Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIOs) review medical services provided to Medicare beneficiaries, including hospital discharge appeals, termination of services appeals, and quality of care complaints. BFCC-QIOs communicate with health care providers to provide information about their medical review activity.
Under federal law, you must have a Memorandum of Agreement (MOA) with your state’s BFCC-QIO to receive information about medical review activity at your facility. MOAs outline the BFCC-QIO and provider responsibilities during the review process.
Identify your state’s BFCC-QIO by referencing the listing below.
BFCC-QIO Contact Information by Region or State
Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, Vermont
New Jersey, New York, Puerto Rico, Virgin Islands
Delaware, DC, Maryland, Pennsylvania, Virginia, West Virginia
Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee
Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
Arkansas, Louisiana, New Mexico, Oklahoma, Texas
Iowa, Kansas, Missouri, Nebraska
Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
Arizona, California, Hawaii, Nevada, Guam, N. Mariana Islands, American Samoa
Alaska, Idaho, Oregon, Washington