CIMRO - Government Services
CIMRO has a long-standing history of providing quality improvement and utilization review services to the Federal Government. Our expertise ensures that healthcare programs meet the highest standards of efficiency, effectiveness, and compliance.
Trusted Partner in Healthcare Quality Improvement
NQIIC Contract Holder
QIO-Like Entity (Pending Designation)
CIMRO is in the process of becoming a designated Quality Improvement Organization (QIO)-Like Entity. QIO-like entities play a critical role in Medicaid quality oversight by:
With decades of experience, CIMRO remains committed to supporting federal and state healthcare programs through innovative, data-driven solutions.
- CIMRO is part of The Network of Quality Improvement and Innovation Contracts (NQIIC), an Indefinite Delivery/Indefinite Quantity (IDIQ) contract vehicle managed by the Centers for Medicare & Medicaid Services (CMS). This designation allows us to support a broad range of healthcare quality improvement initiatives across the nation.
QIO-Like Entity (Pending Designation)
CIMRO is in the process of becoming a designated Quality Improvement Organization (QIO)-Like Entity. QIO-like entities play a critical role in Medicaid quality oversight by:
- Assisting state Medicaid agencies in preventing unnecessary utilization of care while ensuring efficiency, economy, and quality under Section 1902(a)(30)(A) of the Social Security Act.
- Performing medical and utilization reviews in accordance with Section 1903(s)(3)(C) of the Act, which allows for 75% Federal Financial Participation for states contracting with a QIO or QIO-like entity.
- CIMRO is an active member of CIVITAS Networks for Health, a national collaborative dedicated to leveraging health information exchange, data-driven insights, and cross-sector collaboration to enhance healthcare outcomes.
With decades of experience, CIMRO remains committed to supporting federal and state healthcare programs through innovative, data-driven solutions.