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Provider Information

Welcome! As a valued provider, DIHS is committed to providing you with the information and tools you need to provide service to individuals in the custody of the Immigration and Customs Enforcement.

Standard Reimbursement to Providers:

Providers are reimbursed the lesser of Medicare or Billed Charges in accordance with Title 18, Part 3, Chapter 301, Section 4006 of US Code for authorized services.

Authorized Services:

(Currently under review; changes pending.)

All services require an authorization from the Division of Immigration Health Services (DIHS).

  • Treatment Authorization Requests (TARs) are submitted directly from the custodial facility to DIHS.
  • DIHS returns the TAR to the custodial facility and denotes the authorized services.
  • A copy of the TAR should be provided to you by the custodial facility.
  • Payment for authorized health services is subject to custody verification.
  • All health services are subject to retrospective review.
  • In an emergency, the Health Service Provider shall provide the medical treatment required to preserve the detainee's health. The Detention Facility shall notify the MCC on the next business day and submit a TAR to obtain authorization.

If you have questions regarding what services are authorized, please contact the referring custodial facility or contact the appropriate DIHS' Managed Care Coordinator (MCC) and provide him/her with the Authorization Number.

Treatment Authorizations Category Definitions:

Under Revision

Claims:

  • The Health Service Provider shall submit claims using the appropriate form. Samples of the forms are available at Managed Care Forms.
    • CMS-1500 - Medical Services
    • CMS-1450 - Institutional Services
    • ADA - Dental Services
  • The Health Service Provider shall ensure that all claims associated with detainee medical services are submitted to DIHS by mailing claims to the following address with a copy of the TAR:
    Division of Immigration Health Services
    VA Financial Services Center
    PO Box 149345
    Austin, TX 78714-9345
    800-479-0523