Library   

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

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.

HICE Team Folders Working Documents
HICE Appeals & Grievances Improvement Team
HICE Claims Standardization Team - Main
HICE Compliance Team - Main (formerly Contracting & Compliance Team)
HICE Compliance Team Coded DOFR Workgroup
HICE Compliance Team Delegated Entity Compliance Audit Workgroup
HICE Compliance Team IT Systems Integrity Workgroup
HICE Credentialing Shared Audit Policy Team - Main / California
HICE Credentialing Shared Audit Policy Team - Main / Mid-Atlantic
HICE Credentialing Shared Audit Policy Team - Main / Northwest
HICE Credentialing Shared Audit Policy Team - Main / Texas
2022-02 Meeting Materials
2022-04 Meeting Materials
2022-08 Meeting Materials
2022-10 Meeting Materials
		File	Upload	Review
	Title	Size	Date	Date
	HICE_Ongoing Monitoring Example Log_2023	24 KB	10/13/2022
	TX Cred Universe Spreadsheet Template_2022	26 KB	10/13/2022
	Redline_HICE_File_Checklist_Sample__102022	61 KB	10/13/2022
	Redline_HICE HealthPlan_Delegation_Audit_Release_Letter_2023	107 KB	10/13/2022
	Redline_HICE_TX_Credentialing_SA_Policy_Team_Charter_2023	110 KB	10/13/2022
	Redline_HICE_Interrater_Procedures_102022	112 KB	10/13/2022
	Redline_HICE__TX_Annual_Desk_Top_Audit_Request_Letter_102020	115 KB	10/13/2022
	Redline_HICE__Annual_Desk_Top_Audit_Request_Letter_102020	116 KB	10/13/2022
	Redline_HICE_Credentialing_SA_Business_Rules_102022	116 KB	10/13/2022
	HICE_TX_Shared Cred_Policy Team_Meeting Agenda_102022	117 KB	10/13/2022
	Redline_HICE_TX_PrePosting_Letter_102022	118 KB	10/13/2022
	Redline_HICE_TX_Cred_SA_Scheduling_Team_Business_Rules_Exhibit_A_102022	120 KB	10/13/2022
	Redline_2023_HICE_TX_Accredited_Shared_Audit_Tool_102022	138 KB	10/13/2022
	Redline_2023_HICE_TX_Shared_Audit_Tool_102022	140 KB	10/13/2022
	Redline_HICE_TX_Credentialing_Shared_Audit_Training_Tool_Guidelines_102022	343 KB	10/13/2022
2023-02 Meeting Materials
Credentialing System Controls
Team Charter
HICE Cultural & Linguistic (C&L) Services Team - Main
HICE DMHC Access Regulations Team
HICE DMHC Access Regulations Team Workgroup
HICE Encounters Standardization Team
HICE Pharmacy Regulations & Benefits Team - CA
HICE QI-UM Team - Main
HICE RADAR (Risk Adjustment Data Acquisition & Reporting) Team - Main
HICE Service Determination Standardization Team
HICE UM Required Reports Team

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.