Directory of Medicare Complaint & Appeals Agencies

If you are unhappy with medical care you have received while using Medicare, the government sponsored health insurance plan for adults age 65 and older, you, as a beneficiary, have the right to file a complaint or appeal.

Any and all grievances related to your medical care while on Medicare can be filed with your local state Quality Improvement Organization (QIO). Assigned the duty of studying and improving the Medicare program through evidence-based research, QIOs also include investigating complaints and providing third-party reviews of medical cases under appeal as part of their company mission.

Below is a directory of all QIOs listed alphabetically by state:

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

State QIO Contact
Alabama AQAF
www.aqaf.com
205-970-1600
twitter.com/AQAF1
Alaska Mountain-Pacific Quality Health
www.mpqhf.org
800-497-8232
Arizona Health Services Advisory Group, Inc.
www.hsag.com
818-265-4650
Arkansas Arkansas Foundation for Medical Care
www.afmc.org
501-375-5700
twitter.com/afmc
California Health Services Advisory Group of California, Inc.
www.hsag.com
818-265-4650
Colorado Colorado Foundation for Medical Care
www.cfmc.org
303-695-3300
Connecticut Qualidigm
www.qualidigm.org
860-632-2008
www.facebook.com/Qualidigm
Qualidigm
Delaware Quality Insights of Delaware
www.qide.org
302-478-3600
twitter.com/DelawareREC
Quality Insights of Delaware
District of Columbia Delmarva Foundation of the District of Columbia
www.dcqio.org
202-293-9650
Delmarva Foundation of the District of Columbia (DC)
Florida Florida Medical Quality Assurance, Inc. (FMQAI)
www.fmqai.com
800-564-7490
Florida Medical Quality Assurance, Inc. (FMQAI)
Georgia Georgia Medical Care Foundation (GMCF)
www.gmcf.org
404-982-0411
 Georgia Medical Care Foundation (GMCF)
Hawaii Mountain-Pacific Quality Health
www.mpqhf.org
800-497-8232
 Mountain-Pacific Quality Health
Idaho Qualis Health
www.qualishealthmedicare.org
800-488-1118
twitter.com/QualisHealth
Qualis Health
Illinois Telligen Illinois
www.telligenqio.org
800-386-6431
twitter.com/Telligen
Telligen Illinois
Indiana Health Care Excel
www.hce.org
812-234-1499
twitter.com/HealthCareExcel
Health Care Excel
Iowa Telligen
www.telligenqio.org
800-383-2856
twitter.com/Telligen
Telligen
Kansas Kansas Foundation for Medical Care, Inc.
www.kfmc.org
800-432-0407
Kansas Foundation for Medical Care, Inc.
Kentucky Health Care Excel
www.hce.org
502-454-5112
twitter.com/HealthCareExcel
 Health Care Excel
Louisiana eQHealth Solutions
louisianaqio.eqhs.org
225-926-6353
twitter.com/eQHealth
EQ Health Solutions
Maine Northeast Health Care Quality Foundation
www.nhcqf.org
800-772-0151
Northeast Health Care Quality Foundation
Maryland Delmarva Foundation for Medical Care
www.mdqio.org
443-285-0190
Delmarva Foundation for Medical Care
Massachusetts Masspro
www.masspro.org
781-890-0011
MassPro
Michigan MPRO
www.mpro.org
248-465-7300
www.youtube.com/user/MPROQIO
MPRO
Minnesota Stratis Health
www.stratishealth.org
877-787-2847
Stratis Health
Mississippi Information & Quality Healthcare
www.msqio.org
601-957-1575
Information & Quality Healthcare
Missouri Primaris
www.primaris.org
800-735-6776
twitter.com/primaris_health
Primaris
Montana Mountain-Pacific Quality Health
www.mpqhf.org
800-497-8232
Mountain-Pacific Quality Health
Nebraska CIMRO of Nebraska
www.cimronebraska.org
800-458-4262
CIMRO of Nebraska
Nevada HealthInsight
www.healthinsight.org
702-385-9933
twitter.com/HealthInsight_
HealthInsight
New Hampshire Northeast Health Care Quality Foundation
www.nhcqf.org
800-772-0151
Northeast Health Care Quality Foundation
New Jersey Healthcare Quality Strategies, Inc.
www.hqsi.org
732-238-5570
Healthcare Quality Strategies, Inc
New Mexico HealthInsight
www.healthinsight.org
800-663-6351
twitter.com/HealthInsight_
HealthInsight
New York IPRO
www.ipro.org
516-326-7767
twitter.com/IPROorg
IPRO
North Carolina The Carolinas Center for Medical Excellence
www.ccmemedicare.org
800-682-2650
twitter.com/MyCCME
The Carolinas Center for Medical Excellence
North Dakota North Dakota Health Care Review, Inc.
www.ndhcri.org
701-852-4231
North Dakota Health Care Review, Inc
Ohio Ohio KePRO
www.ohiokepro.com
800-385-5080
Ohio KePro
Oklahoma Oklahoma Foundation for Medical Quality
www.ofmq.com
405-840-2891
twitter.com/mhillok
Oklahoma Foundation for Medical Quality
Oregon Acumentra Health
www.acumentra.org
503-279-0100
Acumentra Health
Pennsylvania Quality Insights of Pennsylvania
www.qipa.org
877-346-6180
Quality Insights Pennsylvania
Rhode Island Healthcentric Advisors
www.healthcentricadvisors.org
401-528-3200
Healthcentric Advisors
South Carolina The Carolinas Center for Medical Excellence
www.ccmemedicare.org
803-251-2215
twitter.com/MyCCME
The Carolinas Center for Medical Excellence
South Dakota South Dakota Foundation for Medical Care
www.sdfmc.org
605-336-3505
South Dakota Foundation for Medical Care
Tennessee QSource
www.qsource.org
800-528-2655
QSource
Texas TMF Health Quality Institute
www.tmf.org
800-725-9216
TMF Health Quality Institute
Utah HealthInsight
www.healthinsight.org
801-892-0155
twitter.com/HealthInsight_
 HealthInsight
Vermont Northeast Health Care Quality Foundation
www.nhcqf.org
800-772-0151
 Northeast Health Care Quality Foundation
Virginia VHQC
www.vhqc.org
804-289-5320
twitter.com/VirginiaQIO
Virginia QIO - VHQC
Washington Qualis Health
www.qualishealthmedicare.org
800-949-7536
twitter.com/QualisHealth
Qualis Health
West Virginia WVMI Quality Insights
www.qiwv.org
800-642-8686
twitter.com/WVMI
West Virginia Medical Institute (WVMI)
Wisconsin MetaStar, Inc.
www.metastar.com
800-362-2320
Metastar
Wyoming Mountain-Pacific Quality Health
www.mpqhf.org
800-497-8232
Mountain-Pacific Quality Health