Don’t Forget: Change from KEPRO to Livanta Requires Action by Medicare Providers
On August 6, 2019 by Jonathan Lips
As we reported earlier this summer, Livanta replaced KEPRO as the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) for Minnesota effective June 8, 2019. The purpose of the BFCC-QIO is to conduct quality of care reviews, beneficiary complaint reviews, and discharge and termination of service appeals in various Medicare provider settings. Livanta requires a Memorandum of Agreement (MOA) from providers. To complete a new MOA and read frequently asked questions (FAQs), click here.
Skilled nursing facilities need to take action in relation to the transition to Livanta, and we can expect questions from surveyors relating to the transition:
Update Your Appeals Notices: Post-acute providers must update the Notice of Medicare Non-coverage with Livanta’s phone number for Minnesota’s region. See the table on this Livanta webpage for phone numbers. If your facility uses pre-printed notices, please note that it is acceptable to use labels to cover the existing BFCC-QIO information on the appeals notices. The typeface must be clear, bold and 12 point or larger. You may also hand-write over pre-printed notices, although this is not preferred.
Update Your Bill of Rights Forms: Residents admitted on or after June 8, 2019, should receive a copy of the Bill of Rights (BOR) that includes the Livanta contact information, rather than the KEPRO contact information. The “Resources” section of the combined federal and state bill of rights includes a listing for the Medicare Beneficiary and Family Centered Care Quality Improvement Organization. As shown below, the BOR should list Livanta rather than KEPRO:
Medicare Beneficiary and Family Centered Care Quality Improvement Organization
10820 Guilford Road, Suite 202
Annapolis Junction, MD 20701-1105
1-888-524-9900 (TTY: 1-888-985-8775)
For members with existing inventory of Bill of Rights (whether you are using the MDH form, the LeadingAge Minnesota form or your own internal form), you may prepare your labels to cover the existing KEPRO information and replace it with the Livanta contact information.
Posting of Livanta Contact Information: Federal regulations at F575 require facilities to post a list of names and contact information for various state agencies and advocacy groups. The list of organizations that a facility must post is the same as the organizations identified in the Resources section of the Bill of Rights booklet that facilities distribute to residents. As a result, the posted information must also be updated to reflect the change to Livanta. If you need a template to assist with meeting this posting requirement, we have one posted on the LeadingAge Minnesota website.