01/15/2026

CMS Opens Direct Complaint Path for Medicare Advantage Providers

The Centers for Medicare & Medicaid Services has launched a new online form allowing providers to directly submit complaints about Medicare Advantage plans through cms.gov. Provider submissions will feed directly into the Health Plan Management System Complaints Tracking Module, eliminating the need to upload original complaint forms.

According to a CMS memo outlining the process, complaints will be reviewed and triaged by CMS before being assigned to the appropriate contract. Providers can access and submit concerns using the Medicare Advantage provider complaint form now available on the CMS website.