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05/22/2019
Ohio to Have New BFCC-QIOs for Home Health, Hospice
The Centers for Medicare & Medicaid Services announced that effective June 8, it will restructure the regions for the Beneficiary and Family Centered Care-QIOs (BFCC-QIOs), which are designated to help Medicare beneficiaries exercise their right to high-quality health care by o addressing concerns and appeals, conducting quality of care reviews and providing Health Care Navigation services. BFCC-QIOs are different than Quality Innovation Network-QIOs (QIN-QIOs) which focus on health care providers, community partners, beneficiaries, and caregivers for quality improvement efforts.
Effective June 8, 2019, the Centers for Medicare & Medicaid Services (CMS) restructured the BFCC-QIO coverage and created ten Regions across the United States. Beginning June 8, 2019, KEPRO will be responsible for Regions 1,4,6,8, and 10. Livanta will be responsible for Regions 2,3,5,7, and 9. For Ohio, this means that the BFCC-QIO will be changing from KEPRO to Livanta on June 8.
LeadingAge Ohio encourages members to update their Notice of Medicare Non-coverage (NOMNC) with the correct BFCC-QIO phone number for Livanta, and prepare staff to make the changeover early next month.
The complete restructure of the BFCC-QIO districts is as follows:
KEPRO: Regions 1, 4, 6, 8 and 10.
Region 1(CT, MA, ME, NH, RI, VT)1-888-319-8452
Region 4(AL, FL, GA, KY, MS, NC, SC, TN) 1-888-317-0751
Region 6(AR, LA, NM, OK, TX) 1-888-315-0636
Region 8 (CO, MT, ND, SD, UT, WY)1-888-317-0891
Region 10(AK, ID, OR, WA) 1-888-305-6759
Livanta: Regions 2, 3, 5, 7 and 9.
Region 2 (NY, NJ, PR, VI): 1-866-815-5440,
Region 3 (PA, MD, DE, DC, VA, WV): 1-888-396-4646
Region 5 (OH, IN, IL, MI, MN, WI): -888-524-9900
Region 7 (IA, MO, KS, NE): 1-888-755-5580
Region 9 (CA, AZ, NV, HI, GU, CN, AS):
Livanta Transition Provider Bulletin