Transition Dates Announced for NC Medicaid’s Comprehensive Independent Assessment Entity

Independent Assessment (IA)  Workflow Streams

Closure of IA Workflows by Liberty 

Instructions for PCS Providers 

Assumption of IA workflows by Kepro/Acentra in September 2023

Processing referral requests and conducting of in-person initial assessments   

9/22 COB – Liberty stops receiving and processing faxes

9/22 COB – Liberty stops processing 3051s 

9/22 COB – Liberty stops scheduling appointments for in-person assessment 

9/22 COB – Liberty’s last day to conduct in-person   assessments 

9/25-9/26 – Liberty continues to enter referrals in QiReport. 

9/27 COB – Liberty stops processing expedited assessments by phone

9/25 – PCS providers contact Kepro to manage referrals concerns/questions 

9/25 – Kepro/Acentra begins accepting and processing faxes in their customer support center. 

9/26 – Kepro/Acentra begins processing 3051s and working with physicians and others related to referrals 

9/25 – Kepro/Acentra begins scheduling in-person assessments from newly received 3051s, annuals from Sept. 15, 2023, forward and any carry over work Liberty couldn’t close out before their closure dates.

10/2 – Kepro/Acentra begins processing expedited assessments upon new requests and closing out expedited assessments Liberty wasn’t able to close out by 9/27. 

Field billing questions/issues

Enter PA requests in NCTracks

9/25 COB - Liberty stops taking provider billing questions/issues and requesting VieBridge to extend PAs.

VieBridge initiates the extension PAs for all annual assessments through October 2023. PCS providers should follow their current procedure for reporting billing issues by alerting Liberty or sending an email to PCS_Program_Questions@dhhs.nc.gov through 9/13-26. 

10/2 – all billing inquiries should be sent to   NCLIFTSS@kepro.com.  

9/26 - Kepro/Acentra begins processing billing questions/issues and researching the need to extend PAs as requested by providers. 

Annual and Initial assessments for  in-home and facilities  

7/15 – Liberty stopped scheduling  annual assessments and PAs were extended for all individuals impacted.  

9/22 – Liberty stops conducting in-person   assessments.

9/25 – PCS providers begin to coordinate with Kepro/Acentra Health for scheduling of assessments 

After 10/2, Kepro/Acentra begins conducting in-person assessments from new referrals, carry over referrals, change in status requests and expedited assessments. 

EPSDT STI PA entry and notification

Service Plan (SP) reviews for EPDST qualification, manual SP and removing SP

Short Term Increase (STI)

9/27 – Liberty stops entering EPSDT STI PAs and notifications.

9/25 – Liberty stops reviewing service plans.

9/25 COB- Liberty stops processing STI.

9/28 – PCS providers will notify Kepro/Acentra using NCLIFTSS@kepro.com for assistance with EPSDT STI PA and service plan.

9/27-9/29 – NC Medicaid will work with VieBridge to extend hours as needed 

10/2 – Kepro/Acentra begins entering PA for EPSDT STI, service plan reviews, and turning 21 processes.

Processing of Late Provider Acceptance (LPA), All Provider Rejection (APR), and No Provider Selection (NPS)

9/25 COB – Liberty stops entering APRs and NPS 

9/29 noon – Liberty stops processing LPAs received between 8/1-8/31 

9/25-9/29 - Liberty manages notices sent to providers and beneficiaries regarding LPA, APR and NPS. 

10/2 – Kepro/Acentra manages the processing of LPA, APR and NPS that are generated beginning 9/1.

Mail – all types 

9/29 COB – Liberty stops managing mail generated by QiReport. 

Notice letters will continue to be on Liberty’s letterhead through 9/29/23.  Information that needs to be return from a notice letter after 10/2 should be mailed, faxed, or emailed to Kepro/Acentra; see contact below. 

10/2 – Kepro/Acentra manages all mail generated by QiReport and manual notices generated within their organization. 

Core Administrative Waiver Function

Transition Date from the CAP Case Management Entities 

Kepro/Acentra Assumes Core Administrative Waiver Function 

Initial Assessment for determining level of care (LOC) and reasonable indication of need 

9/22 – CAP/C and CAP/DA case management entities (CMEs) will stop receiving initial requests to complete initial assessments 

10/13 – CME must submit in the e-CAP systems completed initial assessments they were assigned between 9/13-10/13

10/2 – Kepro/Acentra begins scheduling initial assessments 

10/23 – Kepro/Acentra begins conducting in-person visits.