Effective DATE 10/8/2021 – Please be advised  Service Agreements will no longer be created for EIDBI requests for administrative reasons such as:

• All required documents not included;
• Provider NPI not valid;
• Request represents a duplicate authorization;
• Or when Recipients have active PPHP.  If you require a medical necessity review only for a client that has active PPHP, please indicate that in the case note before submission.

*Please note, this is not an all-inclusive list.

Reminder:  All messages will be communicated through the Atrezzo Portal Message system.  Please login to Atrezzo to check messages/notifications frequently. Please be advised when responding to requests for additional information, clinical rationale/medical necessity information must be captured within the physical record (written documentation) and not solely entered as a case note. Additionally, before submitting requests for EIDBI services, please check recipient eligibility to prevent delay in services. Kepro is the medical review agent for MN MA only.