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Looking for a final HICE document/template? They can be found in the Final HICE Documents folder - click here for a list of available documents for each HICE team: FINAL 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  
 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 / Mid-Atlantic / Northwest / Texas  
 Click to open category HICE Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category HICE Credentialing Shared Audit Policy Team - Main / Texas  
 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 close category HICE QI-UM Team - Main  
     Click to open category 2021-12 Meeting Materials
     Click to open category 2024-02 Meeting Materials
     Click to open category 2024-04 Meeting Materials
     Click to open category 2024-08 Meeting Materials
     Click to open category 2024-09 Ad Hoc Meeting Materials - cancelled
     Click to open category 2024-09-25 Ad Hoc Meeting Materials
     Click to close category Click to Download All Documents in Subfolder 2024-11 Meeting Materials
       File   Upload   Review
  Title     Size   Date   Date
  HICE_QI-UM Team Meeting_Minutes_9-25-24_DRAFT v2   118 KB   11/6/2024   
  HICE_Request_for_Clarification_of_Regulatory_Issue_for _UM_DRAFT_cigna9.4   119 KB   11/8/2024   
  2024 HICE UM Delegation Work Plan Change Document_10.29.24   183 KB   11/7/2024   
  HICE QI-UM Team Meeting Agenda 11.24_Updated   486 KB   11/7/2024   
  2025_HICE_UM_Delegation_Report_Template_Instructions_UM_RR_DRAFT_APPROVED_10.29.2024   503 KB   11/7/2024   
     Click to open category Draft Documents for Review
     Click to open category Team Charter
 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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