Information and updates related to the Maine Administrative Services Organization (ASO)
Tool Upgrade
On Monday, November 7th, Kepro will be upgrading their web-based platform to Atrezzo Next Generation. The Atrezzo Next Generation (ANG) platform is an improved interface with enhanced security features such as Multi-Factor Authentication (MFA). ANG brings the Maine Administrative Services Organization (ASO) an even more flexible, intuitive, and highly automated system that streamlines the utilization review and reporting processes for clients and providers. ANG fulfills all components of the scope of services defined in the Maine ASO UM program, as it offers the modularity and flexibility needed to evolve with the ever-changing healthcare technology landscape. Our flexibility comes from ANG’s best-in-class platform, custom-built by Kepro, which can be rapidly configured and tailored to meet ASO’s unique program needs.
Training Plan and Resources
A full functioning array of resources including training manuals, informational materials, webinars, and training videos are utilized. Training materials will be placed on the Maine ASO client website, located at http://www.qualitycareforme.com/. Training session will be a recorded demonstration in a live webinar to allow discussion and answer questions. There will be several modules for the providers to attend based on user role permissions. Providers will receive links to register for the session date and time that works best for their availability.
For a list of our upcoming trainings, please visit https://me.kepro.com/providers/atrezzo/
Please click here to view the Office of MaineCare Listserv announcement.
Attention Referents of MaineCare Benefits Manual Section 97, Appendix D Children’s Residential Care Facility Services. Currently, Referents are expected to review the CRCF Information Sheet with families prior to a referral to CRCF services. As part of the application for CRCF services, the Acknowledgement Form must also be signed by the family and youth with the appropriate service checked off.
Effective immediately, Referents must also review the Aftercare Support Services Information Sheet with families and youth as part of the referral for CRCF services. Both CRCF and CRCF Aftercare Support Services must be checked on the Acknowledgement Form.
Attention Providers of MaineCare Benefits Manual Section 97, Appendix D Children’s Residential Care Facility Services, the Aftercare Support Services Information Sheet should be reviewed with youth and families upon admission to the CRCF. Additional information about Aftercare Support Services can be located in the Aftercare Support Services FAQs.
For Referents and Providers of MaineCare Benefits Manual Section 97, Appendix D Children’s Residential Care Facility Services, the Aftercare Support Services Webinar is now available. OCFS recommends all referents review the webinar prior to making referrals for CRCF services.
The Office of Behavioral Health (OBH), in coordination with Kepro, have updated the definitions of a Critical Incident to better clarify when it must to be reported through the Kepro Atrezzo system.
A Level One (1) Critical Incident are those that result in death or serious injury and/or significantly jeopardize clients, public safety, or program integrity. Such incidents involving clients must be reported to OBH regardless of the location of the incident. A client’s death is always reported as a Level 1, regardless of whether the death was attended or not, and regardless of the cause of death.
Examples of Level 1 Critical Incidents include:
A Level Two (2) Critical Incident are those where significant errors or undesirable events that compromise quality of care or client safety occur.
Examples of Level 2 Critical Incidents include:
To access the Critical Incident training please visit https://me.kepro.com/resources/training/
For questions regarding this change or the upcoming training please contact Kepro Provider Relations at 1-866-521-0027, Option 3, or via email at ProviderRelationsME@kepro.com
Effective May 1, 2022, you must submit a PA to Kepro for all youth determined eligible for CRCF services. The PA will be valid for six months. This includes new CRCF referrals and Transfer CRCF referrals.
If the child does not access CRCF services within the six-month timeframe, you must complete a new referral with all required documentation, including the Behavioral Health Program Coordinator (BHPC) Consult. The new referral will initiate a new assessment with a Kepro clinical reviewer. You can submit the new referral up to 10 days prior to the end of the current authorization and may backdate it up to a maximum of five business days.
Youth Authorized Prior to May 1, 2022
For all youth authorized for CRCF services but not placed prior to May 1, 2022, please submit an extension request in Atrezzo prior to the end of the current authorization period. If approved, we will authorize the extension for six months. If the child does not access CRCF services within the six-month timeframe, you must complete a new referral with all required documentation including the BHPC Consult. The new referral will initiate a new assessment with a Kepro clinical reviewer. You can submit the new referral up to 10 days prior to the end of the current authorization and may backdate it up to a maximum of five business days.
The CRCF services application, directions, and Provider Guide, are available at Maine ASO | Children’s Residential Care Facility (CRCF) Services.
Please contact the Kepro intake team with any referral process questions at 1-866-521-0027 or IntakeME@kepro.com.
Kepro, in collaboration with the Office of Behavioral Health (OBH), has streamlined the process for Department Medication Management Referrals.
Beginning October 18, 2021, the Department will submit Medication Management Referrals to providers via Kepro's Atrezzo portal. Receiving providers will need to confirm acceptance of the referral or submit a request to refuse the referral, via the Atrezzo portal. Receiving providers who accept a referral or receive a denial from OBH to refuse a referral, will need to submit an authorization request upon the client's admission to the service.
Kepro is offering a provider training on Tuesday, October 12, 2021, from 11:00am to 12:00pm. If you are unable to attend the training, materials will be available on our website www.qualitycareforme.com/resources/training/
Updated versions of the Atrezzo Portal questionnaires have been posted to QualityCareforME.com. Please click PROVIDERS at the top of the page and ATREZZO QUESTIONNAIRES or follow this link.
As of today, Kepro has implemented three new solutions within the Kepro Atrezzo portal. To learn more about these solutions click the training videos below. In addition, "Grant Funded" request have been relabled to "OBH Funded".
Kepro in collaboration with the Office of Behavioral Health will begin capturing limited data on requests for ancillary OBH contracts for Adult Medication Management services. An ancillary contract is a per member per month contract that works in congruence with OBH’s fee-for-service medication management contract to cover certain activities that are not reimbursable under the fee-for-service contract. Clients must meet the OBH medication management contract eligibility criteria of SMI in order to be billed to the PMPM contract. Providers must meet the minimum threshold of 15 minutes of approved service delivery in order to bill the contract. Click for additional training.
The Office of Children and Family Services (OCFS), in coordination with Kepro, has implemented changes in the referral management process, effective Monday, May 11th. In an effort to improve the referral process for both Home and Community Treatment and Rehabilitative Community Services, Kepro has developed a new family choice waitlist report that is accessible in the Kepro Atrezzo System. The report will display all consumers that have been added to the family choice waitlist by Kepro and that are waiting for services for your agency that have not been served. Please contact ProviderRelationsME@Kepro.com for questions.
Kepro, in coordination with the Department of Health and Human Services (DHHS) have extended existing authorizations for 30 days. Any authorization due to expire between 4/14 through 5/15 were given 30 day extensions.
During the State of Civil Emergency period associated with COVID-19, Home and Community-Based Treatment (HCT) providers delivering services via Section 65 are approved to offer HCT as a clinician-only treatment model to current clients and new clients, temporarily amending the requirement for the service to be delivered through a combination of a clinician and a Behavioral Health Professional (BHP).
Please see the Department’s guidance for additional information on delivering services via telehealth, including considerations regarding quality and clinical appropriateness.