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Interoperability

What is it and what does it mean?

 

 Members   Developers  

 

Interoperability aims to give people access to their health information when they need it most and in a way they can best use it. The Centers for Medicare and Medicaid Services (CMS) put this into action with many of the programs it oversees, including Medicare Advantage, through a regulations aimed at improving patient access to health plan information.

As an iCare member, this means you will have the option to access your health information in a new way. This is part of an initiative to better connect and share important information that can also help researchers and public health agencies to better understand and meet the nation’s health challenges.

Overall, this regulation requires that health plans enable patients through independent third-party applications (apps) on computers and mobile devices, and with your authorization, to access your health information maintained by iCare. Note: iCare does not necessarily maintain your entire medical record. Additional information should be sought from your healthcare provider(s).

Frequently Asked Questions by Members

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What is the advantage of this regulation?

The regulation puts patients at the center of their care and allows providers ability to access and use health information from different sources.

How does this new regulation change how I get my health information?

Interoperability allows you to access your electronic health information through a third-party application (app) of your choice, which you can then view on a personal computer or mobile device.

How can I access my health information through a third-party application?

First, you must have an online member account. You can create one or access your existing online member account at https://icare.myelth.com/member-portals/register .

Then you will need to download a third-party app. The application will get your health information electronically from iCare and make it available for you to view in the third-party app. View available applications at www.iCareHealthPlan.org/apps.

What information is currently available from iCare?

Currently under development is ability for you to access your iCare member claims. It's not quite ready yet; we are working to ensure data security and a postive user experience. We will use this page to announce new capabilities as they are added, so feel free to check back often. 

Which applications are currently available?

Each application may offer different types of information. For example, one app may focus on pharmacy data, while another may focus on wellness activities. For a list of currently available apps, go to www.icarehealthplan.org/apps

What data is available to members?

Information for Developers

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How can developers access information from iCare?

iCare has partnered with Onyx to offer interoperability through Onyx's SAFHIR platform. 

Access via APIs is available to developers for the following information to be accessible to patients via any of the 3rd party apps used by patients.

  • Pharmacy Claims
  • Pharmacy Provider Directory
  • Formulary

To access the Test environment, use this following link: https://api-icar-tst.safhir.io/v1/api

To access the Production environment, use this following link: https://api-icar-prd.safhir.io/v1/api 

 

How can I learn more about the SAFHIR platform offered by iCare in partnership with Onyx?

Frequently asked questions, installation information, security information, documentation about the SAFHIR development portal and more are all available at https://docs.safhir.io/safhir_landing_page.html .

For links to Capability Statements, Swagger documentation and FHIR Implementation guides to assist developers implement support for the Patient Access API covered by the CMS Interoperability and Patient Access Rule, go to https://docs.safhir.io/safhir_api_documentation.html .

How long is access granted to developers?

The duration of developer access is as follows:

  • For the registration page – Access will be given up to 18 months after terminating with iCare.
  • For the error message – The 18-month limit on access after terminating with iCare has been met.
  • For the iCare webpage - Access will be given up to 18 months after terminating with iCare.
What third-party apps are available?

Click to view the list of apps currently available

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Last Updated 08/18/21

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