MEDICARE QUALITY OF CARE COMPLAINT
Department Of Health And Human Services Centers For Medicare & Medicaid Service
The Medicare Program works to ensure that beneficiaries get the best care possible. We take your concerns seriously and would like to get more information to help us review your request.
Use of this form will ensure that we process your concerns in an efficient manner. Quality Improvement Organizations (QIOs), under contract with Medicare, are required to conduct reviews of all written complaints from beneficiaries about the quality of services not meeting professionally recognized standards of health care.
You may contact the QIO for assistance in completing this form or for general assistance regarding your complaint.