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Beneficiary and Family Centered Care 

- Quality Improvement Organization (BFCC-QIO)

 

About BFCC-QIOs

Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIOs)

help people who have Medicare exercise their right to high-quality health care by:

  • Managing all complaints and quality of care reviews to ensure consistency in the review process 

  • Handling cases in which Medicare patients want to appeal a health care provider’s decision to
    discharge them from the hospital or discontinue other types of services

  • Using the Immediate Advocacy process to address complaints quickly

  • Providing Health Care Navigation services

For more information, visit the QIO Program Website or QIO Program 12th Scope of Work Questions & Answers

Medicare Wants to Know Your Health Care Concerns

You have the right to receive high-quality health care. The BFCC-QIOs are here to protect your rights.
If you are a Medicare recipient, your BFCC-QIO can help you:

  • Get immediate help in resolving a health care concern.

  • Appeal a notice that you will be discharged from the hospital or that other types of services will be discontinued.
     

Find Your QIO

QIOs work under the direction of the Centers for Medicare & Medicaid Services to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries and the Medicare Trust Fund. QIOs serve all U.S. states, territories, and the District of Columbia. Find your assigned QIO below.

KEPRO

AK, AL, AR, CO, CT, FL, GA, ID, KY, LA, MA, ME, MS, MT, NC, ND, NH, NM, OK, OR, RI, SC, SD,TN, TX, UT, VT, WA, WY

Livanta

AZ, CA, DC, DE, HI, IA, IL, IN, KS, MD, MI, MN, MO, NE, NJ, NV, NY, OH, PA, Pacific Territories, PR, USVI, VA, WI, WV

Information for Health Care Providers

KEPRO and Livanta are the Medicare Quality Improvement Organizations, working to improve the quality of care for Medicare beneficiaries. Their sites offer beneficiary and family-centered care information for providers, patients, and families.

More information for Health care Providers:

What's Avar’s Role as a BFCC-QIO?

The Centers for Medicare and Medicaid Services selected the Avar Consulting BFCC-QIO as the Beneficiary and Family Centered Care National Coordinating Oversight and Review Center (BFCC NCORC). The BFCC NCORC supports the BFCC Quality Improvement Organizations (QIOs) as they work to improve health care services for Medicare beneficiaries and their families.  Read more about the BFCC NCORC initiatives.

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For information about the availability of auxiliary aids and services, please visit: 
http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html 
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T: 301-977-6553
F: 301-977-0331

 

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