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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 QI and UM Required Reports Team  
 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 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 1_Document Posting Instructions
     Click to open category Aetna
     Click to open category Alignment Health Plan
     Click to open category Anthem Blue Cross
     Click to open category Blue Shield of California
     Click to close category Click to Download All Documents in Subfolder Brand New Day
       File   Upload   Review
  Title     Size   Date   Date
 BRAND_NEW_DAY_2019 Notice_of_Non-Discrimination_ENG_2018-1102   77 KB   11/7/2018   
 BRAND_NEW_DAY_2019 Notice_of_Non-Discrimination_SPAN_2018-1102   78 KB   11/7/2018   
 BRAND_NEW_DAY_Det_Exp_of_Non-Cov (DENC) SP   47 KB   11/13/2018   
 BRAND_NEW_DAY_Detailed_Notice_of_Discharge_DND_ ENG   29 KB   11/13/2018   
 BRAND_NEW_DAY_Detailed_Notice_of_Discharge_DND_SP   30 KB   11/13/2018   
 BRAND_NEW_DAY_Does_Not_Meet_Reopen-Criteria   156 KB   11/13/2018   
 BRAND_NEW_DAY_Exp_Criteria_Not_Met   154 KB   11/13/2018   
 BRAND_NEW_DAY_Ext_Needed_for_Additional_Information   156 KB   11/13/2018   
 BRAND_NEW_DAY_MA_Reinstatement_of_Coverage   40 KB   11/13/2018   
 BRAND_NEW_DAY_Muli-Language_Insert_2018-0726   503 KB   8/1/2018   
 BRAND_NEW_DAY_Notice_of_MA_Non_Cov_NOMNC_ENG   54 KB   11/13/2018   
 BRAND_NEW_DAY_Notice_of_Non_Cov_NOMNC_SPAN   54 KB   11/13/2018   
 BRAND_NEW_DAY_Specialty_and_ANC_Term_Notice   280 KB   11/13/2018   
 BRAND_NEW_DAY_UM_Authorization_Letter_ENG   67 KB   11/13/2018   
 BRAND_NEW_DAY_UM_Authorization_Letter_SPAN   70 KB   11/13/2018   
 BRAND_NEW_DAY_UM_CarvedOut_Letter   155 KB   11/13/2018   
 BRAND_NEW_DAY_UM_DenialNotice_CMS_ENG   1753 KB   11/13/2018   
 BRAND_NEW_DAY_UM_DenialNotice_CMS_SPAN   109 KB   11/13/2018   
     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 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.


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