CMS has developed an overutilization monitoring system to ensure that plans are implementing effective and appropriate controls against opioid and APAP (acetaminophen, brand name Tylenol®) overutilization and for review of beneficiaries referred by the CMS Center for Program Integrity (CPI) for possible overutilization issues.
Members: speak with member services at 1-877-232-7566 (TTY: 711)
Not a member? Talk with a sales representative at 1-877-234-0126 (TTY: 711), including for alternate formats and languages.
Prevea360 Medicare Advantage
PO Box 56099
Madison, WI 53705