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Changes to Beneficiary and Family Centered Care Quality Improvement Organization

Wednesday, July 31, 2019

CMS recently restructured the Beneficiary and Family Centered Care Quality Improvement Organizations’ (BFCC-QIO) coverage area. Effective June 8, 2019, KEPRO is the BFCC-QIO for all Connecticut health plans. As part of this change, the BFCC-QIO, KEPRO, will assist Medicare beneficiaries with quality of care complaints, hospital discharge and service termination appeals, and Immediate Advocacy.

As part of this change, acute care providers must update the Important Message (IM) from Medicare, and post-acute providers must update the Notice of Medicare Non-Coverage (NOMNC) with KEPRO’s phone number for your region. Updated copies of the IM and NOMNC are located under Notices and Letters in the Resource Center on CarePartners of Connecticut’s public Provider website.  

Facilities will also need to submit a Memorandum of Agreement (MOA) to KEPRO.

For more information, including updated contact information, refer to the KEPRO website.