Hot Topics
ATREZZO PROVIDER PORTAL TRAINING
Please join Kepro and attend our training session on June 27, 2019 @ 10AM EST. Access the following link to join the webinar session: http://kepro.adbobeconnect.com/rge49bqruul3/ Audio Dial: 1-866-754-2932 Conference Code: 8572016139
Posted: 6/20/2019
Notice to Providers Regarding DMAS Policy Change and New Forms for Personal/Attendant Care and Supervision Requests
Effective May 1, 2019, DMAS has a new Policy change for children in the Commonwealth Coordinated Care Plus waiver.
For children under the age of 21 who are currently enrolled in, or those seeking new enrollment in to the CCCP Waiver, their personal care and attendant care needs are to be reviewed under the CCCP Waiver benefit, rather than EPSDT. Providers are to submit the personal and attendant care requests to KEPRO via the CCCP waiver service types, 0900 (EDCD) or 0960 (Tech Waiver) utilizing CCCP Waiver rules and forms.
For children who do not have a new or existing waiver enrollment, these services must be submitted under the EPSDT service type 0091, utilizing the EPSDT rules and forms. Additionally, the DMAS 97 A/B (Personal/Attendant Plan of Care), and the DMAS-100 (Request for Supervision Time under CCCP Waiver) have been revised and are available on the DMAS website under Provider Forms Search. KEPRO will process requests with the old forms through May 31, 2019. On and after June 1, 2019 KEPRO will require the updated forms to be submitted with requests for Personal/Attendant Care Services. Should old forms be submitted to KEPRO on/after June 1, 2019 KEPRO will reject the request for the new forms. Refer to the Waivers Training tab to view CCCP Waiver and EPSDT PC/AC Submission Rules chart.
Posted: 4/24/2019
Retrospective Service Authorization
Providers may request retrospective service authorization when a member receives retroactive Medicaid eligibility. For fee-for-service members, providers must request authorization through the KEPRO Atrezzo provider portal once they receive notification of the member’s retro eligibility. Timeliness may be applied after a specific period of time for some services. Please call KEPRO Customer Services at 1-888-827-2824 if you have questions.
Posted: 2/15/2019
Submitting Service Authorization Request for Medicaid Expansion Members
For instructional information on Atrezzo Provider Portal service authorization submittal refer to the following trainings: Inpatient Services- Select the Training Tab> Inpatient Services> Atrezzo Provider Portal - Inpatient Case Creation . Outpatient Services -Select the Training Tab> Outpatient Services> Atrezzo Provider Portal - Outpatient Case Creation
Posted: 11/19/2018
Submission Requirements
To review EPSDT Personal Care, Private Duty Nursing and Assistive Technology Service Authorization Submission Requirements select the following: Training> Waivers> EPSDT Personal Care, Private Duty Nursing and Assistive Technology Service Authorization Submission Requirements
Posted: 9/11/2018
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
Early and Periodic Screening, Diagnosis, and Treatment ( EPSDT) Services and CCC Plus Waiver- Effective September 1, 2018
Effective for Services beginning on or after September 1, 2018, individuals under the age of 21 in the CCC Plus Waiver must receive personal care, private duty nursing, and assistive technology through EPSDT benefit. Service authorization request for these services are to be submitted to either the respective Managed Care Organization (MCO) for individuals enrolled in managed care or KEPRO through the Atrezzo Connect provider portal for Fee-for-Service. The Managed care plan and KEPRO will utilize EPSDT rules and required documentation in authorizing these services.
Posted: 7/17/2018
KEPRO is URAC accredited in Health Utilization Management and Case Management. We
are also licensed to perform medical reviews in 29 states.