Contract with Medicare Beneficiary Quality Improvement Organization Transitions June 8

Posted on May 31, 2019

Effective June 8, the organization that reviews complaints and quality of care issues for Michigan Medicare beneficiaries will change. There are two designated Beneficiary and Family Centered Care - Quality Improvement Organizations (BFCC-QIOs) that manage all Medicare beneficiary complaints and quality of care reviews to ensure consistency in the review process and consider local factors important to beneficiaries and their families. Additionally, BFCC-QIOs handle cases that involve beneficiaries who want to appeal a healthcare provider’s decision to discharge or discontinue service at the hospital.

Michigan is within Medicare Region 5, which is currently served by the BFCC-QIO KEPRO. For the new contract cycle that takes effect June 8, Livanta has been named the BFCC-QIO for Region 5.

As part of the transition from KEPRO to Livanta, hospitals are asked to remove from their publications all references to KEPRO. All Medicare Beneficiary Notices should be updated with Livanta’s Helpline information as of June 8 so Medicare beneficiaries are aware of who to contact with concerns. In addition, each healthcare provider must complete and sign a new Memorandum of Agreement (MOA) with Livanta for each CMS Certification Number under which it operates.

Members with questions or concerns should contact Livanta at (240) 712-4300 ext. 2125 or the MHA Keystone Center.



Tags: Medicare, BFCC-QIO, Livanta, Medicare Beneficiary Notices

Posted in: Member News, Patient Safety & Quality

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