Maine Administrative Services Organization
Since 2007, KEPRO has been serving the Department of Health and Human Services to provide a Behavioral Health Utilization Management System for services currently purchased through the State’s Office of Maine Care Services and administered by the Office of Substance Abuse and Mental Health Services (SAMHS), Office of Child and Family Services (OCFS), and the Office of Aging and Disability Services (OADS).
KEPRO encourages respect, collaboration, and partnership among all entities serving the citizens of Maine. We believe that the best method to achieving input from Providers, Members and Families, Advocates, and other entities is to involve key representatives of each of these groups in every step of the process. KEPRO’s collaborative model will be an integrated one that welcomes inclusion by all interested stakeholders.
KEPRO has significant experience in developing innovative, collaborative models of utilization management, care management, Provider Relations and quality improvement that emphasize community partnership, training, technical assistance.
Our goal is to promote each member’s recovery, resiliency, and ability to live in the community of his or her choice. KEPRO strives to improve the quality of mental health and substance use services in Maine.
03/01/2019 - GO LIVE TODAY for Retro-Active MaineCare Review Process. For common Questions and Answers from Providers please click here.
02/06/2019 - MAINECARE SERVICES UPDATE - VERY IMPORTANT:
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.
01/10/2019 - MaineCare (Medicaid) Update: The first in a series of updates from DHHS Commissioner regarding MaineCare expansion can be viewed here.
12/31/2018 - We are currently experiencing intermittent issues within the Atrezzo Portal. For any questions or to report an issue, please e-mail firstname.lastname@example.org. We apologize for how this effects our Providers.
12/17/2018 - We have updated our phone messaging to further support and improve Member and Provider Services.
The new call queues are as follow:
- Press 1 – x4385 Member Services
- Press 2 – x4340 Katie Beckett
- Press 3 – x4383 Provider Relations
- Press 4 – x4386 Clinical
- Press 5 – x4387 Appeals
- Press 0 – x4384 Switchboard
11/29/2018 - 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
11/29/2018 - On Tuesday, December 18th 2018 (1pm to 6pm) there will be limited phone coverage available. Please plan accordingly. Contact information will be taken during this time and calls returned on the next business day.
10/9/2018 - Updates to the website has been published under the following URL: http://www.qualitycareforme.com/resources/manuals-forms/
These updates include:
- A New Provider Handbook
- A New Atrezzo Portal Guide
4/12/18 - Effective today, Section 21 providers are now allowed to submit requests for authorizations 30 days in advance of their next CSR due date.
3/8/18 - The Maine office is closed today due to weather conditions.
11/6/17 - We are currently experiencing phone issues. Our IT department is looking into the issues with our vendors. We apologize for any inconvenience.
10/4/17 - A New Daily Authorization Report has been deployed to Atrezzo.
10/1/17 - Effective 10/1/2017, KEPRO will begin to determine medical eligibility for Katie Beckett.
8/25/17 - Due to security concerns and changes in the cyber security environment, KEPRO’s Atrezzo portal will discontinue supporting a specific version of Transport Layer Security or TLS. TLS is a cryptographic tool used by web browsers to encrypt traffic between your computer and the server you are visiting when you use your web browser. TLS version 1.0 is no longer considered secure.
For more information on these updates, please visit News and Updates