Medicare QIO Phone Number by State: Acentra and Commence Health

Every state and U.S. territory is covered by one of two Medicare Beneficiary and Family Centered Care Quality Improvement Organizations: Acentra Health or Commence Health (formerly Livanta). To find the Medicare QIO phone number for your state, look up the CMS region where you received care, not necessarily where you live, and call the toll-free line listed for that region below.1Livanta Medicare BFCC-QIO Contract Update. Table 1: CMS Regions and BFCC-QIO Contractors

Acentra Health Phone Numbers

Acentra Health handles five of the ten CMS regions. Lines accept voicemail 24 hours a day, translation is available for non-English speakers, and the TTY number for all regions is 711.2Acentra Health BFCC-QIO. Beneficiary Helpline

  • Region 1 — Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont: 1-888-319-8452
  • Region 4 — Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee: 1-888-317-0751
  • Region 6 — Arkansas, Louisiana, New Mexico, Oklahoma, Texas: 1-888-315-0636
  • Region 8 — Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming: 1-888-317-0891
  • Region 10 — Alaska, Idaho, Oregon, Washington: 1-888-305-6759

Commence Health Phone Numbers

Commence Health covers the other five regions. Livanta rebranded to Commence Health in August 2025; the phone numbers and services did not change.3Commence Health BFCC-QIO. Commence Health BFCC-QIO

  • Region 2 — New Jersey, New York, Puerto Rico, U.S. Virgin Islands: 1-866-815-5440
  • Region 3 — Delaware, Maryland, Pennsylvania, Virginia, West Virginia, Washington, D.C.: 1-888-396-4646
  • Region 5 — Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin: 1-888-524-9900
  • Region 7 — Iowa, Kansas, Missouri, Nebraska: 1-888-755-5580
  • Region 9 — Arizona, California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands: 1-877-588-1123

If You Are Not Sure Which QIO to Call

Two shortcuts save you the region lookup. Any discharge notice or Notice of Medicare Non-Coverage a facility gives you is required to print the QIO’s name and phone number directly on the form, so check the paperwork first.4Centers for Medicare & Medicaid Services. An Important Message From Medicare About Your Rights If you don’t have the notice in hand, call 1-800-MEDICARE (1-800-633-4227), available 24 hours a day, 7 days a week, and ask the representative to connect you with the correct QIO for your area.5Medicare.gov. Talk to Someone

What You Can Call the QIO About

The BFCC-QIOs handle three kinds of beneficiary matters, and knowing which one applies helps the call move faster.6CMS. Beneficiary and Family Centered Care (BFCC)-QIOs

Hospital Discharge Appeals

If a hospital tells you that you’re being discharged and you believe you still need inpatient care, you have the right to request an expedited review. Call the QIO by no later than noon of the calendar day after you receive the hospital’s written notice of discharge.7eCFR. 42 CFR 405.1202 – Expedited Determination Procedures If the QIO is closed when you try to call, the deadline extends to noon of the next day the QIO can accept requests. Have your name, Medicare number, and the name of the hospital ready. The QIO must notify you of its decision within 72 hours of receiving all necessary information, and you cannot be billed for the continued stay while the appeal is pending.

Ending of Skilled Nursing, Home Health, or Rehab Services

When a skilled nursing facility, home health agency, or outpatient rehab provider plans to end your services, it must give you a Notice of Medicare Non-Coverage at least two days before services stop.8CMS. Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) The deadline to request a fast appeal is printed on the notice itself and is typically noon of the day before services end. Missing that deadline doesn’t erase your appeal rights, but you lose the protection against being billed during the review, so treat it as firm.

Quality-of-Care Complaints

If you received care from a Medicare-participating provider and believe it was substandard, such as a surgical error, wrong medication, or premature discharge that led to a readmission, you can file a complaint with the QIO by phone or in writing. You have up to three years from the date of care to submit a written complaint.9eCFR. 42 CFR 476.120 – Submission of Written Beneficiary Complaints The QIO reviews the medical records to determine whether the care met professionally recognized standards; the process is aimed at corrective action with the provider, not financial compensation for you.

For less serious issues, such as billing disputes tied to a service, trouble getting medical records, or communication breakdowns, the QIO may offer immediate advocacy, in which a representative contacts the provider on your behalf to try to resolve the matter informally. That option is available only if you file within six months of the care, you agree to let the QIO share your name with the provider, and all parties consent.10eCFR. 42 CFR 476.110 – Use of Immediate Advocacy to Resolve Oral Beneficiary Complaints Either side can walk away, and if it doesn’t work, you can still file a formal written complaint.