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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.


 Click to open category Appeals and Grievances Improvement Team  
 Click to open category Claims Standardization Team  
 Click to open category Compliance Team (formerly Contracting & Compliance Team)  
 Click to open category Compliance Team Delegated Entity (DE) Compliance Workgroup  
 Click to open category Compliance Team IT Systems Integrity Workgroup  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Credentialing Shared Audit Policy Team - Main / Texas  
 Click to open category Cultural & Linguistic (C&L) Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category Encounters Standardization Team  
 Click to close category QI / UM Team - Main  
     Click to open category Adverse Events Documents
 Click to open category Service Determination Standardization Team (SDS) - UM Templates & Tools  
 Click to open category UM Required Reports Team (formerly QI and UM Required Reports Team)  
 Click to open category UM Templates & Tools (1) - Health Plan-Specific Template Location  

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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