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Acentra Health (formerly Kepro) fax number
(833) 522-5429
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NCLIFTSS / PASRR Local Contact Agency (LCA)
Used for: PASRR referrals and Level II evaluations for North Carolina Medicaid LTSS; Local Contact Agency referrals
Fax destination details
- Department
- NCLIFTSS / PASRR Local Contact Agency (LCA)
- Purpose
- PASRR referrals and Level II evaluations for North Carolina Medicaid LTSS; Local Contact Agency referrals
- Form
- LCA-Options Counseling Referral Request Form — LCA Options Counseling Referral Request Form
- Address
- 2000 Centregreen Way, Ste 220, Cary, NC 27513, USA
- Voice phone
- +1 833-522-5429
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fax, email, or call to reference NC PASRR referral guidelines; Level II referrals require Level I screen completion; include facility and resident identifiers.
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