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Kepro’s Atrezzo Upgrading to Atrezzo Next Generation

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Bulletin
Effective Date:

To:
All Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
From:
Cheryl J. Roberts, Director Department of Medical Assistance Services (DMAS)

Kepro, the service authorization contractor, will be upgrading their Atrezzo system to Atrezzo Next Generation (ANG) effective June 26, 2023. The upgrade provides users with a new look and feel that is highly intuitive and user-friendly. Kepro will be providing live virtual trainings for all providers outlined on Kepro’s website here.

ANG’s update includes enhanced security features and will now require providers to log in with multi-factor authentication (MFA). The goal of MFA is to provide a multi-layered security defense system. 

What is Multi-Factor Authentication

Multi-factor authentication is an authentication method that requires users to verify identity using multiple independent methods. MFA implements additional credentials such as a PIN sent via email or text, or a verification call made to a pre-registered phone number. 

Kepro will provide several trainings to providers on what is required in order to log in and submit cases successfully. The training schedule is included at the end of this bulletin.

Medical Providers - Current Existing Users – Actions Needed Now

On June 26, 2023 Kepro will launch ANG for the current medical providers. After logging in with your current credentials, current users will only need to complete MFA registration for the new portal.  You will utilize your existing username and password.   This will be a one-time registration process for MFA.

Kepro Training Schedule for Current Existing Medical Provider Portal Users

Training for current medical providers begins June 5th, 2023, and registration is now open. The ANG Training Schedule is at the end of this bulletin. The live recorded sessions will be posted on Kepro’s website. 

ANG Provider Portal Administrator and System Training will be recorded and posted to the Kepro website after the trainings have completed.

Training in Early October Will Be Conducted for Providers Who Will Use ANG starting November 1, 2023

Detailed instructions will come in September 2023, with training opportunities in early October.

With the Magellan BHSA close out, all Behavioral Health providers must be fully registered in Gainwell’s PRSS prior to registering in Kepro’s ANG.  It is very important to assure accurate EFT information is on your provider file prior to November 1, 2023, in order to continue receiving payments.  For additional information related to EFT, please see the Medicaid Bulletin dated May 18, 2023.

BH and other medical providers will register in Kepro’s ANG system starting in October. BH providers should not attempt to register at this time.

Kepro ANG Provider Portal Training for Current Medical Providers

Module 1 – Provider Portal Administrator Training

30-minute session; 7 sessions; all times below are EST

This training will be for provider administrators who will be responsible for registering in the provider portal, adding and managing users for local management, and adding additional facilities/locations for all assigned users.

Date

Time

Register

Curriculum

Monday, June 5

10:00 am

Register Here

Provider Portal Login

Provider Multi-Factor Registration

Provider Administrator Role

-       How to add and manage users

-       Reset accounts

-       Registering multiple provider locations

Thursday, June 8

9:00 am

Register Here

Wednesday, June 14

12:00 pm

Register Here

Tuesday, June 20

11:00 am

Register Here

Thursday, June 22

4:00 pm

Register Here

Friday, June 23

9:30 am

Register Here

Monday, June 26

9:00 am

Register Here

Module 2 – Provider Portal System Training
60-minute session; 13 sessions; all times below are EST

This training will be for all users to learn how to submit a request, how to manage a request once submitted, and all system functionalities.

Date

Time

Register

Module

Monday, June 12

2:00 pm

Register Here

Provider Portal Login

Submitting New Requests

Completing Saved Requests

Submitted Request Status

Determination Letters

Uploading Additional Clinical Documentation

Extending Approved Request

Copy Current Request

Requesting Revisions

Sending/Receiving Messages

Requesting Peer to Peer

Understanding Admin Set Preferences

Changing Provider Context

Forgot/Reset Password

Wednesday, June 14

4:00 pm

Register Here

Friday, June 16

12:00 pm

Register Here

Tuesday, June 20

2:00 pm

Register Here

Wednesday, June 21

8:00 am

Register Here

Wednesday, June 21

3:00 pm

Register Here

Thursday, June 22

10:30 am

Register Here

Thursday, June 22

2:00 pm

Register Here

Friday, June 23

10:30 am

Register Here

Friday, June 23

2:00 pm

Register Here

Monday, June 26

11:00 am

Register Here

Tuesday, June 27

2:00 pm

Register Here

Wednesday, June 28

1:00 pm

Register Here

For questions regarding system training, please contact training@kepro.com 

For ANG Technical assistance only, please contact (do not include PHI):  VAproviderissues@kepro.com and do not include Protected Health Information (PHI).

 

 

PROVIDER CONTACT INFORMATION & RESOURCES

Virginia Medicaid Web Portal Automated Response System (ARS)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

https://vamedicaid.dmas.virginia.gov/

Medicall (Audio Response System)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

1-800-884-9730 or 1-800-772-9996

KEPRO

Service authorization information for fee-for-service members.

 

 

https://dmas.kepro.com/

 

Provider Appeals

DMAS launched an appeals portal in 2021. You can use this portal to file appeals and track the status of your appeals. Visit the website listed for appeal resources and to register for the portal.

https://www.dmas.virginia.gov/appeals/

Managed Care Programs

Medallion 4.0, Commonwealth Coordinated Care Plus (CCC Plus), and Program of All-Inclusive Care for the Elderly (PACE).  In order to be reimbursed for services provided to a managed care enrolled individual, providers must follow their respective contract with the managed care plan/PACE provider.  The managed care plan may utilize different guidelines than those described for Medicaid fee-for-service individuals.

Medallion 4.0

http://www.dmas.virginia.gov/#/med4

CCC Plus

http://www.dmas.virginia.gov/#/cccplus

PACE

http://www.dmas.virginia.gov/#/longtermprograms

Magellan Behavioral Health

Behavioral Health Services Administrator, check eligibility, claim status, service limits, and service authorizations for fee-for-service members.

www.MagellanHealth.com/Provider

For credentialing behavioral health service information, visit:

www.magellanofvirginia.com, email: VAProviderQuestions@MagellanHealth.com,or

Call: 1-800-424-4046

Provider Enrollment

In-State: 804-270-5105

Out of State Toll Free: 888-829-5373

Email: VAMedicaidProviderEnrollment@gainwelltechnologies.com

Provider HELPLINE

Monday–Friday 8:00 a.m.-5:00 p.m.  For provider use only, have Medicaid Provider ID Number available.

1-804-786-6273

1-800-552-8627

Aetna Better Health of Virginia

www.aetnabetterhealth.com/Virginia

 1-855-270-2365

 1-866-386-7882 (CCC+)

Anthem HealthKeepers Plus

www.anthem.com/vamedicaid

1-833-207-3120

1-833-235-2027 (CCC+)

Molina Complete Care

 

1-800-424-4524 (CCC+)

1-800-424-4518 (M4)

Optima Family Care

1-800-643-2273

1-844-374-9159 (CCC+)

 www.optimahealth.com/medicaid

United Healthcare

www.Uhccommunityplan.com/VA

www.myuhc.com/communityplan

1-844-284-0149

1-855-873-3493 (CCC+)

Virginia Premier

1-800-727-7536 (TTY: 711), www.virginiapremier.com

Dental Provider

DentaQuest

1-888-912-3456