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.
Provider Portal Provider Applications Credentialing
New Minimum Fee Schedule for Home and Community-Based Services
The Wisconsin Department of Health Services (DHS) has created a minimum fee schedule (MFS) for home and community-based services (HCBS) in Wisconsin. The minimum fee schedule is a list of the minimum rates managed care organizations (MCO) can pay providers of certain adult long-term care services.
View Minimum Fee Schedule
Effective December 2024 iCare will no longer have mail forwarded from the old Dallas TX Post Office Box to our new POB. The United States Post Office will return mail to providers who use the old Dallas TX address. Please update your records to reflect the NEW mailing address in Glen Burnie MD effective December 2023.
iCare Medicare and Medicaid Plans iCare Health Plan P.O. Box 280 Glen Burnie, MD 21060-0280
iCare Family Care Partnership Long Term Care Services iCare Health Plan P.O. Box 670 Glen Burnie, MD 21060-0670
Self Service Option
Register in our Provider Portal to obtain live Eligibility Status, ID Cards and Authorization information. In addition, all claim processing information is available including the Explanation of Payment. Please send your TIN and NPI to ProviderRelationsSpecialist@icarehealthplan.org so we can generate a PIN to assist with registration.
Electronic Option
270/271 Eligibility Status Check
Use the Eligibility and Benefit Inquiry (270) transaction to inquire about the health care eligibility and benefits associated with a subscriber or dependent. The Eligibility and Benefit Response (271) transaction is used to respond to a request inquiry about the health care eligibility and benefits associated with a subscriber or dependent. You can obtain detailed benefit information including member ID number, date of coverage, copayment, year-to-date deductible amount, and commercial coordination of benefit (COB) information when applicable. Physicians and other health care professionals can perform eligibility (270/271) transactions in batch or real-time mode, based on your connectivity method.
276/277 Claim Status Check
Use the Claim Status Inquiry (276) transaction to inquire about the status of a claim after it has been sent to a payer, whether submitted on paper or electronically. The Claim Status Response (277) transaction is used to respond to a request inquiry about the status of a claim after it has been sent to a payer, whether submitted on paper or electronically. Once we return an acknowledgment that a claim has been accepted, it should be available for query as a claim status search. Physicians and other health care professionals can perform claim status (276/277) transactions in batch or real-time mode, based on your connectivity method.
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.
Provider Applications Credentialing Contact Us
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
These manuals are a provider’s primary resources to efficiently conduct transactions related to iCare members.
Medicare & Medicaid Manual
FCP 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.
Contact Us
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
Website, Claim and Enrollment Status Check, annual MOC Review
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See All Documents
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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