KEPRO to Manage TennCare’s Children’s Health Insurance Program and Processing Center

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- KEPRO announced that TennCare, the state of Tennessee's Medicaid program, has awarded the Children's Health Insurance Program, CoverKids, and TennCare's Application Processing Center contract to KEPRO (see also Kepro).

With the new contract, KEPRO will assist the state in the handling of applications, referrals and overall management of the administration and processing required for both programs via an Application Processing Center.

"KEPRO's growth to provide eligibility services and application processing is an exciting next step for our relationship with TennCare and Tennesseans," said KEPRO CEO Joseph A. Dougher. "We look forward to providing cost-effective and efficient management, including exemplary customer service to TennCare and CoverKids members."

The processing center will augment the TennCare and CoverKids call center by handling applications and redetermination information via phone, mail, fax and referral, entering information and completing all state approved eligibility determination application processing tasks.

For more than a decade, KEPRO has supported the TennCare program through medical necessity, clinical contraindication and hardship reviews, providing medical testimony at fair hearings, in addition to various quality improvement initiatives through audits and analytical analysis. KEPRO also provides training on medical and eligibility appeals processing, as well as onsite IT support.

In September 2017, KEPRO also began managing TennCare's toll-free call center assisting members with filing medical issues or appeals by phone.

To learn more about the services and solutions KEPRO offers, visit www.kepro.com.

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Keywords for this news article include: Kepro, Health Insurance, Health and Medicine, Government Agencies Offices and Entities.

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