Welcome ICS FIDA-MMP Providers
As a member of the ICS Community Care Plus FIDA-MMP provider network, your partnership with us in meeting the needs of our participants is very important. With that in mind, we have gathered links that we thought would be helpful to you in working with ICS and our participants. If you need something that is not here, please contact our Provider Relations Department at firstname.lastname@example.org.
Provider Manual for the FIDA Program
View the latest version of the ICS Community Care Plus FIDA-MMP Provider Manual.
Billing Instructions for FIDA-MMP Participants
All claims for Community Care Plus FIDA-MMP participants—apart from dental and vision claims—should be submitted to our billing coordinator Public Consulting Group (PCG) either electronically or by mail. Please note: Providers can determine if an ICS member is part of the FIDA-MMP or the MLTC by reviewing their ICS Service Authorization Form.
We encourage providers to submit claims electronically via the Electronic Data Interchange (EDI) process when possible, as electronic claims can be processed more efficiently and payments made more quickly. In order for claims to be routed to Independence Care System, please be sure to include our payor ID: 64284. This pin is the identifier at the clearinghouse to route claims directly to Claims Operations Department.
Paper claims for Community Care Plus FIDA-MMP participants—apart from dental and vision claims—should be submitted on either a UB-04, HCFA 1500 claim form directly to PCG at the following address:
Independence Care System
P.O. Box 1186
Elk Grove Village, IL 60009-1186
1 (844) 225-3657
Checking the Progress of FIDA-MMP Claims
To check the status of submitted claims for Community Care Plus FIDA-MMP participants—apart from dental and vision claims—please log in to the PCG claims system.
Dental and Vision Billing Instructions for FIDA-MMP Participants
Independence Care System provides certain benefits through third-party benefits management organizations. Providers should contact the relevant benefits managers below to obtain authorizations and process claims.
Reviewing a Person-Centered Care Plan
To log in and see the Person-Centered Care Plan for a participant in ICS Community Care Plus FIDA-MMP, please click here.
Authorizations for Hospitalizations
Please call ICS at 1.877.ICS.2525.
Please call ICS at 1.877.ICS.2525.
Please visit our Pharmacy Benefits page to see changes and updates to the pharmacy benefits.
Interdisciplinary Teams in Brief
Independence Care System (ICS) appreciates the care and services that our network providers offer through our plans.
As a provider in our FIDA-MMP network, you may be required by the State of New York to join the interdisciplinary team (IDT) that oversees care for all plan participants. This is particularly the case for primary care providers. New York State requires that all primary care providers seeing patients through a FIDA-MMP join those patients’ IDTs or designate someone from their practice to do so.
New York State Interdisciplinary Team Policy
FIDA-MMP Assessment, Service Planning and Authorization, and Ongoing Care Management
This document explains how assessment, service planning and authorization, and ongoing care management work in ICS Community Care Plus, our Fully Integrated Duals Advantage Medicare Medicaid Plan (FIDA-MMP).
Online Training Available
For interested providers, online training modules are available on these topics: FIDA overview; behavioral health; cultural competency; disability awareness; recovery and wellness. This training is encouraged but is voluntary. The training and resources page, found here, also has information about FIDA-related training offered periodically for which ACCME credits are available.
Drug and/or Utilization Management Information
To access drug and/or utilization management information, please visit our Pharmacy Benefits page and scroll to the bottom of the page.
I provide services to members of ICS Community Care MLTC as well. Where do I send my claims for these members?
For instructions on how to process claims for MLTC members, please visit the For MLTC Providers page.
Read the ICS Provider Newsletter!
Read the latest issue of The ICS Snapshot provider newsletter here.
To join the network or ask questions about billing, please call Provider Relations Manager, Bolivar Altamirano 646.653.6243. We look forward to a continued successful relationship with our providers and serving our participants in the best manner possible.
Interested in joining the ICS Provider Network?
Contact us for information about our application and credentialing process.
By email: email@example.com
By phone: 646.653.6243