September 1, 2014 Dear Member: Please be aware that Medicare has restructured their Quality Improvement Organization (QIO) Program. Effective August 1, 2014, the existing QIO contractors will be replaced by two Beneficiary and Family‐Centered Care QIOs (BFCC‐QIOs). These new BFCC‐QIOs contractors will be responsible for conducting quality of care reviews, discharge and termination of service appeals, and other areas of required review in the various provider settings. They will also ensure consistency in the review process. This re‐organization will improve both patient care and health outcomes and save taxpayer resources. The BFCC‐QIO for Texas is KEPRO. KEPRO 5700 Lombardo Center Drive, Suite 100 Seven Hills, OH 44131 Toll free number: 1‐844‐430‐9504 Fax Number: 1‐844‐834‐7129 Sincerely, Insurance Company of Scott & White Insurance Company of Scott & White is an HMO with a Medicare Contract. Enrollment in Vital Traditions depends on contract renewal. This information is available for free in other languages. Please call our Customer Service number at 1‐888‐423‐7633, Monday – Sunday, 8 a.m. – 8 p.m. TTY users should call 1‐800‐735‐2989. Esta información está disponible de forma gratuita en otros idiomas. Por favor llame a nuestro número de Atención al Cliente en 1‐888‐
423‐7633, de lunes a domingo, de 8 a.m. a 8 p.m. los usuarios de TTY deben llamar al 1‐800 ‐
735‐2989. H8237_QIO LTR 2015 Approved
0
