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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

Notice to Providers Regarding DMAS Policy Change

Effective May 1, 2019, DMAS has a new Policy change for children in the Commonwealth Coordinated Care Plus Waiver. For Additional information access Training Tab > Waivers> CCCP Waiver and EPSDT PC/AC Submission Rules Chart.
Posted: 1/29/2020

Submittal of Grievances and Complaints to KEPRO

Submit Grievances and/or Complaints to KEPRO in writing at vaproviderissues@kepro.com or contact EKPRO Customer Service Department at 888.827.2884. Grievances/Complaints are reviewed and resolved within five (5) business days. Expedited grievance/complaints are reviewed and resolved within seventy-two (72)hours from date of receipt.
Posted: 1/29/2020

Appeal Request

Request for an Appeal is submitted to Virginia Department of Medical Assistance Services. Appeal request can be Faxed to: (804) 452-5454 or Mailed to : Appeal Division at 600 East Broad Street, Richmond, Va. 23219
Posted: 1/29/2020

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