Provider Resources, Inc. (PRI), a Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO), was awarded the task order for the Beneficiary Care Management Program (BCMP). This program is a new Centers for Medicare & Medicaid Services (CMS) initiative that is national in scope and covers the United States and its territories. The purpose of the BCMP is to address care management issues for Medicare Fee-for-Service (FFS) beneficiaries with complex healthcare needs and limited knowledge of available resources. Additionally, the BCMP has an ultimate goal of reducing high-cost healthcare utilization such as hospital readmissions and emergency room visits.
Beneficiaries and/or their family members may be referred to the program by the regional BFCC-QIOs at any time during the review of a discharge appeal. The BCMP can help review discharge instructions and post-treatment plans; coordinate follow-up care with primary care physicians and/or other providers; and assist with referrals to community resources or person and family engagement (PFE) partners. BCMP assistance is offered at no cost to beneficiaries, family members, and caregivers.
To help beneficiaries, their family members, and their caregivers address their own care management needs, the BCMP identifies tools and resources that have been developed by CMS and CMS Quality contractors, other federal agencies, and specialty organizations that may be useful.
Visit the BCMP website to learn more.