August 2019

New DME QIC Contract Effective September 1

Effective September 1, the Durable Medical Equipment (DME) Qualified Independent Contractor (QIC) contract for administering all reconsiderations (second-level appeals) on processed DME claims has been transitioned to the contract awardee, MAXIMUS Federal Services. All reconsideration requests must now be submitted to Maximus Federal Services, Medicare DME, 3750 Monroe Avenue, Suite 777, Pittsford, NY 14534-1302. They can also be submitted via the QIC Appeals Portal at qicappeals.cms.gov.

The DME QIC workload includes new fee-for-service appeals for the US and US territories, telephone discussions, and reopening activities under the Telephone Discussion and Reopening Process Demonstration.

For more information on the second level of appeal, visit the Centers for Medicare & Medicaid Services website: cms.gov/Medicare/Appeals-and-Grievances/OrgMedFFSAppeals/ReconsiderationbyaQualifiedIndependentContractor.html.

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