KEPRO to Manage TennCare's Children's Health Insurance Program and Processing Center
HARRISBURG, Pa., July 30, 2018 /PRNewswire/ -- KEPRO announced today 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.
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.
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Media Contact: Jamie Kopko, Director of Corporate Communications, JKopko@Kepro.com, 717.564.8288 x7076
TennCare is the state of Tennessee's Medicaid program which provides health insurance to approximately 1.4 million low-income Tennesseans including pregnant women, children, caretaker relatives of dependent children and older adults and adults with physical disabilities. With a satisfaction rating above 90 percent since 2009 TennCare provides health insurance through the use of managed care.