Quality Improvement Organization (QIO) Training Session

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The South Carolina Department of Health and Human Services (SCDHHS) will co-sponsor provider/facility training with Keystone Peer Review Organization, Inc. (KePRO), the new QIO for Medicaid.  KePRO will offer 4 regional trainings with morning sessions designated for facility staff.  Afternoon sessions are designated for physicians and other medical professionals. 

KePRO will assume responsibilities for pre-authorizing and reviewing documentation to support payment for certain Medicaid services.   Several new services, such as prior authorization of acute care admissions and outpatient therapy services for adults, have been added to the activities of the QIO. For a complete list of services to be performed by KePRO beginning June 1, 2012, please refer to the Medicaid Bulletin dated 4/12/2012 at http://www.scdhhs.gov.

To ensure a smooth transition from Alliant ASO to KePRO, it is very important that providers are familiar with the new processes.  Sessions are scheduled Tuesday May 8th, Wednesday May 9th and May 16th and Thursday May 17th. Registration is mandatory for all attendees as space is limited. To register for a session, visit the South Carolina Medicaid Provider Outreach Website at www.scmedicaidprovider.org, or call the South Carolina Medicaid Provider Service Center at 1-888-289-0709.

Below is a grid with logistics for each location.  Each session is scheduled for 3 hours. 

If you have any questions, comments or concerns, please direct them to comments@scdhhs.gov. Thank you for your continued support in the South Carolina Healthy Connections program. 

 

Quality Improvement Organization (QIO) Training

 

Charleston, SC

Florence, SC

Tuesday, May 8, 2012

Wednesday, May 9, 2012

Main Library

Florence/Darlington Technical College

68 Calhoun Street 29403

2715 West Lucas Street 29501

Bldg: Auditorium located in Main Library

Bldg: Fred C. Fore Auditorium

Session 1:9:30AM-12:30PM - Facility

Session 1:9:00AM-12PM - Facility

Session 2:2:00PM-5:00 PM – Physicians and other Medical Professionals

Session 2:1:30PM-4:30 PM – Physicians and other Medical Professionals

SPECIAL INSTRUCTIONS:

No food or drink permitted.

Parking at library – 1st hour free, $.50 every half hour after.

SPECIAL INSTRUCTIONS:

No food or drink permitted.  Parking is free. Visitors may park in Lots A or B.  Note: Please do not park in spaces designated for Technical College staff.

Columbia, SC

Greenville, SC

Wednesday, May 16, 2012

Thursday, May 17, 2012

BlueCross BlueShield of SC

Greenville Technical College

8901 Farrow Road 29202

506 South Pleasantburg Drive 29607

Bldg: Blue Cross Blue Shield (MCCS)

Bldg: Technical Resource Center Auditorium

Session 1:9:00AM-12PM - Facility

Session 1:9:00AM-12PM - Facility

Session 2:1:30PM-4:30 PM – Physicians and other Medical Professionals

Session 2:1:30PM-4:30 PM – Physicians and other Medical Professionals

SPECIAL INSTRUCTIONS:

Food and drink permitted.

Parking is free.

SPECIAL INSTRUCTIONS:

No food or drink permitted.

Parking is free.

 

To attend these training sessions, you may register through the South Carolina Medicaid Provider Outreach Web site, www.scmedicaidprovider.org, or by calling the SCDHHS Medicaid Provider Service Center at 1-888-289-0709, and choosing option ‘1.’

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