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On Friday November 1, 2019 we were notified that some providers were accessing the Atrezzo training site versus the live portal which has since been resolved. To access the KEPRO Atrezzo Live site please visit this link: https://atrezzo.kepro.com/account/login.aspx
If you have any questions regarding this message, please contact Provider Relations at 866-521-0027, Option 3 or at ProviderRelationsME@kepro.com
For common Questions and Answers from Providers please click here.
Courtesy Reviews No Longer Available under the Atrezzo System for MaineCare Services
Effective March 1, 2019, KEPRO, in coordination with the Office of MaineCare Services, will implement the following process change to the Atrezzo system.
KEPRO will no longer process Courtesy Reviews of service authorization requests for individuals who do NOT have MaineCare eligibility. Instead, as with all other MaineCare services that require Prior Authorization (PA), requests for retroactive authorization of services shall be reviewed by KEPRO after the individual has gained retroactive MaineCare eligibility.
In some cases, an individual’s financial eligibility for medical services may be determined retroactively. If covered services were provided during a period of retroactive eligibility, the provider may submit a retroactive authorization request for the covered services that require PA.
Please submit requests for retroactive authorizations within three months of a member’s updated financial eligibility for MaineCare. Please see the MaineCare Benefits Manual, Chapter I, Section 1.04-1(A) for more detail.
The first in a series of updates from DHHS Commissioner regarding MaineCare expansion can be viewed here.
We have updated our phone messaging to further support and improve Member and Provider Services.
The new call queues are as follow:
An Emergency Rule-making Adoption of MaineCare Benefits Manual, Section 93, Opioid Health Home Services, Chapters II & III notification has been released.
The emergency adopted rule can be accessed at: https://www.maine.gov/dhhs/oms/rules/emergency.shtml
Effective 10/1/2017, KEPRO will begin to determine medical eligibility for Katie Beckett. The Katie Beckett benefit is a MaineCare program for children with serious health conditions who are not otherwise eligible for MaineCare. More information can be found at http://www.maine.gov/dhhs/ocfs/cbhs/eligibility/katiebeckett.html