Medicare Consumer Protection Activities

Medicare Consumer protection involves case review, which contributes to improved quality of care for Medicare consumers in Illinois. Whenever specific requests or referrals are made, our team of health care professionals reviews each individual case. Such reviews allow us to provide oversight on medical necessity, appropriateness and quality of care delivered to Medicare patients.

To initiate a review, select the following link and follow the instructions to submit a Medicare Consumer Complaint Review Form.

Select the following link for information on the Medicare Mediation program and Alternative Dispute Resolution.

The following link contains information on Appeals of Medicare Non-Coverage in Skilled Nursing Facilities, Home Health Agencies, Hospice and Comprehensive Outpatient Rehabilitation Facilities Review. Click here for that information.

Clicking on the links above will provide you with direct access to the various forms necessary for filing appeals, but if you need additional assistance, you may contact our HelpLine at 1-800-647-8089 between 8 a.m. and 4:30 p.m. Monday — Friday.

View our Annual Medical Services Review Report here.