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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


EFFECTIVE 8/1/2017 – Changes in the submission of requests for EPSDT PDN, EPSDT School Based PDN, and EPSDT Personal Care services.

Effective 8/1/2017, requests for EPSDT PDN, EPSDT School Based PDN, and EPSDT Personal Care will be accepted and reviewed for medical necessity by the DMAS Medical Support Unit (MSU). Providers will continue to submit requests through KEPRO’s secure portal, Atrezzo. The requests will be processed by DMAS MSU within the preexisting standard of 5 business days. Please refer to the DMAS Provider Memo dated, 6/30/2017 Notification of Updates to certain EPSDT Service Authorization Forms for Fee-for-Service and Managed Care members and Transition of Clinical Reviews of Certain EPSDT Fee-for-Service Authorizations from KEPRO to DMAS Medical Support Unit or DBHDS – Effective August 1, 2017 for additional details. This is available from DMAS at: https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/MedicaidMemostoProviders For more information, contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273.
Posted: 7/28/2017

EFFECTIVE 8/1/2017 – Service Authorization of Commonwealth Coordinated Care Plus (CCC Plus) Waiver Begins!

Effective 8/1/2017, KEPRO will begin service authorization for individuals participating in the CCC Plus Waiver. Please refer to the DMAS Provider Memo dated, 7/19/2017 Revised Launch of Commonwealth Coordinated Care Plus Waiver— Effective July 1, 2017 for additional details. This is available from DMAS at: https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/MedicaidMemostoProviders. For more information, contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273.
Posted: 7/28/2017


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

Atrezzo Connect is available for submission of all requests for Virginia Medicaid authorization. LOG IN or REGISTER here...

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FOR FAMIS EXTERNAL REVIEW REQUESTS, PLEASE CLICK HERE