Hot Topics
UPCOMING ATREZZO PROVIDER PORTAL TRAINING
Atrezzo Provider Portal Training March 6, 2019 and March 20, 2019. Link for webinar session: http://kepro.adobeconnect.com/rofjjdiuhhw5/
Audio: 1.866.754.2932
Conference Code: 6815237722
Time: 10:00 AM Eastern
APPLICABLE TO ALL PROVIDERS
Posted: 2/19/2019
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
Alzheimer’s Assisted Living (AAL) Waiver
The Department of Medical Assistance Services (DMAS) will end the Alzheimer’s Assisted Living (AAL) Waiver effective June 30, 2018. KEPRO’s last day to receive continuation of care requests for Alzheimer’s Assisted Living (AAL) Waiver is June 30, 2018. If you have a case that was pended by KEPRO you must respond back to KEPRO via the provider web portal Atrezzo, by the required timeframe noted on the pend request. All case authorizations that end past waiver closure date will be end dated for June 30, 2018. For questions and all other inquiries regarding this change, contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273.
Posted: 6/26/2018
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.