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Kepro assists 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.
We apply nationally recognized, federally governed, or client specific criteria to make medical necessity and level of care determinations.
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