New for Intermediate Care Facilities!
Beginning June 1, Kepro will provide Utilization Review (UR) and Continued Stay Review (CSR) services on behalf of the Agency for Persons with Disabilities (APD) to Intermediate Care Facilities for individuals with intellectual disabilities (ICF/IIDs). The new process will be completely electronic. ICF/IID providers will be able to register for online access to KEPRO’s Provider Portal for instant UR and CSR results.
To register as the Administrator of your facility, please send us an email to FLUR-CSR@KEPRO.com. Please let us know all of the following in your email:
Utilization Review is a process to determine if ICF/IID services are of the quality and cost to meet professionally recognized standards of health care for recipients.
Florida’s Agency for Persons’ with Disabilities will notify KEPRO of an individual’s admission to an ICF/IID. Kepro will contact the facility to confirm admission and then schedule the utilization review to occur on-site. Continued Stay Review is an assessment to the appropriateness of continuing ICF/IID services. Kepro will conduct these reviews every six months to make sure it continues to be appropriate for the person to reside in the ICF/IID.
Kepro will request necessary documents/records and complete the reviews. The Kepro Reviewer will complete the Utilization Review, Continued Stay Review, and Level of Reimbursement forms online. Results will be faxed but can also be found on the provider portal. Any adverse determination will be followed with the opportunity to receive/review additional information and hearing rights.