Effective Dates: 2/02/2021 - Present

Identification Number:
HI 00208 TN 8
Intended Audience:See Transmittal Sheet
Originating Office:Centers for Medicare & Medicaid Services (CMS)
Title:Computations/Offsets
Type:POMS Transmittals
Program:Medicare,Medicaid
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part HI – Health Insurance
Chapter 002 – Computations/Offsets
Subchapter 08 – Computations/Offsets
Transmittal No. 8, 02/02/2021

Audience

PSC: CA, CS, ICDS, IES, ISRA, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: CR, EIE, FCR, PETL, RECONR;
OCO-ODO: BET, BTE, CCE, CR, CST, CTE, CTE TE, DEC, PAS, PETE, PETL;
FO/TSC: CS, CS TII, CSR, CTE, FR, OA, RR, TA, TSC-CSR;

Originating Component

CMS

Effective Date

Upon Receipt

Background

This is a QAT and no change to policy and procedure is needed.

Summary of Changes

HI 00208.050 Health Facility Complaint Memorandum

Updated section with new link

HI 00208.073 CMS Regional Offices and State Information

Updated this reference with new address.

HI 00208.050 Health Facility Complaint Memorandum

If a person wants to lodge a complaint regarding quality of care via a Field Office they should be directed to their local Quality Improvement Organization (QIO). They can locate their state by clicking on the link : QIO.

HI 00208.073 CMS Regional Offices and State Information

A. List of addresses of CMS regional offices

Region I (Boston)
Health Plans & Providers Branch
John F. Kennedy Federal
Building, Room 2375
Boston, MA 02203
Region V (Chicago)
CMS
Division of Beneficiaries, Health Plans & Providers
233 North Michigan Avenue
Suite 600
Chicago, IL 60601
Region VIII (Denver)
Division of Beneficiaries, Health Plans & Providers
Customer Relations Branch
1961 Stout Street
Denver, CO 80241
Region II (New York)
Division of Beneficiary Health Plans & Providers, Beneficiary Services &
Provider Branch
26 Federal Plaza, Room 3811
New York, NY 10278
Region VI (Dallas)
Health Plans and Providers Branch
301 Young StreetRoom 833
Dallas, TX 75202
Region IX (San Francisco)
Health Plan & Provider Operations
90 7th Street,
Suite 5-300 (5W)
San Francisco, CA 94103
Region III (Philadelphia)
Division of Beneficiary Health Plans & Providers
Beneficiary Services Branch
Enrollment/Disenrollment Unit
The Public Ledger Building
Suite 216
150 S. Independence Mall West
Philadelphia, PA 19106
Region VII (Kansas City)
Division of Beneficiary
Services
Richard Bolling Federal Building
601 East 12th Street,
 Room 235
Kansas City, MO 64106
Region X (Seattle)
Division of Beneficiaries,
Health Plans & Providers
Managed Care Branch
701 5th Avenue
Suite 1600 MS-01
Seattle ,WA 98104
Region IV (Atlanta)
Atlanta Federal Center,
  4th Floor
Division of Beneficiary
  Services
61 Forsyth St. SW,
  Suite 4T20
Atlanta, GA 30303-8909

 

 

B. Listing of telephone numbers for State Health Insurance and Assistance Programs (SHIP)

ALABAMA
1-800-243-5463 or
1-334-242-5743

ALASKA
 1-800-478-6065 or
1-907-269-3680

AMERICAN SAMOA
1-808-586-7299

ARIZONA
 1-800-432-4040 (AZ only) OR
1-602-542-4446 OR

ARKANSAS
1-800-224–6330 or
1-501-371-2782

CALIFORNIA
1-800-434-0222

COLORADO
1-

CONNECTICUT
1-860–424–5274

DELAWARE
1-800-336-9500 or
1-302-674-7364

DIST. OF COLUMBIA
1-202-994-6272

FLORIDA
1-800-963-5337

GEORGIA
1-866–552–4464

GUAM
1-671–735–4721 or 1–671–735–7415

HAWAII
1-808-586-7299 or 1–888–875–9229

IDAHO
1-800-247-4422

ILLINOIS
 1-800-548-9034 or
1-217-785–9021

INDIANA
1-800-452-4800 or
1-765–608–2318

IOWA
 1-800-351-4664 or
1-515-242-5190

KANSAS
1-800-860-5260 or
1-785–291–357

KENTUCKY
1-502-564-7372 or
1–503–564–6930

LOUISIANA
1-800-259-5301 or

MAINE
1-800-750-5353

MARYLAND
1-800-243-3425 (MD only)
1-410-767-1100
TTY: 1-410-767-1083

MASSACHUSETTS
1-800-882-2003 or
1-617-727-7750

MICHIGAN
1-800-803-7174

MINNESOTA
1-800-333-2433

MISSISSIPPI
1-800-948-3090 or
1-601-359-4366

MISSOURI
1-800-390-3330 or
1-573-893-7900 (Ext. 137)

MONTANA
1-800-332-2272 (MT only)
1-406-444-7781

NEBRASKA
1-800-234-7119

NEVADA
1-800-307-4444 or
1-702-486-4602

NEW HAMPSHIRE
1-866-634-9412

NEW JERSEY
1-877-222-3737 or
1-800-792-8820

NEW MEXICO
 1-800-432-2080 or
1-505-476-4846

NEW YORK
1-800-701-0501 1-212-602-4180 (NY City only)

NORTH CAROLINA
1-855-408-1212 or
1-919-807-6900

NORTH DAKOTA
1-888-575-6611 or
1-701-328-2440

NORTHERN MARIANA
ISLANDS
1-800-586-7299

OHIO
1-800-686-1578

OKLAHOMA
 1-800-763-2828
1-405-521-6628

OREGON
1-800-722-4134
1-503-947-7979

PENNSYLVANIA
1-800-783-7067

PUERTO RICO
1-877-725-4300

RHODE ISLAND
1-401-462-0510

SOUTH CAROLINA
1-800-868-9095
1-803-734-9900

SOUTH DAKOTA
1-800-536-8197
1-605-224-3212 (Pierre)
1-605-333-3314 (Sioux Falls)
1-605-342-8635 (Rapid City)

TENNESSEE
1-877-801-0044
1-615-741-2056

TEXAS
 1-800-252-9240

UTAH
1-800-541-7735
1-801-538-3910

VERMONT
In State: 800-642-5119
Out of State: 802-748-5182

VIRGINIA
1-800-552-3402 or
1-804-662-9333

VIRGIN ISLANDS
1-340-772-7368

WASHINGTON
1-800-562-6900

WEST VIRGINIA
1-877-987-4463
1-304-558-3317

WISCONSIN
1-800-242-1060

WYOMING
 1-800-856-4398
1-307-856-6880

 

HI 00208 TN 8 - Computations/Offsets - 2/02/2021