Health Industry Collaboration Effort

Health plans, Providers, Associations

Simplifying Healthcare Administration

Home | Terms | Contact HICE | Join HICE

Library

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

Select a document section to view categories within the section.

Administrative & Organizational Folders Agency Resources Current Annual Conference Information Current Training Workshops and Materials FINAL HICE DOCUMENTS Health Plan Specific Letter Templates HICE Team Folders Working Documents Past Annual Conference Information Teams Not Currently Active

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
HICE Appeals & Grievances Improvement Team
HICE Claims Standardization Team - Main
2024-07 Meeting Materials
2024-08 Meeting Materials
2024-09 Meeting Materials
2024-10 Meeting Materials
2024-11 Meeting Materials
2025-01 Meeting Materials
2025-02 Meeting Materials
2025-03 Meeting Materials
2025-04 Meeting Materials
2025-05 Meeting Materials
2025-06 Meeting Materials
Claims Team Final Documents
CMS Integrated Denial Notice - Notice of Denial of Payment Template and Instructions
DMHC Reasonable & Customary Survey Attestation Form Supporting Documents
Team Charter
Team Meeting Q&A Tracking Document
Please note that the purpose of this document is meant to keep historical data as is, and as such, it will not be updated to reflect if answers to questions may have changed over time.
HICE Compliance Team - Main
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 / Northwest / Texas
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.