The Quality Improvement Organization (QIO) Program is the cornerstone of Medicare’s efforts to improve the quality of care and health outcomes for beneficiaries. KEPRO is the Beneficiary and Family Centered Care QIO (BFCC-QIO) for more than 30 states. We offer information to providers, patients, and families regarding beneficiary complaints, discharge appeals, and Immediate Advocacy. On June 8, 2019, there will be changes to the BFCC-QIOs that will affect providers. To learn more about these changes, please visit our transition page.

KEPRO Service Areas Click on a state below for a contact number and additional resources.

quick links BFCC-QIO Updates that Require Action by Healthcare Providers MOA for Healthcare Providers Short Stay Reviews Check Your Discharge Appeal Case Status

Beneficiaries and Families   How to File a Quality of Care Complaint   How to File an Appeal   Immediate Advocacy   Appoint a Representative   FAQ   Resources   En Español   Publications   Check Your Discharge Appeal Case Status

Healthcare Providers   Appeals   Beneficiary Complaints   Other Reviews   FAQ   Resources   Physician Acknowledgement Statement   QIO Liaison   Memorandum of Agreement (MOA)   Update Your Contact Information   Become a Physician Reviewer

Partners   Beneficiary Outreach   FAQ   Schedule a Speaker   Quality Innovation Network (QIN) QIO   Annual Reports   Resources   Person and Family Engagement

The Centers for Medicare & Medicaid Services (CMS) recently restructured the BFCC-QIO’s coverage area. Currently, there are five Areas, which will be changed to ten Regions. Effective June 8, 2019, KEPRO will be the BFCC-QIO in the following Regions: 

Region 1: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont

Region 4: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee

Region 6: Arkansas, Louisiana, New Mexico, Oklahoma, Texas

Region 8: Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming

Region 10: Alaska, Idaho, Oregon, Washington

For more information about these changes and the impact they will have on providers, please visit our transition page. If your state is not listed above, Livanta will be your BFCC-QIO effective June 8, 2019.

For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html This website has been designed to comply with Section 508 of the U.S. Rehabilitation Act. If you have a disability and have trouble accessing information on any of these pages, please call the Helpline.

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