Library

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 Past Training Workshops and Materials 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.

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 / Mid-Atlantic / Northwest / Texas
HICE Credentialing Shared Audit Policy Team - Main / Northwest
HICE Credentialing Shared Audit Policy Team - Main / Texas
2022-02 Meeting Materials
2023-02 Meeting Materials
2023-04 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.