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Medicare 1st Level Contractors

 

Listing of Quality Improvement Organizations

Quality Improvement Organizations (QIOs) are organizations that have entered into a contract with Medicare to conduct an expedited determination when a beneficiary appeals following a termination of Medicare covered services from a skilled nursing facility, home health agency, comprehensive outpatient rehabilitation facility, or hospice. A beneficiary who is dissatisfied with a QIO's expedited determination may request an expedited reconsideration by MAXIMUS Federal Services when the determination has been issued by one of the following QIOs:

   
Alabama Alabama Quality Assurance Foundation
Two Perimeter Park Drive
Suite 200 West
Birmingham, Alabama 35243-2337
Call 1-800-366-1486 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.aqaf.com
Alaska Mountain Pacific Quality Health
4241 B Street, Suite 303
Anchorage, AK 99503
1-877-561-3202
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
American Samoa Mountain Pacific Quality Health
1360 South Bertania, Suite 501
Honolulu, HI 96814
1-800-524-6550
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Arizona Health Services Advisory
1600 E. Northern Avenue, Suite 100
Phoenix, AZ 85020
1-800-359-9909
1-800-633-4227 (1-800-MEDICARE)
www.hsag.com
Arkansas Arkansas Foundation for Medical Care
2201 Brooken Hill Drive
Fort Smith, AR 72908
Call 1-888-354-9100 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.afmc.org
California Health Services Advisory
1600 E. Northern Avenue, Suite 100
Phoenix, AZ 85020
1-800-359-9909
1-800-633-4227 (1-800-MEDICARE)
www.hsag.com
Colorado Colorado Foundation for Medical Care
23 Inverness Way East, Suite 100
Englewood, CO 80112-5708
Call 1-800-727-7086 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.cfmc.org
Connecticut Qualidigm
100 Roscommon Drive
Middletown, CT 06457-1591
Call 1-800-553-7590 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.qualidigm.org
Delaware Quality Insights of Delaware Baynard Building, Suite 100
3411 Silverside Road
Wilmington, DE 19810-4812
Call 1-866-475-9669 to file and appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.qide.org
District of Columbia Delmarva Foundation for Medical Care
Call 1-800-492-5811 to file and appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.delmarvafoundation.org
Florida Florida Medical Quality Assurance, Inc
5201 W. Kennedy Boulevard Suite 900
Tampa, Florida 33609-1822
Call 1-866-800-8754 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.fmqai.com
Georgia Georgia Medical Care Foundation
Call 1-800-982-0411 ext 3413 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.gmcf.org
Guam Mountain Pacific Quality Health
1360 South Bertania, Suite 501
Honolulu, HI 96814
1-800-524-6550
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Hawaii Mountain Pacific Quality Health
1360 South Bertania, Suite 501
Honolulu, HI 96814
1-800-524-6550
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Idaho Qualis Health
720 Park Blvd., #210
Boise, ID 83712
1-877-290-4346
1-800-633-4227 (1-800-MEDICARE)
www.qualishealth.org
Illinois Illinois Foundation for Quality Health Care
2625 Butterfield Road, Suite 102E
Oak Brook, IL 60523
1-877-647-8089
1-800-633-4227 (1-800-MEDICARE)
www.ifqhc.org
Indiana Health Care Excel of Indiana
1-800-633-4227 (1-800-MEDICARE)
www.hce.org
Iowa Iowa Foundation for Medical Care
6000 Westown Parkway
West Des Moines, IA 50266
1-800-752-7014
1-800-633-4227 (1-800-MEDICARE)
www.internetifmc.com
Kansas Kansas Foundation
5947 SW Wanamaker Drive
Topeka, KS 666614-4193
1-800-432-0407
1-800-633-4227 (1-800-MEDICARE)
www.kfmc.org
Kentucky Health Care Excel of Kentucky
1941 Bishop Lane, Suite 400
Louisville, KY 40218
1-800-288-1499
1-800-633-4227 (1-800-MEDICARE)
www.hce.org
Louisiana LA Health Care Review
8591 United Plaza Boulevard, Suite 270
Baton Rouge, Louisiana 70809
Call 1-(800) 433-4958 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.lhcr.org
Maine Northeast Healthcare Quality Foundation
15 Old Rollinsford Road, Suite 302
Dover, NH 03820-2830
Call 1-800-772-0151 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
WWW.NHCQF.ORG
Maryland Delmarva Foundation for Medical Care
Call 1-800-492-5811 to file and appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.delmarvafoundation.org
Massachusetts MassPro
245 Winter Street
Waltham, Massachusetts 02451-123145
Call 1-800-252-5533 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.masspro.org
Michigan Michigan Quality Improvement Organization
22670 Haggerty Road, Suite 100
Farmington Hills, MI 18335
1-800-365-5899
1-800-633-4227 (1-800-MEDICARE)
www.mpro.org
Minnesota Stratis Health
2901 Metro Drive, Suite 400
Bloomington, MN 55425-1525
1-866-894-1327 – Discharge Appeal Line
1-877-624-1414 – Hospice Appeal Line
1-800-633-4227 (1-800-MEDICARE)
www.stratishealth.org
Mississippi Information and Quality Health Care
Renaissance Place - Suite 504
385B Highland Colony Parkway
Ridgeland, MS 39157-6035
Call 1-866-775-5897 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.iqh.org
Missouri Primaris
200 North Keene Street
Columbia, Missouri 65207
1-866-902-1813
1-800-633-4227 (1-800-MEDICARE)
www.primaris.org
Montana Mountain Pacific Quality Health
3404 Cooney Dr.
Helena, MT 59602
1-800-497-8232
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Nebraska CIMRO of Nebraska
1230 O Street, Suite 120
Lincoln, NE 68508
1-800-458-4262
1-800-633-4227 (1-800-MEDICARE)
www.cimronebraska.org
Nevada HealthInsight
6830 W. Oquendo Road, Suite 102
Las Vegas, NV 89118
1-800-748-6773
1-800-633-4227 (1-800-MEDICARE)
www.healthinsight.org
New Hampshire Northeast Healthcare Quality Foundation
15 Old Rollinsford Road, Suite 302
Dover, NH 03820-2830
Call 1-800-772-0151 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.nhcqf.org
New Jersey Healthcare Quality Strategies, Inc
557 Cranbury Road, Suite 21
East Brunswick, NJ 08816-4026
Call 1-800-624-4557 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.hqsi.org
New Mexico New Mexico Medical Review Association
5801 Osuna Road NE, Suite 200
Albuquerque, NM 87109
Call 1-800-663-6351 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.nmmra.org
New York IPRO
Call 1-800-833-0356 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.ipro.org
North Carolina The Carolinas Center for Medical Excellence
100 Regency Forest Drive, Suite 200
Cary, NC 27518-8598
Call 1-800-682-2650 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www2.thecarolinascenter.org
North Dakota North Dakora Health Care Review, Inc
1-800-472-2902
1-800-633-4227 (1-800-MEDICARE)
www.ndhcri.org
Northern Mariana Islands Mountain Pacific Quality Health
1360 South Bertania, Suite 501
Honolulu, HI 96814
1-800-524-6550
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Ohio OhioKepro
Rock Run Center, Suite 100
5700 Lombardo Center
Seven Hills, OH 44131
1-800-589-7337
1-800-633-4227 (1-800-MEDICARE)
www.ohiokepro.org
Oklahoma Oklahoma Foundation for Medical Quality
14000 Quail Springs Parkway, Suite 400
Oklahoma City, OK 73134-2600
Call 1-800-522-3414 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.ofmq.org
Oregon Acumentra Health
2020 SW Fourth Avenue, Suite 520
Portland, OR 97201
1-800-785-0411
1-800-633-4227 (1-800-MEDICARE)
www.acumentra.org
Pennsylvania Quality Insights of Pennsylvania
2601 Market Place Street, Suite 320,
Harrisburg, PA 17110
Call 1-800-322-1914 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.qipa.org
Puerto Rico Quality Improvement Professional Research Organization
2 Ponce de Leon Ave.
Mercantil Plaza Bldg Suite 709
San Juan, PR 00918
Call 1-800-981-5062 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.qipro.org
Rhode Island Quality Partners of Rhode Island
235 Promenade Street
Suite 500, Box 18
Providence, RI 02908
Call 1-800-662-5028 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.riqualitypartners.org
South Carolina The Carolinas Center for Medical Excellence
100 Regency Forest Drive, Suite 200
Cary, NC 27518-8598
Call 1-800-682-2650 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www2.thecarolinascenter.org
South Dakota South Dakota Foundation for Medical Care
2600 West 94th Street, Suite 300
Sioux Falls, SD 57117
1-800-658-2285
1-800-633-4227 (1-800-MEDICARE)
www.sdfmc.org
Tennessee QSource
3175 Lennox Park Blvd Suite 309
Memphis, TN 38115
Call 800-261-1437 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
http://www.qsource.org
Texas TMF Medical Foundation
Bridgepoint I, Suite 300
5918 West Courtyard Drive
Austin, TX 78730-5036
Call 1-800-725-8315 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.tmf.org
Utah HealthInsight
348 East 4500 South, Suite 300
Salt Lake City, UT 84107
1-800-478-6773
1-800-633-4227 (1-800-MEDICARE)
www.healthinsight.org
Vermont Northeast Healthcare Quality Foundation
15 Old Rollinsford Road, Suite 302
Dover, NH 03820-2830
Call 1-800-772-0151 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.nhcqf.org
Virginia Virginia Health Quality Institute
4510 Cox Road, Suite 400
Glen Allen, VA 23060
Call 1-866-263-8402 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.vhqc.org
Washington Qualis Health
PO Box 33400
Seattle, WA 98133
1-800-290-4346
1-800-633-4227 (1-800-MEDICARE)
www.qualishealth.org
West Virginia West Virginia Medical Institute
3001 Chesterfield Place
Charleston, WV 25304
Call 1-800-642-8686 ext. 2266 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.wvmi.org
Wisconsin MetaStar
2909 Landmark Place
Madison, WI 53713
1-800-362-2320
1-800-633-4227 (1-800-MEDICARE)
www.metastar.com
Wyoming Mountain Pacific Quality Health
2206 Dell Range Blvd, Suite G
Cheyenne, WY 82009
1-877-810-6248
1-800-633-4227 (1-800-MEDICARE)
www.mpqhf.org
Virgin Islands Virgin Islands Medical Institute
#1AD Diamond Ruby
P.O. Box 5989, Sunny Isle
Christiansted, VI 00823-5989
Call (340)712-2444 to file an appeal
General Medicare Program Questions 1-800-633-4227
(1-800-MEDICARE)
www.wimipro.org
CMS Maximus Federal Services