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Attention all providers participating in the Virginia Medicaid and FAMIS programs.

 

KEPRO’s last day to receive Organ and Stem Cell Transplants (in state and out of state) and Non-Emergency, Outpatient, out of state MRI, PET, and CAT scan requests is October 31, 2016. All requests received on October 31, 2016 will be processed by KEPRO. For the purposes of this change, out of state is defined as any facility or provider not within the state of Virginia. If you have a case that was pended by KEPRO you must respond back to KEPRO via phone, fax, or the web portal Atrezzo, by the required timeframe noted on the pend request. As of 11/1/2016 the Department of Medical Assistance Services (DMAS) Medical Support Unit (MSU) will begin accepting all Organ and Stem Cell Transplants (in state and out of state) and Non-Emergency, Outpatient, out of state MRI, PET, and CAT scan requests. All requests for services submitted on or after 11/1/2016 must be faxed to the DMAS MSU at 804-452-5450.Please refer to the DMAS memo dated 10/19/2016, for information pertaining to this change. For questions and all other inquiries regarding this change you may also contact the DMAS MSU at 804-786-8056 or the DMAS Helpline at 1-800-552-8627 or 804-786-6273.

 


Posted: 10/21/2016

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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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