autism (cmde/ edibi) atrezzo provider portal submission requirements integrated care management and...

Autism (CMDE/ EDIBI) Atrezzo Provider Portal

Submission Requirements

INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT

Accessing Atrezzo Provider Portal

• Website Address: https://mhcp.kepro.com

• Select “ Atrezzo Login”

To Register for Atrezzo Provider Portal :

Enter your 10 digit National Provider Identifier (NPI) number and Provider Registration Code (DHS PA# located in MN-ITS mailbox)

• Registered Provider- Enter your unique user name and password

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https://mhcp.kepro.com/

Atrezzo Provider Portal

Atrezzo Provider Portal allows for:

– Secure access to Atrezzo Connect (Provider Portal)

– Provider will be able to access letters by Case/Request, Respond/Send messages To/From KEPRO

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Successful Completion of setup/login, takes you to the Home Page

Click “New Request” to start your case creation

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• Complete member search utilizing the Members Minnesota Medicaid ID # or Last name and Birthdate

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Upon verification of the members First Name, Last name and Date of Birth Click “ Select” under the actions column

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Member Detail information will display. Ensure accuracy of the members name an Medicaid id prior to proceeding. Once verification is complete click “ Next” to continue.


Requesting Provider information will automatically default the provider listed in the change context section ( Top center of your screen). Requesting provider information can only be changed if you have if you have more than 1 NPI number registered to your Atrezzo Provider portal account . To change the requesting provider you must cancel your existing case creation an select the applicable provider from the change context section.

Note: Enter in the FAX # where official communication about this service authorization should be sent.


The servicing provider information will automatically default to reflect the providers name listed in the change context section ( Top Center of your screen ) . If the listed provider is not applicable to the requested authorization click “Find” to complete a provider search.


**Attending Physician Section is optional**


Select the applicable service type from the drop down listing(Selection of the incorrect service type will delay case processing time) • EIDBI= 048-EIDBI • Request Type= Prior Auth • FIPS Code= Does not apply (Leave option blank)


Select the applicable service type from the drop down listing(Selection of the incorrect service type will delay case processing time) • EIDBI= 048a-CMDE • Request Type= Prior Auth • FIPS Code= Does not apply (Leave option blank)


Click “ Find” to complete CPT code search.


Example of 0368T EIDBI and 0359T CMDE procedure code search .

Click “Select” under the Actions column to place the selected code on case entry

*Recommendation: Complete search utilizing cpt code versus description to minimize

search results


• Enter requested date span utilizing the calendar dropdowns • Enter the quantity ( Units) • Select the applicable modifier from the drop down listing • More than 1 procedure code repeat steps


Enter Diagnosis code by clicking “ Find”

***Recommendation: Complete search utilizing Diagnosis code versus description to minimize search results


• First diagnosis code entered is automatically deemed as primary diagnosis. • More than one diagnosis code repeat same steps.


• Optional- Enter Clinical documentation to support the requested services• Enter Contact name and Telephone number

Upload required documentation- Click “Browse” locate the file and click open to attach. File Name will appear when it is successfully uploaded ( refer to slide 22 for steps 2-4 )

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Step 2

Step 3

Step 4



Review requires completion of questionnaire. Click questionnaire link to begin. Once completed click “Save Changes” and “Mark as Complete”.

Upon completion of questionnaire click the “Return to Request” link ( Located upper right corner )

Link will be displayed here


• Click the check box of the of the case entry page acknowledging the below statement. • Successful case entries requires selection of “ Submit”. Request overview page will now display

your case entry and KEPRO case id number.

• Selecting “Save for Later” Saves the case entry upto the current point. Case will reflect on the provider Atrezzo Provider Portal home page awaiting final submission.

***Note: Case is not received by KEPRO until receipt of KEPRO case id on the Request over view page.***


Once a request is successfully submitted the following page will display. KEPRO case id number is located to the upper left


For additional assistance contact KEPRO Customer Service Department at 1-866-433-3658

autism (cmde/ edibi) atrezzo provider portal submission requirements integrated care management and...

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