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Welcome iCare Providers

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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iCare Providers can access information online that makes iCare easy to do business with

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ATTENTION iCare PROVIDER PORTAL USERS:

Some tips for registering:

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  • Use the Facility/Group name as listed on your EOP to match iCare’s system
  • If copying and pasting Check or PIN, be sure there is no extra space at the end

Maximum Out of Pocket (MOOP) Limit - Center for Medicare and Medicaid Services (CMS) Contract Year 2023 Policy and Technical Changes
 

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.

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How to Join the iCare network of contracted providers? Start here!

Join Our Network

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

iCare Provider Awards Program means recognition, an award and a cash prize

Provider Rewards Program

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 Quality Programs measure quality of care for continual improvement.

Quality Programs at iCare

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.

Quality Programs

iCare Provider Reference Manuals are a provider’s primary resources to efficiently conduct transactions related to iCare members.

Provider Reference Manuals

These manuals are a provider’s primary resources to efficiently conduct transactions related to iCare members.

Medicare & Medicaid Manual

FCP Manual 

How do I contact iCare? Start here!

Contacting iCare

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.

Contact Us

How do I find iCare Doctors, Hospitals and other providers in the iCare network? Start here.

Find a Provider

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

Demographics/Affiliation

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

 

Provider Documents

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

Recent News & Documents

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Recent News

InforMED Provider eNewsletter Issue 4 - Q4 2022

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.

InforMED News Brief #46 Wisconsin EVV

EVV for Medicaid-covered home health care services - requirement extended to 2024. Read more about Wisconsin EVV here.

InforMED News Brief #45 Notification of MOOP

iCare Medicare policy and technical changes for 2023 regarding Maximum Out-of-Pocket Limit

Leaving iCareHealthPlan.org

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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