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This is a central location providers use to find forms, publications, reference manuals and other documents essential to providing care for iCare members. Filters make it easy to find exactly what you're looking for. 

To locate a Medicare Advantage coverage policy referenced in a letter you received, please refer to Medical and Pharmacy Coverage Policies; iCare is a subsidiary of Humana, and coverage policies are also located on this Humana’s Medical and Pharmacy Coverage Policies page. iCare has also prepared some FAQs for Medicare Advantage coverage policies.

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Provider Documents that match your criteria:

PCW Agency Information Letter 2025

Document Types
  • Applications
  • Claims
  • Internal Guidance for Providers
  • Prior Authorization
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

PCW Agency Checklist

Document Types
  • Claims
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Prior Authorization
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

LTC DHS Medicaid Enrollment Requirements

Document Types
  • Claims
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider News/Bulletin
Plans
  • iCare Family Care Partnership

MCD 2024 Provider Cultural Competency Training

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • ALL

Ethics Every Day 2025

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • ALL

Compliance Policy for Contracted Providers

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • ALL

Provider Bulletin Issue 01 2025

Document Types
  • Internal Guidance for Providers
  • Provider News/Bulletin
Plans
  • ALL

Inpatient Prior Authorization Request Form

Document Types
  • Prior Authorization

iCare Prior Authorization Request Form

Document Types
  • Prior Authorization

WI.FCP.007-FCPCM-017 Member Safety and Risk

Document Types
  • Policies and Guidelines

Provider Bulletin Issue 06 2024

Document Types
  • Internal Guidance for Providers
  • Provider News/Bulletin
Plans
  • ALL

Provider Resource_11.2024

Document Types
  • Formulary/ Pharmacy Documents
  • Internal Guidance for Providers
  • Plan Information
Plans
  • ALL

2025 Stars Rating

Document Types
  • Plan Information
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

2025 Step Therapy Rx Drug Criteria - updated 4/1/25

Document Types
  • Formulary/ Pharmacy Documents
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

2025 Comprehensive Formulary - updated 4/1/25

Document Types
  • Formulary/ Pharmacy Documents
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

2025 Part D Prior Authorization Criteria - updated 4/1/25

Document Types
  • Formulary/ Pharmacy Documents
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

2025 iCare FCP Summary of Benefits

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Family Care Partnership

2025 iCare FCP Evidence of Coverage

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Family Care Partnership

2025 iCare FCP Annual Notice of Change

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Family Care Partnership

2025 iCare Medicare Summary of Benefits

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Medicare Plan

2025 iCare Medicare Evidence of Coverage

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Medicare Plan

2025 iCare Medicare Annual Notice of Change

Document Types
  • Benefit Information
  • Plan Information
Plans
  • iCare Medicare Plan

Provider Bulletin Issue 4 2024

Document Types
  • Claims
  • Internal Guidance for Providers
Plans
  • ALL

Ombuds for BadgerCarePlus and SSI Medicaid HMO Members

Document Types
  • Claims
  • Grievances & Appeals
Plans
  • ALL

How to Submit a Professional LTC Claim

Document Types
  • Claims

AVOID PAYMENT DELAY_Residential LTC Claim Tips

Document Types
  • Claims

How to Submit a Residential Claim

Document Types
  • Claims

How To_LTC Residential Claim Submission via iCare Provider Portal with screenshot

Document Types
  • Claims

How To_LTC Professional Claim submission via iCare Provider Portal with screenshot

Document Types
  • Claims

Medicare Basic Dental Benefit Exception Guidelines 2024

Document Types
  • Claims
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider Forms
Plans
  • ALL

BC+ SSI Measure Year 2024 P4P Quality Measures

Document Types
  • Health Education
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

2023 Provider Access Survey Results

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider Forms
  • Provider News/Bulletin
Plans
  • ALL

WI.PA.001-Outpatient Skilled Services, Home Health Services, Durable Medical Equipment, and Procedures PA Process

Document Types
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

PCW Institutional Outpatient Claim Submission via iCare Provider Portal How To Guide

Document Types
  • Claims
  • Internal Guidance for Providers
Plans
  • iCare BadgerCare Plus
  • iCare Family Care Partnership
  • iCare Medicaid SSI

LTC Residential Claim Submission via iCare Provider Portal How to Guide

Document Types
  • Claims
  • Internal Guidance for Providers
Plans
  • iCare Family Care Partnership

Part D Redetermination Request - Medicare

Document Types
  • Formulary/ Pharmacy Documents
  • Grievances & Appeals
  • Policies and Guidelines
Plans
  • iCare Medicare Plan

Subacute PA Form 2024

Document Types
  • Internal Guidance for Providers
  • Prior Authorization
Plans
  • ALL
  • iCare BadgerCare Plus
  • iCare Family Care Partnership
  • iCare Medicaid SSI
  • iCare Medicare Plan

Provider Employee Roster 1pg

Document Types
  • Applications

Civil Rights Compliance Plan Form

Document Types
  • Applications

Provider Application - Long Term Care

Document Types
  • Applications
Plans
  • iCare Family Care Partnership

Current iCare Prior Authorization List (PAL) - pdf

Document Types
  • Policies and Guidelines
  • Prior Authorization

Notice of Privacy Practices 2025

Document Types
  • Policies and Guidelines
Plans
  • ALL

Notice of Privacy Policy

Document Types
  • Policies and Guidelines

2023 Medicare Payment Provisions-Dental

Document Types
  • Policies and Guidelines

How To_LTC Professional Claim submission via SSI Claimsnet

Document Types
  • Claims

Languages by County 2021 Excel Doc

Document Types
  • Health Education
  • Internal Guidance for Providers

Medicaid FCP and SSI Appeal Language 2_8_24

Document Types
  • Claims
  • Internal Guidance for Providers
Plans
  • iCare Family Care Partnership

Medicaid BadgerCare Appeal Language 2_8_24

Document Types
  • Claims
  • Internal Guidance for Providers
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

ARPA Procedure Code list 01 09 2022.pdf

Document Types
  • Policies and Guidelines

ARPA - Family Care Partnership Update 1 21 22

Document Types
  • Policies and Guidelines

1.7.22_2022-03 ARPA Rate Increase for Select Home and Community-Based Services.pdf

Document Types
  • Policies and Guidelines

Rate increase-iCare FCP HCBS inclusion logic.pdf

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

Rate increase-DHS 2021 State Directed Rate Increase_Notice to Providers.pdf

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

Rate increase-20211116HCBSARPA 5 Percent Increase Summary Final.pdf

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

Rate increase-2021 State Rate Increase Communication_10.21.pdf

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

iCare Provider Portal Registration Guide

Document Types
  • Policies and Guidelines

2024 Part C 5-Star Performance Measures

Document Types
  • Internal Guidance for Providers
  • Plan Information
  • Policies and Guidelines
  • Programs
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

Notice of Privacy Practices

Document Types
  • Policies and Guidelines

PCW vs. LTC Guide

Document Types
  • Claims

Chiropractor Claims Processing Guidelines

Document Types
  • Claims

EFT Enrollment Check List

Document Types
  • Claims

InstaMed Order Form - Payer Payments

Document Types
  • Claims

Electronic Visit Verification Guide

Document Types
  • Internal Guidance for Providers

COVID 19 Claims & Coverage Guide

Document Types
  • Claims
  • Prior Authorization

iCare Urine Drug Screen Policy

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

iCare Urine Drug Screen Guidance for Providers

Document Types
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

F02717-EVV-Live-In Worker ID fillable form

Document Types
  • Prior Authorization
  • Provider Forms

PA Request - Personal Care Worker (PCW) fillable form 2025

Document Types
  • Prior Authorization
  • Provider Forms
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

Electronic Visit Verification Live-In Worker ID form

Document Types
  • Provider Forms

SNF Claim Processing Guidelines

Document Types
  • Claims
  • Policies and Guidelines

Borrower Paycheck Protection Program Application

Document Types
  • Provider News/Bulletin

PPP Borrower Information Fact Sheet

Document Types
  • Provider News/Bulletin

Affiliation Change Form

Document Types
  • Provider Forms

Demographic Change Form

Document Types
  • Provider Forms

PCW HHC Message to Providers

Document Types
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

General Subacute Communication to Providers

Document Types
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

HPMS Memo NPPES Provider Directory 1-3-2020

Document Types
  • Policies and Guidelines
Plans
  • ALL

Measure Year 2024 Medicaid SSI BC+ P4P Measures and Weights

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Programs
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

New Provider Education - updated 01.2025

Document Types
  • Claims
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider News/Bulletin
Plans
  • ALL

Vision Claims

Document Types
  • Claims

Therapy Services Claims

Document Types
  • Claims

Personal Care Worker (PCW) Claims

Document Types
  • Claims

Mental/Behavioral Health & AODA Claims Guide

Document Types
  • Claims

Long Term Care (LTC) Claims

Document Types
  • Claims

Hospice Claims

Document Types
  • Claims

Home Health Claims

Document Types
  • Claims

Hearing Claims

Document Types
  • Claims

Durable Medical Equipment/Supplies (DME/DMS) Claims

Document Types
  • Claims

Ambulance Claims

Document Types
  • Claims
  • Internal Guidance for Providers
  • Provider News/Bulletin

Part D Redetermination Request - Family Care Partnership

Document Types
  • Formulary/ Pharmacy Documents
  • Grievances & Appeals
  • Provider Forms
Plans
  • iCare Family Care Partnership

Provider Applications List

Document Types
  • Applications

Practitioner Attestation

Document Types
  • Applications
  • Policies and Guidelines
  • Provider Forms

Part D Transition Process

Document Types
  • Formulary/ Pharmacy Documents
  • Prior Authorization
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

Personal Care Screening Tool - MS Word Format

Document Types
  • Applications
  • Prior Authorization
  • Provider Forms
Plans
  • iCare Family Care Partnership

Personal Care Screening Tool - Instructions

Document Types
  • Benefit Information
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Prior Authorization
  • Provider Forms
Plans
  • ALL
  • iCare Family Care Partnership

iCare Model of Care Guide

Document Types
  • Policies and Guidelines

Limited English Proficiency Training

Document Types
  • Policies and Guidelines
  • Provider Forms

Part D Coverage Determination Request

Document Types
  • Formulary/ Pharmacy Documents
  • Prior Authorization
  • Provider Forms
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

Fraud Waste and Abuse Training

Document Types
  • Policies and Guidelines

Policy - CO-013 Fraud Waste and Abuse Prevention and Detection Policy

Document Types
  • Policies and Guidelines

FDR Attestation Form

Document Types
  • Policies and Guidelines
  • Provider Forms
Plans
  • ALL

Claim Form - LTC Professional - updated 1/2024

Document Types
  • Claims
  • Provider Forms
Plans
  • iCare Family Care Partnership

Member Handbook Changes Summary Template Draft for MCOs

Document Types
  • Grievances & Appeals
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

Ombuds Information (Hmong)

Document Types
  • Health Education
  • Policies and Guidelines

Taxonomy Code Requirements

Document Types
  • Claims
  • Policies and Guidelines

Prior Authorization Requirements - In Home Meals

Document Types
  • Policies and Guidelines
  • Prior Authorization

Home Care Medical Outlines New CMS Documentation Initiative

Document Types
  • Policies and Guidelines
  • Provider News/Bulletin

Enhanced Ambulatory Patient Grouping Announcement

Document Types
  • Policies and Guidelines
  • Provider News/Bulletin

Cultural Competency Training 2

Document Types
  • Health Education
  • Policies and Guidelines

Cultural Competency Training 1

Document Types
  • Provider News/Bulletin

Behavioral Health and AODA FAQs

Document Types
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

General Compliance Training/Combating Medicare Fraud Waste & Abuse

Document Types
  • Policies and Guidelines

Provider Application - Primary and Acute Services

Document Types
  • Applications
  • Provider Forms
Plans
  • ALL

Provider Application - Durable Medical Equipment

Document Types
  • Applications
  • Claims
  • Provider Forms
Plans
  • ALL

Waiver of Liability Statement

Document Types
  • Policies and Guidelines
  • Provider Forms

Translation Instructions for Providers & Agencies

Document Types
  • Policies and Guidelines
Plans
  • ALL
  • iCare Family Care Partnership

Review & Reopening Form - updated 2/2024

Document Types
  • Claims
  • Provider Forms

Remittance Advice Guide

Document Types
  • Claims
  • Policies and Guidelines

Provider Application-Behavioral Health Services

Document Types
  • Applications
  • Policies and Guidelines
  • Provider Forms
Plans
  • ALL

Prescriber Enrollment Update Notice from CMS

Document Types
  • Formulary/ Pharmacy Documents
  • Policies and Guidelines
  • Provider News/Bulletin

Personal Care Screening Tool (Form)

Document Types
  • Policies and Guidelines
  • Prior Authorization
  • Provider Forms
Plans
  • iCare Family Care Partnership

Ombuds Information (Spanish)

Document Types
  • Health Education
  • Policies and Guidelines
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI

Medication Request Form

Document Types
  • Formulary/ Pharmacy Documents
  • Prior Authorization
  • Provider Forms
Plans
  • ALL

iCare Residential Availability Form

Document Types
  • Provider Forms
Plans
  • iCare Family Care Partnership

iCare Remit Reason Codes

Document Types
  • Claims
  • Policies and Guidelines
  • Prior Authorization
Plans
  • ALL

Medication Reconciliation Post-Discharge Form

Document Types
  • Formulary/ Pharmacy Documents
  • Provider Forms
Plans
  • ALL

iCare Provider Portal User Guide

Document Types
  • Claims
  • Policies and Guidelines

Medicare Star Ratings

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership
  • iCare Medicare Plan

Non-Discrimination Notice

Document Types
  • Policies and Guidelines
Plans
  • iCare BadgerCare Plus
  • iCare Family Care Partnership
  • iCare Medicaid SSI
  • iCare Medicare Plan

FCP Provider Reference Manual

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider Forms
Plans
  • iCare Family Care Partnership

Policy - Clinical Practice Guidelines

Document Types
  • Health Education
  • Internal Guidance for Providers
  • Policies and Guidelines
Plans
  • ALL

Policy - Caregiver Background Check

Document Types
  • Policies and Guidelines
Plans
  • iCare Family Care Partnership

Provider Application 1-2 Bed AFH

Document Types
  • Applications
  • Provider Forms
Plans
  • iCare Family Care Partnership

Clean Claim Requirements (UB-04)

Document Types
  • Claims
Plans
  • ALL

Clean Claim Requirements (CMS 1500)

Document Types
  • Claims
Plans
  • ALL

iCare Provider Reference Manual - Medicare & Medicaid

Document Types
  • Internal Guidance for Providers
  • Policies and Guidelines
  • Provider Forms
Plans
  • iCare BadgerCare Plus
  • iCare Medicaid SSI
  • iCare Medicare Plan

Claim Form - LTC Residential - updated 11/2024

Document Types
  • Claims
Plans
  • iCare Family Care Partnership

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By clicking this link, you may be leaving the iCareHealthPlan.org website. Independent Care Health Plan (iCare) only provides these links and pointers for your information and convenience. When you select a link to an outside website, you are leaving the www.iCareHealthPlan.org website.

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