Important Information for All Medicare Healthcare Providers
As of June 8, 2019, Livanta is the new Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for the state of Wisconsin, providing Medicare case review services for Medicare Beneficiaries.
As the Medicare BFCC-QIO for Wisconsin, healthcare providers were required to sign a new Memorandum of Agreement (MOA) with Livanta by June 8, 2019. [42 U.S.C.§1866 (a) (1) (E)] (Please note that previous signed versions of the MOA are invalid after June 7, 2019). Completion of a new MOA is required as a condition of your organization’s participation in Medicare. Your organization will need to complete and sign an MOA for each CMS Certification Number (CCN) under which it operates. You must complete a separate MOA for each facility. The Livanta MOA form and FAQs are available at: https://livantaqio.com/en/Provider/MOA
How to Access and Submit the MOA Form
The Livanta MOA form and FAQs are available at https://livantaqio.com/en/Provider/MOA. The MOA form downloads as a fillable PDF file. Please read the entire MOA, complete the fillable form fields, and sign electronically where indicated. Save the file to your computer. E-mail the completed MOA: ProviderUpdate@Livanta.com
Please do not reply directly to this email message. If you have any questions, please contact Leasa Novak or see the following webpages:
|
