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NPI number changes on existing cases

KEPRO is experiencing an influx of requests for changes  in provider's NPI numbers on existing cases. This issue is a result of action taken by DMAS in response to directives in the standards established by Section 6401(a) of the Affordable Care Act (ACA) which requires DMAS to end any NPI number that is inactive or does not match the type that is listed in the national Plan & Provider Enumeration System (NPPES) database. KEPRO is completing requests as timely as possible.
Posted: 5/30/2014

NEW! EFFECTIVE April 1, 2014 Commonwealth Coordinated Care Coverage

Commonwealth Coordinated Care Coverage begins for those who voluntarily enrolled in the Tidewater and Central VA region!!

 

DMAS is pleased to announce the launch of Commonwealth Coordinated Care (CCC), a new initiative to blend and coordinate Medicare and Medicaid services for Virginians receiving both benefits. CCC offers care coordination services and supplemental benefits not currently available to individuals receiving traditional Medicare and Medicaid benefits. Eligible individuals will receive a letter notifying them of their CCC eligibility. For more information on eligibility and CCC services , please visit the CCC webpage at http://www.dmas.virginia.gov/Content_pgs/altc-enrl.aspx . Individuals enrolled in CCC will have all services authorized by the Medicare-Medicaid Plan (MMP) they have chosen: Healthkeepers, Humana, or Virginia Premier. For CCC enrollees, contact the MMP directly for service authorization information.


Posted: 3/28/2014

Check It - checkmark in checkbox

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.

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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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