medicare consumers

Contact

24 hours a day/7days a week-including holidays*
1-800-365-5899 (Toll free number)
TTY Users Call: 711-800-365-5899

* Providers should use the 800-365-5899 number on all Medicare beneficiary notices that require a QIO telephone number.

** Appeal calls received after normal business hours are recorded by MPRO and returned the next day.

Provider Line: 1-248-465-7457

Note: Providers can use this number to call MPRO with questions

Overview

As the Medicare Quality Improvement Organization (QIO), in Michigan, MPRO’s beneficiary protection activities emphasize statutory and regulatory mandated review activity and quality improvement. Primary care review categories include utilization review, quality of care review, review of beneficiary appeals and certain provider notices, and reviews of potential anti-dumping cases. Quality of care review includes the review of beneficiary complaints.

MPRO utilizes a number of tools intended to address the beneficiary’s concerns, including implementation of quality improvement activities (QIAs), surveying of beneficiary satisfaction with the complaints process and outcomes, and, if appropriate, alternative dispute resolution mechanisms. MPRO’s focus is to meet, in an efficient and effective manner, regulatory and statutory requirements to enhance collaboration with stakeholders and to clearly establish the link between case review and quality improvement through data analysis and improvement assistance.