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
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
Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington