Providers
Mental health/substance use disorder providers
Arkansas Blue Cross and Blue Shield believes strongly in the concept of whole-person health – and that behavioral health is a key component of overall well-being.
Accordingly, we offer a number of resources that are intended to support our valued healthcare providers in addressing the needs their patients may have in the areas of mental and behavioral health, including substance use.
Disclaimer: We strive to be helpful by offering reference materials such as these, but these tools should not be regarded as a guarantee of coverage, payment or exclusion. Also, our representatives do not have the ability to provide advance advice to individual providers on billing codes, reimbursement or how claims should be filed. To verify a member’s eligibility and coverage, providers must follow the established process for an organizational determination/benefit inquiry.
- Availity questions – Contact support for issues related to Availity portal access and functionality. Call 1-800-AVAILITY (282-4548) Monday through Friday 7 a.m. to 7 p.m. Central Time or visit availity.com/arkansasbluecross/
- Health and provider services – Contact for billing, claim rejections and related issues.
- Credentialing – Questions about participation requirements? Contact your region’s network development representative and Medicare Network Specialist.
- Arkansas Blue Cross Behavioral Health Team – Offers case management and peer support services. Call 1-800-225-1891 or email [email protected] for more information.
- Pharmacy questions – Contact for behavioral health pharmacy-related support. Call 501-378-3392 or email [email protected]
- Lucet Health – Check eligibility and authorization requests: webpass.ndbh.com or 877-801-1159
- Download a comprehensive PDF detailing claims filing, coverage policies, Availity and other detailed information
- Mental Health and Substance Use Benefit and Billing Guide
- Access a PDF quick reference page for RTC billing.
- RTC/PHP/IOP Billing Guidelines
- Availity training: Once you log into Availity click Help & Training in the upper right corner of the Availity Essentials homepage. The click Get Trained. You can enroll in both live and on demand training for any Availity Essentials functions availity.com/arkansasbluecross/
- Availity Essentials Portal includes a payer specific space providing access to valuable Arkansas Blue Cross News and Resources. Click the Payer Spaces link on the Essentials homepage and locate the Arkansas Blue Cross tile to access more information.
Lucet can assist with transitioning care from inpatient to outpatient settings, including psychiatric treatment, substance use admissions, and follow-up services for residential treatment admissions.
- Specialty programs include:
- Autism
- Eating disorders
- Hybrid care for substance use disorder
- Children and youth
- Provider portal to access helpful documents and forms and submit and track support cases and claims
- Lucet WebPass – Allows providers to check eligibility and authorization requests:
Integrated Behavioral Health Team
Our Behavioral Health Team at Arkansas Blue Cross is made up of dedicated professionals, including nurses, social workers and peer support specialists, who work alongside providers to ensure your patients receive comprehensive care that addresses both their behavioral health and overall well-being.
To refer members for case management services:
- Email: [email protected]
- 1-800-225-1891
Note: Email response time from the behavioral health team is typically 48 hours.
Our nurses are trained to manage both behavioral health and primary medical conditions, providing an integrated approach to care. They offer personalized support for patients with comorbid conditions, ensuring that their physical and mental health needs are met for a more complete healthcare experience.
- Julie Allen: [email protected]
- Delaney Kirkendoll: [email protected]
- Jackie Wallace: [email protected]
Our social workers have specialized training to address challenges that may affect your patients’ health, particularly their behavioral health. They can assist with issues like securing housing that supports recovery, navigating public benefits and addressing any other social determinants of health that may create barriers to care.
- Ashely Beegle: [email protected]
- Tori Horton: [email protected]
- Ashley Stormes: [email protected]
Our peer support specialists offer unique assistance, drawing from their own experiences with mental health, trauma or substance use. Certified in their roles, they provide mentoring, listening and support to patients, helping them through their recovery journey by fostering connection and understanding.
- Elizabeth Greenbaum: [email protected]
- Tojuana Greenlaw: [email protected]
- Jessica Strickland: [email protected]
To learn more about peer support specialists: https://www.arpeers.org/