iCare’s purpose is to measurably improve the health of our members. iCare understands that to achieve this, it is essential to build and maintain relationships with high-quality providers.
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CMS released the final rule effective 1/1/2023 which revises Medicare Advantage (MA) Part C programs to implement changes of communications in part, related to Maximum Out of Pocket.
The MOOP limit in an MA plan (after which the plan pays 100 percent of MA costs) is calculated based on the accrual of all Medicare cost-sharing in the plan benefit, whether that Medicare cost-sharing is paid by the beneficiary, Medicaid, or other secondary insurance, or remains unpaid. Click to learn more about how this affects iCare Members and Providers.
iCare welcomes a variety of providers to join our Provider Network to assure the broadest choice of quality providers for iCare Members. As iCare continues to grow, so does our network of providers.
Join Us Application and Credentialing
High-quality care is expected and delivered by providers across our network. Providers who’ve gone “above and beyond” can be recognized and rewarded though this program.
Provider Rewards Program
iCare strives to improve health outcomes for our members. That’s why we work in conjunction with numerous industry, state and federal programs to measure our results.
These manuals are a provider’s primary resources to efficiently conduct transactions related to iCare members.
Medicare & Medicaid Manual
Whether you are already an iCare provider or looking to become one, we make it easy for you to communicate with the people you need to connect with.
Quickly review your listing – or the listings of other physicians, facilities, pharmacies or other contracted providers – using iCare’s Find A Provider tool.
Find a Provider
If you need to update demographics or add/remove providers, please use the applicable form:
Name, Tax ID, Physical or Billing Address Changes:
Demographic Change - Fillable PDF Form
Demographic Change - Web Form
Adding or removing providers associated with a contracted provider group:
Affiliation Change - Fillable PDF Form
Affiliation Change - Web Form
All documentation that providers need to do business with iCare is in one convenient location. Handy filters help you locate forms, applications, policies or whatever you need.
View Provider Documents
As of October 1, 2022, ForwardHealth announced certification changes for substance abuse disorder (SUD) facilities. including the new allowable certification for adult residential integrated behavioral health stabilization services. And, EVV launch information.
EVV for Medicaid-covered home health care services - requirement extended to 2024. Read more about Wisconsin EVV here.
iCare Medicare policy and technical changes for 2023 regarding Maximum Out-of-Pocket Limit
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See All Documents
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