IEHP has updated its requirements to align with the new Intermediate and Subacute Facilities benefit mandates. These mandates are described in the Department of Health Care Services (DHCS) All Plan Letters (APL 23-023 and APL 23-027) accessible below:
ICF/DD and Subacute Care Facilities Benefit
- Intermediate Care Facilities for Individuals with Developmental Disabilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care (PDF) Download Intermediate Care Facilities for Individuals with Developmental Disabilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care (PDF)
- Subacute Care Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care (PDF) Download Subacute Care Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care (PDF)
Credentialing Requirements:
For the initial credentialing, ICF/DD Homes must submit the below items in addition to the ICF/DD Attestation:
- W-9 Request for Taxpayer Identification Number and Certification
- Certificates of Insurance (Professional and General Liability)
- City of County Business License (excludes ICF/DD-H and -N homes with six or less residents)
- 5% Ownership Disclosure
- Ancillary Facility Network Provider Application
- The credentialing collateral and other supporting documents should be e-mailed to contract@iehp.org .
- MCP Ancillary Facility Network Provider Application (PDF) Download MCP Ancillary Facility Network Provider Application (PDF)
Resources:
- ICF/DD Billing Guideline (PDF) Updated: December 13, 2023 Download ICF/DD Billing Guideline (PDF) Updated: December 13, 2023
- ICF/DD Onboarding Presentation (PDF) Updated: December 18, 2023 Download ICF/DD Onboarding Presentation (PDF) Updated: December 18, 2023
- ICF/DD and Subacute Care Facilities - Plan Benefit Effective January 1, 2024 (PDF) Download ICF/DD and Subacute Care Facilities - Plan Benefit Effective January 1, 2024 (PDF)
- CalAIM Subacute Care Facilities 101 for Managed Care Plans (PDF) Download CalAIM Subacute Care Facilities 101 for Managed Care Plans (PDF)
- CalAIM Intermediate Care Facility (ICF/DD) Carve-In Office Hours (PDF) Download CalAIM Intermediate Care Facility (ICF/DD) Carve-In Office Hours (PDF)
- CalAIM Data Guidance – Billing and Invoicing (PDF) Download CalAIM Data Guidance – Billing and Invoicing (PDF)
- Medi-Cal Subacute Care Contracting Fact Sheet (PDF) Download Medi-Cal Subacute Care Contracting Fact Sheet (PDF)
- Frequently Asked Questions – Skilled Nursing Facility Long-Term Care Carve-in (PDF) Download Frequently Asked Questions – Skilled Nursing Facility Long-Term Care Carve-in (PDF)