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2016 LEAP YEAR

****REMINDER: 2016 is a leap year. Please be aware when making authorization requests that February has 29 days*********


Posted: 12/10/2015

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Service Authorization (Srv Auth) Checklists

Want to avoid hold-ups caused by missing information in Srv Auth requests? Check out the Required Srv Auth Information Checklists. These handy reference lists will help you determine at a glance all the information required for each service type.

Announcements


NEW!! EFFECTIVE JANUARY 1, 2016

The Department of Medical Assistance Services (DMAS) will begin covering Lactation counseling services and breast pumps for women enrolled in fee-for-service Medicaid/FAMIS/FAMIS MOMS.  This change will align the coverage of lactation services for the fee-for-service and managed care populations.

 

Breast pump requests will require service authorization under Durable Medical Equipment (DME) through KEPRO, the DMAS Service Authorization Contractor. Durable Medical Equipment (DME) providers must submit medical justification when requesting breast pumps and/or additional Collection Kits.  Please refer to the Medicaid memo dated 12/01/2015 for specific procedure codes, rates, and submission requirements.  

 


Posted: 12/4/2015


KEPRO is URAC accredited in Health Utilization Management, Disease Management and Case Management. We are also licensed to perform medical reviews in 29 states.

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