QUALITY IMPROVEMENT ORGANIZATION PROGRAM CHANGES

Recently, the Centers for Medicare and Medicaid Services announced restructuring of the Quality Improvement Organization (QIO) program allowing two Beneficiary and Family-Centered Care (BFCC) QIO contractors to support program activities. The BFCC-QIO contactors will focus on conducting quality of care reviews, discharge and termination of service appeals, and other areas of required review.

The two chosen BFCC-QIO contractors are:

Livanta

AreaAddressToll-free numberFax number
1 (CT, ME, MA, NH, NJ, NY, PA, PR, RI, VT, VI) Livanta
BFCC-QIO Program
9090 Junction Drive, Suite 10
Annapolis Junction,
MD 20701
1-866-815-5440
TTY: 1-866-868-2289
Appeals:
1-855-236-2423
All other reviews:
1-844-420-6671
5 (AK, AZ, CA, HI, ID, NV, OR, WA) Livanta
BFCC-QIO Program
9090 Junction Drive, Suite 10
Annapolis Junction,
MD 20701
1-877-588-1123
TTY: 1-855-887-6668
Appeals:
1-855-694-2929
All other reviews:
1-844-450-6672

KePRO

AreaAddressToll-free numberFax number
2 (DC, DE, GL, GA, MD, NC, SC, VA, WV) KePRO
5201 W. Kennedy Boulevard
Suite 900
Tampa, FL 33609
1-844-455-8708 1-844-834-7129
3 (AL, AR, CO, KY, LA, MS, MT, ND, NM, OK, SD, TN, TX, UT, WY) KePRO
5201 W. Kennedy Boulevard
Suite 900
Tampa, FL 33609
V with pops 1-844-430-9504 1-844-834-7129
4 (IA, IL, IN, KS, MI, MN, MO, NE, OH, WI) KePRO
5201 W. Kennedy Boulevard
Suite 900
Tampa, FL 33609
1-855-408-8557 1-844-834-7130

More Information about the QIO restructuring is detailed in the CMS press release at: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2014-Press-releases-items/2014-05-09.html