CMS provider call: Update on Quality Improvement Network QIO ( QIN-QIO)Changes and Beneficiary and Family Care( BFCC-QIO)

Nancy Leveille in Clinical & Quality

CMS held a webinar yesterday on the new QIN-QIO and BFCC-QIO) programs. NYSHFA sent out preliminary information on July 21, 2014. The QIN is the quality improvement activities of the Quality Innovation Organization that IPRO will be maintaining. The BFCC is the beneficiary call line for Medicare questions, case review and complaints that now will managed by Livanta.  AHCA noted key points from the webinar that are listed below along with the link to the slide presentation that explains the 11th Scope of Work in more detail. The slides also provide contact information for the involved contractors:

Though the recorded CMS call about the changes to the QIO program has not been posted yet, here are the slides from the CMS national provider call, which are now available:  http://qioprogram.org/resources

There were numerous technical difficulties with the call itself.  It began about 30 minutes late.  Many callers were not able to get in, because there were not  enough lines available.  CMS was not able to show the slides.  They indicated that they would schedule additional calls.

Key comments from the verbal update:

  • Jean Moody Williams began by reviewing the achievements of the 10th SOW
  • Jean Moody Williams explained that there will be three kinds of QIOs (BFCC-QIO, QIN-QIO, and VIQRC)
  • Jeneen Iwugo introduced Livanta and KePRO as the two BFCC-QIOs.  Callers asked if they would need to update their notices, and it was confirmed that they would.  CMS confirmed that providers must have MOAs (on the call, they said JOAs) with the BFCC-QIOs.  She noted that the new BFCC-QIOs will have live phone coverage from 9-5 in the prevailing local time on weekdays, and from 11-3 local time on weekends.  Providers were concerned about the difficulty of making personal contact with Livanta and KePRO staff at this time.   CMS gave direct phone numbers for Meghan Harris (KePRO) and Lance Coss (Livanta) to all providers on the national call.  CMS noted that the slides would include additional contact information; see attached.
  • Teresa Titus-Howard provided a very brief description of the QIN-QIO role, emphasizing that the focus is on supporting quality improvement, and referenced initiatives related to reducing HAIs, HACs, readmissions, ADEs, etc.  She noted that there are 14 QIN-QIO organizations, covering the country.  Callers asked if providers would need MOAs with QIN-QIOs.  CMS did not have a clear answer.
  • Jim Poyer explained the new VIQRC organizations, and that the function previously performed by local QIOs to provide technical assistance on hospital reporting was moving to these organizations.  He announced that FMQAI is the inpatient VIQRC support center for providers (as previously announced), and also that FMQAI has just been awarded the outpatient VIQRC support center for providers.  Mathematica has been awarded the validation VIQRC, with a proposal that includes subcontracts with Telligen and Booz Allen Hamilton.  The other VIQRCs (appeals; monitoring/evaluation) have yet to be awarded.

AHCA has been receiving a variety of questions  from providers that they are working with CMS staff to answer. Continuing updates will be provided as we receive them.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20