Committed to care, no matter what
Even if you’re not part of the Lucet provider network, we have resources to improve your day-to-day.
Quality Behavioral Healthcare for All
Lucet brings decades of clinical experience, research, and innovation to the behavioral health sector. Our mission is to help providers like you improve the quality of care delivery and outcomes for your patients with support from our care team. Even if you’re not part of our provider network, we have a variety of helpful resources to enhance and expand access to mental health care.
Improving healthcare, together.
By collaborating with providers like you, we improve access to quality behavioral healthcare and encourage whole-person health for our members. Your partnership helps us create powerful care solutions, and our network team is always ready to join forces on new, innovative approaches to care.
With decades of experience in the field and an unwavering commitment to partnership, we can create positive change in the lives of those we serve, together.
Are you already a Lucet (formerly New Directions + Tridiuum) in-network Provider? You can find In-network provider resources in the provider portal. Visit the Lucet Provider Portal
Choose your Health Plan:
Blue Cross And Blue Shield Of Arkansas – Walmart
Access a variety of community resources to support your patients.
Medication-Assisted Treatment (MAT)
Substance Use Disorders
Policies & Manuals
All Lucet policies are available for reference and download.
ABA services for Autism require pre-notification. Pre-notification includes submitting a treatment request form to be reviewed for coverage under the Walmart Medical Coverage Criteria, Autism Spectrum Disorder, Applied Behavior Analysis (NDBH.com/providers/Walmart). Once reviewed, an authorization reference number will then be assigned. Failure to obtain pre-notification prior to services rendered may include requirement for review of the member”s full medical record. Treatment not congruent with the medical coverage criteria will not be eligible for reimbursement.
WalMart Medical Policy for the treatment of ASD
*Note: After clicking the link above, follow these steps to access this document:
- Go to “Prefix” box
- Enter “WMW”
- Click on Submit button
- Click on Accept button
- Use drop down to select “Autism Spectrum Disorder, Applied Behavior Analysis”
Member Appeal Process
Understand billing processes and access documentation.
DSM V AND ICD 10
This transition will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare claims. ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2015. Otherwise, your claims and other transactions may be rejected, and you will need to resubmit them with the ICD-10 codes. This could result in delays and may impact your reimbursements, so it is important to start now to prepare for the changeover to ICD-10 codes. Below are some documents and sources for your educational purposes.Most of the educational material from the American Psychiatric Association (APA).
DISCLAIMER: These resource links are for informational purposes only and are included as a courtesy for our providers. Lucet has not reviewed, interpreted, or adopted the information available at any external website. These websites do not serve as legal advice and should not be relied upon as such. Lucet is not responsible for the content of the information found at any external website or for provider’s access to that information. For further details or questions, please contact the owner of the information found at the linked external websites. The information contained on this page is subject to change without notice
Authorizations & Referrals
Request authorizations, search our provider directory and more.
WebPass is an online service from Lucet which allows providers and office staff to check eligibility and benefits of Lucet’s Members, request authorization (including ECT), contact Provider Relations, update your online profile, and more.
To obtain access to Webpass, please email PRWebpass@lucethealth.com with your name, email address, and Tax ID number. Contact 877-709-6822 for any additional questions.
To view the location, demographic, and other information you have on file with Lucet, please search your name in the Provider Directory.
Let’s change healthcare, together
Do you need assistance from our Provider Success team? Click below to access the available support options.Support Options
If you’re interested in helping empower members to lead healthier and more productive lives, we invite you apply to join our network. Apply now
Lucet brings decades of clinical experience, research, and tech-innovation to support providers. We help you grow your client base by opening up a broader member network, to get more of the right members through your door.
Our proven services and support from our care team help providers like you improve the quality of care delivery and outcomes for your patients.
A single case agreement is not necessary if the member’s policy covers the requested services. If the services to be rendered are not covered due to network or benefit limitations, and if the treatment is medically necessary, a single case agreement might be available if certain conditions are met.
To determine if a single case agreement is an option, please contact Lucet by calling the number on the back of the member’s insurance card.
WebPass is an online service from Lucet which allows providers and office staff to submit requests for authorizations for eligible members.