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Who are the QICs?

Who are the QICs?
The Medicare Part A QICs are Maximus Federal Services and First Coast Service Options. Maximus Federal Services handles reconsiderations for the East jurisdiction and First Coast Service Options handles reconsiderations for the West jurisdiction.
Part A East Jurisdiction Colorado, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Alabama, Georgia, Florida, Tennessee, South Carolina, North Carolina, Virginia, West Virginia, Puerto Rico, Virgin Islands, Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, New York, Delaware, Maryland, Pennsylvania, Washington DC
Part A West Jurisdiction Washington, Idaho, Montana, North Dakota, South Dakota, Iowa, Missouri, Kansas, Nebraska, Wyoming, Utah, Arizona, Nevada, California, Alaska, Hawaii, Oregon, Kentucky, Ohio, Indiana, Illinois, Minnesota, Michigan, Wisconsin, Guam, Northern Mariana Islands, American Samoa

The Medicare PartB QICs areFirst Coast Service Options and Q2Administors. First Coast Service Options handles reconsiderations for the North jurisdiction and Q2Administors handles reconsiderations for the South jurisdiction.

Part B North Jurisdiction Alaska, Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, District of Columbia, New York, Pennsylvania, New Jersey, Delaware, Maryland, Ohio, Kentucky, Indiana, Illinois, Michigan, Wisconsin, Minnesota, Missouri, Iowa, Kansas, Nebraska, South Dakota, North Dakota, Wyoming, Montana, Idaho, Washington, Oregon, California, Nevada, Arizona, Utah, Hawaii, Guam, Northern Mariana Islands, American Samoa
Part B South Jurisdiction Colorado, Connecticut, New Mexico, Texas, Oklahoma, Arkansas, Louisiana, Mississippi, Tennessee, Alabama, Georgia, Florida, North Carolina, South Carolina, Virginia, West Virginia, Puerto Rico, Virgin Islands

The Medicare Durable Medical Equipment (DME)QIC is River Trust Solutions. River Trust Solutions handles all DME reconsiderations.The QIC for Part C and Part D reconsiderations is Maximus Federal Services. Maximus is responsible for processing all Part C and Part D reconsiderations.

FAQ_Category: 
Medicare Appeals