2021 Chiropractic Visits 2 Services are limited to a combined total of 20 visits per event of physical therapy occupational therapy osteopathic manipulation Chronic Pain Management programs and chiropractic treatment ID: 914043
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Chiropractic
Annual Training
2021
Slide2Chiropractic Visits
2
Services are limited to a combined total of 20 visits per event of physical therapy, occupational therapy, osteopathic manipulation, Chronic Pain Management programs, and chiropractic treatment.
All services beyond the initial 20 treatments require prior authorization
Alternative Benefit Plan members have a limit of 24 treatments per calendar year.
An additional six treatments per year may be authorized if OT and PT services have not been utilized in combination with chiropractic services (for a total of 30 treatments).
Providers can call the claims vendor at (888)-483-0793 for verification of billed services.
For more information regarding Chiropractic services, go to
https://dhhr.wv.gov/bms/Pages/Manuals.aspx
Chapter 519.7
Slide3Submitting X-rays
An x-ray report must be submitted with the prior authorization request for spinal manipulations beyond the initial 20 treatments.
The x-ray must be taken no more than three months before the date the additional spinal manipulations would be rendered to support the necessity for continuing chiropractic care.
The x-ray requirement is waived for pregnant women.
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Slide4Required Documentation
Treatment plan
Update of progress
Number of manipulations that has been performed on the member
Possible exacerbations or setbacks
Home exercise program
Whether this be walking, swimming, going to the gym, etc.
Frequency of visits
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Slide5Training and Technical Assistance
We offer training via webinar, phone, and various materials.
These are offered to make submitting online for Prior Authorization an easier process for providers.
There are also annual reviews/trainings available to providers.
Provider training is also offered for various provider groups.
Each PowerPoint presentation from the provider trainings are posted to
https://wvaso.kepro.com/wv-aso-medical-services
.
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Slide6Kepro
Medical
Contact Information
1007 Bullitt Street
,
Suite 200
Charleston, WV 25301
1-800-346-8272
EXT. 7996
MEDICAL SERVICES EMAIL:
WVMEDICALSERVICES@KEPRO.COM
MEDICAL FAX NUMBER: 1-866-209-9632
EMILY PROCTOR
MEDICAL/IDDW/BH/SUD
WAIVER DIRECTOREBPROCTOR@KEPRO.COM EXT. 4455KAREN WILKINSONUM NURSE MANAGERKAREN.WILKINSON@KEPRO.COM EXT. 4474ALICIA PERRYOFFICE MANAGERAPERRY@KEPRO.COM EXT. 4452SIERRA HALLTRAINING SPECIALISTSIERRA.HALL@KEPRO.COMEXT. 4454JAMI PLANTINCUSTOMER SERVICE REPJAMI.PLANTIN@KEPRO.COMEXT. 4502JASPER SMITHCUSTOMER SERVICE REPJASPER.SMITH@KEPRO.COM EXT. 4490JOHN JONESCUSTOMER SERVICE REPJOJONES@KEPRO.COMEXT. 4431LAUREN PAYNECUSTOMER SERVICE REPLPAYNE@KEPRO.COMEXT. 4408GENERAL KEPRO AND WVCHIP INFORMATION: WWW.WVASO.KEPRO.COM FOR SUBMITTING AUTHORIZATIONS: HTTPS://PROVIDERPORTAL.KEPRO.COM WEBSITE FOR ORG MANAGERS TO REGISTER/ADD/MODIFY USERS: HTTPS://C3WV.KEPRO.COM
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Slide7Questions?
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