A new online form will allow CMS to keep a closer eye on complaints against Medicare Advantage (MA) plans while standardizing and streamlining the reporting process for providers. 
 
The MA Provider Complaints Form leverages a central platform that CMS will use to review and triage complaints against MA plans. Providers should still leverage appeals when refuting MA denials, but the complaint form could help identify when MA plans create delays in care, situations where staff or patients receive inaccurate information or times when appeals are mishandled. 
 
Previously, providers raised concerns about MA missteps through a mix of calls, emails and other means of contacting CMS.  
Information that providers will need when filling out the form includes complainant, beneficiary and provider information, as well as the claim number, dates of service, MA organization name and complaint summary. 
 
To view the form, visit https://bit.ly/3NRtamC.