QIC Part C

On February 26, 2026, the Centers for Medicare & Medicaid Services (CMS) awarded the Medicare Part C Qualified Independent Contractor (QIC) contract to C2C Innovative Solutions, Inc. (C2C). The transition phase for this workload began on March 1, 2026, and will continue through April 30, 2026.

Starting on May 1, 2026, C2C will be responsible for receiving and conducting new reconsiderations of adverse organization determinations and adverse reconsiderations made by Medicare Advantage (MA) Organizations, Medicare Cost Plans, Health Care Prepayment Plans (HCPPs) and Program of All-Inclusive Care for the Elderly (PACE) Organizations, in addition to any CMS-approved Medicare managed care demonstrations.

All plans and organizations are required to work collaboratively to support a successful transition of the second-level appeals workload to C2C. To support a smooth transition, plans and organizations should visit this website regularly. C2C will post important information related to secure appeals portal registration and usage, mailing address details and other key operational updates. Plans and organizations must designate one or two key contacts for general appeal-related communications and escalated case-specific concerns.

Please click here to complete the Medicare Part C QIC Reconsiderations Key Contact Form online.

Note: Once operational, C2C will communicate with the contact identified in the Part C Reconsideration Background Form for routine case-specific activities for the respective appeal.