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CHIP PRIOR AUTHORIZATION FORM FAX 18446338428 LAB/IMAGING/RADIOLOGYTodays Date ___REGISTRATION ON ACTRESS IS REQUIRED TO SUBMIT PRIOR AUTHORIZATION REQUESTS WHETHER BY FAX OR ELECTRONICALLY. DETERMINATIONS

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What is kepro - west virginia?

Kepro - West Virginia is a healthcare management organization that operates under the West Virginia Bureau for Medical Services to help manage Medicaid services and promote quality care.

Who is required to file kepro - west virginia?

Healthcare providers and organizations participating in the West Virginia Medicaid program are required to file with Kepro for certification and to ensure compliance with state regulations.

How to fill out kepro - west virginia?

To fill out Kepro - West Virginia, providers must complete the specific forms provided by Kepro, ensuring all required information is accurately reported and submitted according to the guidelines.

What is the purpose of kepro - west virginia?

The purpose of Kepro - West Virginia is to improve the health outcomes of Medicaid beneficiaries by ensuring quality services are delivered and by managing care effectively.

What information must be reported on kepro - west virginia?

Providers must report information such as patient demographics, service type, treatment details, and adherence to care protocols as specified by Kepro guidelines.

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