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ATREZZO PROVIDER PORTAL TRAINING

Please join KEPRO and attend our training session on September 26, 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: 8208979780
Posted: 9/4/2019

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

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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.

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

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