Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) can help when you have a concern about the quality of the medical care you are receiving from a healthcare facility (e.g. hospital, nursing home, or home health agency) or professional. You can file a formal Medicare complaint through your BFCC-QIO.
Examples of quality of care concerns include but are not limited to:
- Receiving the wrong medication
- Receiving an overdose of medication
- Receiving unnecessary surgery
- Receiving unnecessary diagnostic testing
- Experiencing a change in condition that was not treated
- Receiving a misdiagnosis
- Receiving inadequate discharge instructions
A Medicare beneficiary can contact his or her BFCC-QIO if he or she:
- Needs to discuss the quality of care received;
- Wants to file a formal quality of care complaint; or
- Needs help understanding his or her Medicare rights.
A beneficiary can call 1-800-MEDICARE if he or she:
- Has general questions about Medicare coverage
- Needs clarification on how to enroll in Medicare
- Wishes to discuss billing issues.
Trained staff is available to provide:
- Answers to your questions about complaints and the filing process
- Assistance with completing the Quality of Care Complaint Form
- Translation services
You or your representative may contact your BFCC-QIO to have a Medicare quality of care complaint form sent to you by mail. Or you can access the Medicare quality of care complaint form online. You can find your state’s BFCC-QIO by checking the list below.
You can submit your complaint by mail or fax (emailed forms can not be accepted):
Mail: Download the Medicare quality of care complaint form, complete and mail to your BFCC-QIO’s address.
Fax: Download the Medicare quality of care complaint form, complete and fax to your BFCC-QIO’s fax number.
You can learn more about filing a complaint on Medicare.gov.
BFCC-QIO Contact Information by Region or State
Northeast and Caribbean:
Connecticut, Massachusetts, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Puerto Rico, Rhode Island, Virgin Islands, Vermont
Mid-Atlantic and Southeast:
Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia
Mountain, North Central, and South:
Alabama, Arkansas, Colorado, Kentucky, Louisiana, Mississippi, Montana, New Mexico, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, Utah, Wyoming
Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio, Wisconsin
Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington