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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.