The Centers for Medicare & Medicaid Services (CMS) recently implemented a new online form for providers to submit complaints related Medicare Advantage (MA) plans.
A CMS memorandum announced the implementation of the form, which is now live and available to providers. The online form collects information about the complainant, beneficiary, provider and the MA plan involved. Providers are also prompted to submit a complaint summary, with optional fields for service dates and claim numbers.
Once a complaint has been submitted via the online form, it will be placed in a queue in the Health Plan Management System Complaints Tracking Module for review and triage. CMS will continue to serve as an arbitrator, working to facilitate resolution between the MA plan and the provider.
The MHA encourages members to use this form when experiencing issues related to MA claims.
Members with questions may contact Megan Blue at the MHA.