Review new details on HEDIS measures and Medical Necessity Criteria (MNC) and learn how to talk about long-term care options with older populations.
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Talking about Aging Is Hard, But Now Is the Time
The holidays approaching present ideal moments to check in with loved ones. Encouraging early conversations around long-term care, future medical and emotional needs and in-home care options can help make transitions easier. You can read more about managing older loved ones health and share this information with your patients to help them tackle these difficult conversations in our latest blog.
Lucet would like to share details on the Healthcare Effectiveness Data and Information Set (HEDIS) measure, called Initiation and Engagement of SUD Treatment (IET), following a new diagnosis of Substance Use Disorder (SUD). Review details and best practices regarding this measure here.
Lucet utilizes medical necessity criteria to make medical necessity determinations. The medical necessity criteria set applied vary according to the behavioral health service being requested. To determine which criteria set will be used in 2026, please refer to this list.
About Us: Lucet’s unique combination of people and technology is proven to optimize access to behavioral health care providers and increase a health plan’s ability to connect members to quality care. With the industry’s largest network of hundreds of care navigators and technology powered by more than 6 million assessments and more than 20 years of data, Lucet is proven to successfully identify and connect people across the entire acuity spectrum with the right care in less than 5 days on average, and often as little as 1 day.
Lucet adopts clinical practice guidelines that are meant to assist providers with screening, assessing and treating common behavioral health and substance use disorders.
