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The purpose of this notification is to inform providers on how to successfully submit fee for service requests for service authorization (SA) to Acentra Health, formerly known as Kepro, effective November 1, 2023.

Which Providers are Affected

Acentra Health will begin accepting requests on November 1, 2023 for providers who perform services for the following programs:

• All Behavioral Health and ARTS Services

• Baby Care Program

• Continuous Glucose Monitors

• EPSDT Private Duty Nursing

• EPSDT Private Duty Nursing MCO School Based Carve Out

• Out of State Imaging

• Genetic Testing

The last day that Magellan BHSA and DMAS will accept requests for service authorization is October 31, 2023. If you submit a request to Magellan BHSA or DMAS, please do not submit a duplicate request to Acentra.

When to Submit Service Authorization Requests to Acentra

For providers with a service authorization end date that spans on or after November 1, 2023, Acentra will honor the service authorization. When the member requires concurrent services past the end date of the approved SA, providers will request SA through Acentra before the end date of the SA. Requests for SA will be made through Atrezzo Next Generation (ANG).

When the behavioral health service authorization end date is prior to November 1, 2023, providers are to submit the continued stay review request to Magellan BHSA.

When the behavioral health service authorization end date is on or after November 1, 2023, providers are to submit concurrent review requests to Acentra.

When the behavioral health service authorization initiated by Magellan BHSA ends on or after November 1, 2023, Acentra will honor the approved Magellan BHSA service authorization. No action is necessary from the provider unless a concurrent review is required. Concurrent review requests will be submitted to Acentra.

As a reminder, providers must submit a registration request for BH services prior to the start of any new service or within two (2) business days of the service start date. Acentra will accept registration service requests on and after November 1, 2023.

Timeliness for Submitting Requests to Acentra

Acentra will waive timeliness from November 1, 2023 – December 31, 2023 for BH and other new providers requesting services on and after November 1, 2023. Timeliness will again be in effect starting January 1, 2024 and after.

Training Schedules on How to Register and Submit Requests Successfully in Acentra’s Atrezzo Next Generation (ANG) Platform

Training Curriculum

All live demonstrations will be supported by training materials, including provider portal user guide, quick reference guides, and recorded training videos which are all available on the Acentra Health Client website or Atrezzo Provider Portal website.

Live demonstration training sessions will be hosted via Microsoft Teams.  Each session will have multiple dates and times to allow providers to choose the time that works best with their schedule.  These sessions will include a recorded video to demonstrate system functionality to ensure training consistency, avoid technical difficulties, decrease lag time with large group screen share, and ensure scheduled sessions are completed on time.  Providers will have ample time to ask questions during these sessions. Registration and attendance are tracked through the Microsoft Teams platform and data will be provided to DMAS upon completion of all training sessions.

Providers must register for each training by signing up at (https://dmas.kepro.com)

Provider Portal System Training Module 1 – Provider Portal Administrator Training and Schedule

45-minute session – providers must register prior to training and need to attend at least one training. This session is repeated to offer 10 sessions to providers.

This session is mandatoryfor all Administrator users so that each person associated with the provider has access to submit and review information in ANG. 

Module 2 – Medical/ Provider Portal System Training

75-minute session; This session is repeated to offer 14 sessions to providers.  Providers must register prior to training and need to attend at least one training.

The objective of this session is to demonstrate how to submit a prior authorization request, upload supporting clinical documentation, view determination letters, and all provider portal functions.  This session will be for all users who will have access to the provider portal to submit or review prior authorization requests.

All Medical Providers will need to dedicate a Provider Administrator that needs to attend Module 1 – Provider Portal Administrator Training to learn how to register the provider portal account.

Module 3 – Behavioral Health Provider Dedicated System Training Session

75-minute session; This session is repeated to offer 14 sessions to providers.  Providers must register prior to training and need to attend at least one training.

The objective of this session is to demonstrate how to submit a prior authorization request, upload supporting clinical documentation, view determination letters, and all provider portal functions.  This session will be for all users who will have access to the provider portal to submit or review prior authorization requests.

All Behavioral Health Providers will need to dedicate a Provider Administrator that needs to attend Module 1 – Provider Portal Administrator Training to learn how to register the provider portal account.

Module 4 – CSB/Independent Provider Dedicated System Training Session

75-minute session; This session is repeated to offer 3 sessions to providers.  Providers must register prior to training and need to attend at least one training.

The objective of this 60-minute training session is to demonstrate how to submit a prior authorization request, upload supporting clinical documentation, view determination letters, and all provider portal functions.  This session will be for all users who will have access to the provider portal to submit or review prior authorization requests.

All CSB/Independent Providers will need to dedicate a Provider Administrator that needs to attend Module 1 – Provider Portal Administrator Training to learn how to register the provider portal account.

Module 5 – Heath Department Dedicated System Training Session

75-minute session; This session is repeated to offer 3 sessions to providers.  Providers must register prior to training and need to attend at least one training.

The objective of this session is to demonstrate how to submit a prior authorization request, upload supporting clinical documentation, view determination letters, and all provider portal functions.  This session will be for all users who will have access to the provider portal to submit or review prior authorization requests.

All Health Department Providers will need to dedicate a Provider Administrator that needs to attend Module 1 – Provider Portal Administrator Training to learn how to register the provider portal account.

October – November 2023 Provider Training - Calendar Version