Nursing facilities, hospitals, and other providers are able to request a reconsideration review of any adverse determinations (as defined in 42 CFR Part 431.201) received for individuals under their care. Adverse determination means a determination made in accordance with sections 1919(b)(3)(F) or 1919(e)(7)(B) of the Act that the individual does not require the level of services provided by a nursing facility, or that the individual does or does not require specialized services.
If an individual disagrees with a determination, that person, or a provider on their behalf, can request a reconsideration of the determination by contacting Acentra Health, formerly Kepro, within 30 days of receipt of the determination notice. Acentra can be reached by mail, email, phone, or fax as shown below:
Acentra Health
1650 Summit Lake Dr., Suite 102
Tallahassee, FL 32317
Phone: 1-866-880-4080
Fax: 1-866-677-4776
Email: FLPASRRMIQuestions@Kepro.com.