Did you get a Notice of Medicare Non-Coverage (NOMNC) that your stay or services are going to end? It might look different depending on the kind of care you’re getting:
- Home health care: You’re getting medical care in your own home.
- Skilled nursing care: You’re a patient in a skilled nursing facility.
- Rehabilitation care: You’re getting outpatient care at a Medicare-approved Comprehensive Outpatient Rehabilitation Facility (CORF).
Your notice lists a group called the Quality Improvement Organization (QIO). Call them if you don’t agree with being sent home or ending care. Tell them what care is ending and say you want a “fast-track appeal” — that means they’ll help you quickly.
If you can't find their number, call the Member Services phone number on your Allina Health | Aetna Medicare member ID card. We can help you get in touch with them.
Level 1 appeal (QIO review)
How it works:
- Call the QIO (by noon the next day) after you get the notice.
- They’ll look at your appeal and contact you within two days with their decision.
- If they say no, you can file a level 2 appeal.
Level 2 appeal (also called a reconsideration)
How it works:
- If the QIO said no to your Level 1 appeal, contact them within 60 days.
- They’ll get back to you with an answer within 14 days.
In-patient hospital discharge
While you’re in the hospital, you’ll get a notice called “An Important Message from Medicare About Your Rights.” You have the right to:
- Ask to stay if you think you’re being sent home too soon.
- Get the medical care you need, and know/ask who will pay for it.
- Help make decisions and speak up if you're not happy with your care.
If you think you’re being sent home from the hospital too soon, call the QIO for help.