

If you have technical questions or concerns, please contact Magellan Health’s Interoperability Technical Support at interoperability@magellanhealth.com.