Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Acentra Health (formerly Kepro) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Acentra Health (formerly Kepro) fax number
(833) 522-5429
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.
Review official form instructionsSources and verification
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