Health Industry Collaboration Effort

Health plans, Providers, Associations

Simplifying Healthcare Administration

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Library

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Administrative & Organizational Folders Agency Resources APPROVED HICE DOCUMENTS Current Annual Conference Information Current Training Workshops and Materials Health Plan Specific Letter Templates HICE Team Folders Working Documents Past Annual Meeting Information Teams Not Currently Active

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

APPROVED HICE DOCUMENTS
Appeals and Grievances Improvement Team
Claims Standardization Team
Compliance Team (formerly Contracting & Compliance Team)
Compliance Team Delegated Entity (DE) Compliance Workgroup
Compliance Team IT Systems Integrity Workgroup
Business Process and Rules
Evidence Grid
Credentialing Shared Audit Policy Team - Main / California
Credentialing Shared Audit Policy Team - Main / Mid-Atlantic
Credentialing Shared Audit Policy Team - Main / Mid-Atlantic / Northwest / Texas
Credentialing Shared Audit Policy Team - Main / Northwest
Credentialing Shared Audit Policy Team - Main / Texas
Cultural & Linguistic (C&L) Services Team
Cultural and Linguistics Provider Toolkit
Encounters Standardization Team
QI / UM Team - Main
Service Determination Standardization Team (SDS) - UM Templates & Tools
UM Required Reports Team (formerly QI and UM Required Reports Team)
UM Templates & Tools (1) - Health Plan-Specific Template Location
UM Templates & Tools (Commercial)
UM Templates & Tools (Medi-Cal)

HICE documents can be altered for use by organizations/other regions as needed; however, the HICE logo/any HICE references should be removed if the document is not being used in its original format. Documents available within the Library are intended to be used as printed documents. To the extent such documents are used digitally, it shall be the user's responsibility to ensure their use of the documents adheres to the accessibility standards applicable to their organization.

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