Beneficiary Support and Outreach Activities

12200 - Beneficiary Support and Outreach Activities (Rev. 27, Issued: 07-08-16, Effective: 07-08-16, Implementation: 07-08-16) QIOs conduct a variety of communications and outreach activities that may include positioning the organization as a resource to the public in support of case review functions and quality of care improvement initiatives, in addition to outreach efforts that support specific contract requirements. CMS contracts require QIOs to maintain a communication plan outlining the specific beneficiary communication and outreach activities it will conduct to educate beneficiaries, providers, and other non-QIO organizations working in the same service area(s) about the QIO Program, the exercise of beneficiary rights, and coordination of quality program activities. For QIOs that perform case review, the communication plan shall also address planned outreach activities to comply with the statutory responsibility for physician/provider meetings required by Section 1154(a)(6)(B)(i) of the Act and Annual Reports required by Section 1154(a)(6)(B)(ii) of the Act.