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.
C2C fosters an organizational culture that embraces honesty, integrity and respect. We perform our duties with our corporate values in mind: "Integrity, Quality and Value with PRIDE (Passion for our customers, Responsibility to seek innovative solutions, Initiative to make things better, Discipline to strive for excellence and Enthusiasm for the future)."
We have assembled a workforce inspired by a common purpose of upholding our quality values of “Integrity, Quality & Value driving Continuous Improvement.” Our culture generates our drive to deliver exceptional customer service and commitment to maintaining the highest quality standards. Our team members have in-depth knowledge of health insurance plans including, but not limited to, traditional fee-for-service (FFS) Medicare, Medicare Advantage (Part C) and Medicare Prescription Drug Coverage (Part D) and vast experience managing second level appeals from case receipt to final disposition.
Part C Enrollees & Representatives Health Plans Laws and Regulations Newsletter
C2C is ISO 9001:2015 certified. We have an extensive quality assurance and improvement process. C2C and its leadership have a long tradition of achieving the highest quality standards for all aspects of work performed. Our comprehensive quality program includes documented work processes and instructions. C2C’s quality program promotes quality at all levels and encompasses C2C’s corporate values of "Integrity, Quality & Value driving Continuous Improvement.”
The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 included provisions aimed at improving the Medicare appeals process. Part of these provisions mandate that an independent contractor, known as a Qualified Independent Contractor (QIC), will perform second level appeals known as reconsiderations. QIC contractors render timely and accurate decisions on reconsiderations.
For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html.
Documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.