Home Health Agency
New Study of 2007-2008 Behavioral Health Prior Authorization Process
Recently, there have been changes to the prior authorization process for private duty nursing and personal care services through the Agency’s peer review organization, KePRO.Effective March 1, 2008, certification periods can now be up to 180 days. However, home health agencies are still required to have an updated and physician approved plan of care maintained in the beneficiary’s record every 60 days.
Effective April 1, 2008, KePRO modified the prior authorization submission process to include a mandatory plan of care questionnaire. Each field in the questionnaire requires a response prior to submission. To view the new mandatory plan of care questionnaire please go to the KePRO website at www.keprohomehealth.com, click on the “Providers” link located on the left side of the webpage, then select 2008-03 PDN Questionnaire2.pdf from the document directory.
Please contact the KePRO Provider Service Representatives at 1-800-922-3506 with any questions on this transition.