Assessments, Eligibility & Enrollment

Actionable insights for informed eligibility and care decisions.

Kepro protects your program and its members through our comprehensive assessment, eligibility and enrollment services

Our assessments, eligibility and enrollment  services help organizations identify the precise medical and social determinants that influence an individual’s health. Our work includes assessing individuals applying for home and community based waivers as well as those seeking continued program eligibility. In addition, this service line provides guidance to providers for state and federal regulatory compliance.

Kepro brings new innovative ideas and modern, proven processes.

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We act as an extension of your program

We’ll take on your most significant clinical and operational challenges, so you can focus on best serving your population and complying with state and federal law. Most importantly, we act as an extension of your program, protecting you from risk, advocating for your members, embodying your culture and providing compassion and premier service in everything we do.

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Kepro

Level of Care Assessments

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Clinically-sound medical, intellectual disability and behavioral health screenings

We assist Medicaid beneficiaries with mental illnesses, disabilities and long-term care to review their eligibility for State wavier programs to determine if additional services are needed. The level of care is determined by aligning quality metrics and using standardized assessment content. In addition, we also review previous level of care determinations to ensure accuracy of decisions and current services provided.

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Kepro

Preadmission Screening and Resident Review (PASRR)

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Decades of proven PASRR experience with positive outcomes

We provides PASRR services that deliver reliable, timely and clinically-valid PASRR recommendations and determinations that protect the interests of the individual, while ensuring state compliance with federal statutes.

We ensure that individuals receive the right services, in the most appropriate treatment setting. Kepro's PASRR programs promote quality and cost-effective healthcare and individual well-being that ensures appropriate utilization of services.

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Kepro

Behavioral Health Needs Assessments

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Ensuring quality care and support

Kepro facilitates the administration of Behavioral Health Needs Assessments for individuals with Intellectual and Developmental Disorders (I/DD). Our program engages individuals and their support network to ensure a well-informed assessment of the individual’s needs.

Our services support and assist members to have the highest quality of life and be as independent as possible.

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Kepro

Application Processing Center

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Our scalable eligibility processing model

Your organization’s members have specialized requirements and preferences—and Kepro's application processing services are designed with these needs in mind. We make it easier and more convenient for individuals to apply for state Medicaid programs and other coverage, while providing expert guidance throughout this process. In fact, we create a seamless member experience while meeting all of your expectations around timeliness, responsiveness and accuracy.

Learn how Kepro can improve your ROI

Set up a time to get in touch with our team of experts here at Kepro.

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