Quality Improvement Organizations

Listing of Quality Improvement Organizations

Quality Improvement Organizations (QIOs) are organizations that have entered into a contract with Medicare to conduct an expedited determination when a beneficiary appeals following a termination of Medicare covered services from a skilled nursing facility, home health agency, comprehensive outpatient rehabilitation facility, or hospice. A beneficiary who is dissatisfied with a QIO's expedited determination may request an expedited reconsideration by MAXIMUS Federal Services when the determination has been issued by one of the following QIOs:

Area 1:
Connecticut
Maine
Massachusetts
New Hampshire
New Jersey
New York
Pennsylvania
Puerto Rico
Rhode Island
Vermont
Virgin Islands
Livanta, LLC
BFCC-QIO Program, Area 1
9090 Junction Drive, Suite 10
Annapolis Junction, MD 20701
Toll-Free: 1-866-815-5440
*TTY Users: 1-866-868-2289
Fax for Appeals: 1-855-236-2423
www.BFCCQIOAREA1.com
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
Area 2:
District of Columbia
Delaware
Florida
Georgia
Maryland
North Carolina
South Carolina
Virgina
West Virginia
KEPRO
BFCC-QIO Program, Area 2
5201 W. Kennedy Blvd, Suite 900
Tampa, FL 33609
Toll-Free: 844-455-8708
Local: 813-280-8256
*TTY Users: 855-843-4776
Fax: 844-834-7129
www.keproqio.com
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
Area 3:
Alabama
Arkansas
Colorado
Louisiana
Mississippi
New Mexico
Oklahoma
Tennessee
Texas
Utah
Wyoming
KEPRO
BFCC-QIO Program, Area 3
5700 Lombardo Center Dr., Suite 100
Seven Hills, OH 44131
Toll-Free: 844-430-9504
Local: 216-447-9604
*TTY Users: 855-843-4776
Fax: 844-878-7921
www.keproqio.com
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)

 

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