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on the left, then Mental Health "+" then select Extended Psychiatric... Continue reading Dental providers creating cases for d4341 and/or d4342: 3/06/23 For each quadrant being requested, you must create a procedure line (IE: 4 quadrants will require 4 procedure entries). Then for each procedure line, you must choose the quadrant requested for that procedure line. Click here for detailed instructions. Continue reading DENTAL PROVIDERS 2/06/23 UPDATE TO RETROACTIVE REVIEW POLICY FOR REMOVABLE DENTAL PROSTHESIS Please note as of October 1st retroactive requests for removable prostheses will no longer be down coded to alternate services. If the recipient does not meet criteria for the code / service... Continue reading DME PROVIDERS 1/11/23 On January 11, 2023 the Kepro Provider Portal will fully migrate to the new system and access to the old system will be turned off. Training resources for the new system are located on the Training Page of the MHCP... Continue reading MN 1115 SUD Demonstration Providers 8/09/22 ASAM is providing a standardized version of the ASAM criteria to the public in the hopes of increasing the quality and consistency of patient assessments and individualized, patient centered care. ASAM CRITERIA ASSESSMENT INTERVIEW GUIDE Please see the July 26,... Continue reading DBT PROVIDERS: Updated DBT IOP Authorization Form (DHS – 6322) 6/24/22 An updated DBT IOP Authorization Form, DHS 6322 has been released for immediate use. This form can be found on the MN DHS website by following this link: DHS-6322-ENG (Initial Dialectical Behavior Therapy (DBT) Intensive Outpatient Program (IOP) Authorization) (state.mn.us)... Continue reading Reminders for Case Submissions: 3/08/22 1. Review the below request type definitions to determine the most appropriate selection: Prior Authorization - the service(s) or item(s) have not been provided yet. This request is to seek prior approval. Retrospective - the service(s) or item(s) have already been rendered... Continue reading ASAM Criteria Assessment Interview Guide 3/01/22 ASAM is providing a standardized version of the ASAM criteria to the public in the hopes of increasing the quality and consistency of patient assessments and individualized, patient centered care. ASAM CRITERIA ASSESSMENT INTERVIEW GUIDE Please see the July 26,... Continue reading DME Reminder 2/25/22 Providers, when creating a PA for DME and supplies, please use S=Supply as indicated below. Continue reading EIDBI Providers, Kepro has two announcements: 2/01/22 Kepro has added two new documents under the CMDE/EIDBI provider training tab. These checklists have been created to assist providers with submitting EIDBI ITP and CMDE authorizations. Each case will be reviewed to ensure all necessary documentation has been provided... Continue reading EIDBI 0373T Code Has Been Added 10/14/21 The 0373T code with UB modifier for higher intensity intervention services has been added to the ITP form and effective as of Thursday 10/14/2021. This code and modifier are now available when creating Cases in the Kepro Atrezzo Portal. Continue reading EIDBI/CMDE PROVIDERS: 10/08/21 Effective DATE 10/8/2021 - Please be advised Service Agreements will no longer be created for EIDBI requests for administrative reasons such as: All required documents not included; Provider NPI not valid; Request represents a duplicate authorization; Or when Recipients have active... Continue reading DME Equipment & Supplies 10/01/21 Nutritional Products and Related Supplies: Under Covered Services, we added In-line cartridge containing digestive enzymes (HCPCS code B4105) as a covered MHCP benefit beginning Oct. 1, 2021. Click here for more detailed information in the DHS Manual. Continue reading Verbal consent of individual treatment plans (ITPs) through telehealth 9/01/21 A temporary peacetime emergency waiver allowing the recipient’s verbal or electronic written approval of the ITP or change in the ITP for mental health services or assessments delivered through telehealth remains in effect beginning Sept. 1 2021, based on new... Continue reading Respiratory Equipment 8/13/21 Under Covered Services, we provided two examples of when both a portable and stationary ventilator may be covered. Under Noncovered Services, we added a reminder that manual resuscitation bags are covered. Under Authorization, we explained authorization requests for a second ventilator must include... Continue reading Update – Faster Approval of Prophylaxis D1110 Request within 2 Business Days 8/02/21 Effective 08/10/2021 - The number of additional prophies approved for the current calendar year will be calculated based on the date of the first Prophy and MRC submitted on the questionnaire. The approved dates will be backdated to January 1st... Continue reading Home Health/Home Care Nursing Providers: 8/02/21 Please be advised, effective Monday, August 2nd 2021, a new case will need to be created for recertification requests. Additionally, as a reminder, please complete the questionnaire. Continue reading EIDBI Providers Effective 6/16/2021: 6/16/21 The only procedure codes that can be submitted are: 97153, 97154, 97155, 97156, 97157, H0032, AND H0046 with modifier UB. NOTE: You must attach the Individual Treatment Plan (ITP) Form with the Signature Page. This Form selection is available in... Continue reading CMDE Providers Effective 6/16/2021: 6/16/21 For case submission - the only procedure code that can be submitted is 97151 with Modifier U8. NOTE: You must attach the Comprehensive Multi-Disciplinary Evaluation (CMDE) Form with the Signature Page. This Form is available in the drop down selection... Continue reading Contact Us MNproviderissues@kepro.com P: (866) 433-3658 F: (866) 889-6512 6802 Paragon Place, Suite 440 Richmond, VA 23230 Important Links Privacy Policy Web Accessibility Site Map dashicons-linkedin dashicons-twitter dashicons-instagram This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply Copyright © 2024 Acentra Health. All Rights...