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Outpatient Rehab- KEPRO's New Process

Providers are to submit a service authorization request to KEPRO for dates of service that cover the entire duration of the member’s current plan of care, even if the dates of service span over the state’s fiscal year (beginning July 1).

The provider must utilize the member’s initial 5 units in the state fiscal year (beginning July 1 annually) that do not require service authorization.

***For hospitals 1 visit = 1 unit: For non-hospital providers 1 unit = 15 minutes*** (Refer to the DMAS Rehabilitation Manual, Appendix D, for specific code and unit information.)

Posted: 3/30/2016

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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.


Transition of DD Waiver Services


Attention Individual and Family Developmental Disabilities Support Waiver (DD Waiver) case managers. KEPRO’s last day to receive DD Waiver service authorization requests is June 30, 2016. All cases received on June 30, 2016 will be processed by KEPRO. If you have a case that was pended by KEPRO you must respond back to KEPRO via the provider web portal Atrezzo, by the required timeframe noted on the pend request. As of 7/1/2016, the Department of Behavioral Health and Developmental Services (DBHDS) will begin accepting all DD Waiver requests.  All requests for services submitted on or after 7/1/2016, must be submitted to DBHDS. Please refer to the Department of Medical Assistance Services (DMAS) memo dated (5/18/2016), and the DBHDS memo dated (5/17/2016), for information pertaining to this change.  You may also contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273.



Posted: 6/15/2016

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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