PPT-Kepro’s service authorization process for outpatient rehabilitation services

New health coverage for adults in Virginia Beginning January 1 2019 more adults living in Virginia will have access to quality lowcost health insurance The new coverage includes hospital stays doctor visits preventive care prescription drugs and much more . Presented by:. Esmeralda Madrigal. Stefanie Chin. Our Mission . Mission:. The PSC is dedicated to providing rehabilitation services that restore physical, intellectual, communicative, psychosocial and vocational skills, and to facilitating the transfer of those skills from the hospital setting to daily life. Such services include, but are not limited to, inpatient rehabilitation, outpatient rehabilitation, emerging consciousness programs, transitional rehabilitation, day programs, and community re-entry programs. . Severel. y Injured. VA Polytrauma/TBI System of Care. DECEMBER 2, 2. 015. Disclaimers. . We have no financial relationships to disclose.. We will not discuss off label use and/or investigational drug use in this presentation. Overview/Review 2017. General Information. Dental services are covered for enrolled children up to 21 years of age.. Dental services covered for enrolled adults 21 years of age and older are limited to emergent procedures.. Presented . To:. Inpatient Providers. . INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. INPATIENT SERVICES. INPATIENT ACUTE-MEDICAL--SURGICAL SRV AUTH SERVICE TYPE 0400. INPATIENT REHABILITATION – SRV AUTH TYPE 0200. . Process. Waiver Services:. Technology Assisted . Wavier. INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. Please note that . for . Technology . Assisted . Wavier. , . all requests must be submitted via KEPRO’s . Definition of a Community Rehabilitation Program (CRP). A CRP is a program which directly provides or facilitates the provision of vocational rehabilitation services to individuals with disabilities, DOR consumers, to enable them to maximize opportunities for employment, including career advancement. . KePRO. INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. 1. Methods of Submission Service Authorization Requests to KePRO. KePRO accepts service authorization (srv auth) requests through direct data entry (DDE), fax and phone.. Process for Home Health . Services. 11/05/2015. INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. 1. Home Health Presentation on Service Authorization Process. Helpful Hints for Submitting Requests for Home Health Services. Service Authorization for EPSDT Hearing Aids (Service type 0092) and related Service Devices Presented by: KePRO INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT 1 KePRO accepts service authorization (srv auth) requests through direct data entry (DDE), fax and phone. 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.. Process for Non-Emergency Outpatient Scans (NEOP). MRI, MRA, CAT, CTA AND PET SCANS. New health coverage for adults. Beginning January 1, 2019, more adults living in Virginia will have access to quality, low-cost health insurance. The new coverage includes hospital stays, doctor visits, preventive care, prescription drugs and much more! . SERVICE TYPE 0302. 11/10/2020. Page . 2. Footer |. KEPRO’s mission is to improve lives through healthcare quality and clinical expertise. . Our Mission. We work on behalf of government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. . 11/10/2020. Page . 2. Footer |. KEPRO’s mission is to improve lives through healthcare quality and clinical expertise. . Our Mission. We work on behalf of government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. . 2021. Podiatry – Chapter 519.13. Podiatry Services Manual can be found in Chapter 519 Practitioner Services Policy 519.13. West Virginia Medicaid coverage of podiatric services is limited to the examination, diagnosis, treatment, prevention, and care of conditions and functions of the foot and ankle. .