Library   

View our Library Tutorial videos for information on how to browse and search the Library.

Search Documents: Advanced Search

Looking for an approved ICE document/template? They can be found in the Approved ICE Documents folder - click here for a list of available documents for each ICE team: APPROVED ICE DOCUMENTS.

ICE documents can be altered for use by organizations/other regions as needed; however, the ICE logo/any ICE references should be removed if the document is not being used in its original format.


ICE is a voluntary 501(c)3 organization that includes participation by and advice from accrediting and regulatory agencies. The goal of ICE work products is to offer ICE participating organizations standardized tools and best practices toward optimizing efficiencies to implement health industry requirements. ICE heeds feedback from accrediting and regulatory agency partners regarding ICE work products; however, ICE does not obtain official regulatory approval for its work products. As such, ICE work products are not to be considered exempt from any approval process required by regulatory agencies.


APPROVED ICE DOCUMENTS

 Click to open category Appeals and Grievances Improvement Team  
 Click to open category California SB260  
 Click to open category Claims  
 Click to open category Claims Cal MediConnect Health Plan-Specific Member Denial Templates  
 Click to open category Claims CMS Health Plan-Specific Member Denial Letter Templates  
 Click to open category Claims Commercial Health Plan-Specific Member Denial Letter Templates  
 Click to open category CMS Universe Templates  
 Click to open category Contracting & Compliance Team  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Cultural & Linguistic Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category DMHC Access Regulations Team  
 Click to open category Provider Directory Updates Team  
 Click to open category QI / UM Team - Main  
 Click to open category Risk Adjustment Data Acquisition & Reporting (RADAR) Team  
 Click to open category Site Visit Team (falls under Credentialing Shared Audit Policy Team - Main / California)  
 Click to open category UM Required Reports Team (formerly QI and UM Required Reports Team)  
 Click to open category UM Templates & Tools (1) - Health Plan Posting Request Instructions  
 Click to open category UM Templates & Tools (Cal MediConnect) - Health Plan-Specific Templates  
 Click to open category UM Templates & Tools (Commercial UM LAP Templates for LAP Regulations Effective on and after 1/1/09)  
 Click to open category UM Templates & Tools (Commercial)  
 Click to open category UM Templates & Tools (Medi-Cal)  
 Click to open category UM Templates & Tools (Medi-Cal) - Health Plan-Specific Templates  
 Click to close category UM Templates & Tools (Medicare Advantage Templates for Marketing Guidelines)  
     Click to open category 00-Template Availability
ICE posts whatever templates have been provided by participating health plans. Please contact the health plans directly for any templates not available on the ICE website.
     Click to close category Click to Download All Documents in Subfolder Aetna
       File   Upload   Review
  Title     Size   Date   Date
 AETNA ME03_Medicare_14_day_ext_for_expedited 0519   41 KB   6/12/2019   
 AETNA ME04_Medicare_14_day_ext_for_standard 0519   37 KB   6/12/2019   
 AETNA ME07 Medicare Approval Letter 0519   39 KB   6/12/2019   
 AETNA ME09_Notice of Medicare Non-Coverage_CA Only 072919   75 KB   8/21/2019   
 AETNA ME12_Medicare expedited denial 0519   37 KB   6/12/2019   
 AETNA ME13 CMS 10003-NDMCP 0519   47 KB   6/12/2019   
 Aetna Provider_ No Longer In Network_Medicare_Member_2017_NR_0009_10122   79 KB   3/9/2018   
 Aetna Provider_Retraction_Medicare_Member_2017_NR_0009_8530a   78 KB   3/9/2018   
 Aetna_CMS_Carveout Letter_01012014   37 KB   11/21/2013   
 Aetna_CMS_Expedited Criteria Not Met_01012014   31 KB   11/21/2013   
 Aetna_Cover_Letter_for_CMS_IDN_04-2017   30 KB   4/19/2017   
 Aetna_Detailed Explanation of Non-Coverage_DENC_English_07302014   47 KB   8/28/2014   
     Click to open category Alignment Health Plan
     Click to open category Anthem Blue Cross
     Click to open category Blue Shield of California
     Click to open category Brand New Day
     Click to open category Central Health Plan
     Click to open category Health Net
     Click to open category Inter Valley Health Plan
     Click to open category Sharp Health Plan
     Click to open category UnitedHealthcare Medicare & Retirees
     Click to open category WellCare Health Plan
Easy Choice Health Plan has formally undergone rebranding and is now recognized as WellCare Health Plan. All Easy Choice Utilization Management templates have been removed from the site. Delegates can reach out to their assigned Plan contact for additional guidance.
 Click to open category UM Templates & Tools (Medicare Advantage)  

  Adobe Acrobat File
  Microsoft Word File
  Microsoft Excel File
  Microsoft PowerPoint File
  Microsoft Word XML File
  Microsoft Excel XML File
  Microsoft PowerPoint XML File
  Zipped File
  Unknown File Type

Many Library documents are in Adobe Acrobat format. If you do not have Acrobat you may download it here.


To download a document, right-click the document title and select "Save Target As..." (or the equivalent). You may left-click a document to open it in your browser.

   


Website development services provided by:
Click here for more information about Stone Six Solutions, Inc.
Stone Six Solutions