CMS launches new complaint system for Medicare Advantage plans
By HME News Staff
Updated 9:36 AM CST, Tue January 27, 2026
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints.
The agency has implemented an online form on cms.gov for providers that need to report a complaint about an MA plan. Upon submission, these complaints will be sent to the Health Plan Management System (HPMS) Complaints Tracking Module (CTM).
The process will work like this:
- Go to cms.gov
-
Select Medicare from the top left drop-down menu
-
Select Health & drug plans from the left-hand navigation
-
Select Report a provider complaint about an MA plan
-
The online form will capture basic information about the complainant, beneficiary, provider and MA plan; provide a complaint summary and feature optional fields for date(s) of service and claim number.
Given these data will be captured by an online form, MA plans will no longer receive an attachment of the original provider complaint form.
Provider complaints will be placed into a queue in the CCTM, where CMS will review and tirage prior to assigning a contract number.
Comments