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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

 Click to open category HICE Appeals & Grievances Improvement Team  
 Click to open category HICE Claims Standardization Team - Main  
 Click to open category HICE Compliance Team - Main (formerly Contracting & Compliance Team)  
 Click to open category HICE Compliance Team Coded DOFR Workgroup  
 Click to open category HICE Compliance Team Delegated Entity Compliance Audit Workgroup  
 Click to open category HICE Compliance Team IT Systems Integrity Workgroup  
 Click to open category HICE Credentialing Shared Audit Policy Team - Main / California  
 Click to open category HICE Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category HICE Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to close category HICE Credentialing Shared Audit Policy Team - Main / Texas  
     Click to open category 2022-02 Meeting Materials
     Click to open category 2022-04 Meeting Materials
     Click to open category 2022-08 Meeting Materials
     Click to close category Click to Download All Documents in Subfolder 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   
     Click to open category 2023-02 Meeting Materials
     Click to open category Credentialing System Controls
     Click to open category Team Charter
 Click to open category HICE Cultural & Linguistic (C&L) Services Team - Main  
 Click to open category HICE DMHC Access Regulations Team  
 Click to open category HICE DMHC Access Regulations Team Workgroup  
 Click to open category HICE Encounters Standardization Team  
 Click to open category HICE Pharmacy Regulations & Benefits Team - CA  
 Click to open category HICE QI-UM Team - Main  
 Click to open category HICE RADAR (Risk Adjustment Data Acquisition & Reporting) Team - Main  
 Click to open category HICE Service Determination Standardization Team  
 Click to open category 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.

   


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