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Please note that this site has been changed effective January 11, 2010. Please note the changes below and continue to monitor this site for additional changes, modifications and release of information bulletins affecting our Managed Care Program.

Provider Information

Welcome! As a valued provider, IHSC 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.

As of January 14, 2011, ICE Health Service Corps (IHSC) has released the Detainee Covered Services Package. As part of this initiative, IHSC has developed a replacement system for the TARWeb referred to as the Medical Payment Authorization Request (MedPAR) system, the focus being to request authorization for payment of services rather than the provider seeking authorization for the medical services.

This new system utilizes a provider-determined self-certification as to the medical necessity of treatment and services. Authorization for payment of services will be dependent on the provider certifying medical necessity as defined in the Detainee Covered Services Package.

Authorization numbers will be automatically populated using the web-based MedPAR system. MedPAR requests submitted via fax or sent as an email attachment will require manual processing by IHSC Managed Care Coordinators. Once the authorization number is received, the provider may submit a medical claim to the VA Financial Service Center for payment.

The goals established for the MedPAR system include:

  • Self-certification of medical, mental health and dental services based on medical necessity;
  • An authorization system that is not complicated to use;
  • A reduction in processing time resulting in immediate appropriate medical, mental health and dental referrals; and
  • A system that decreases processing time for provider payments.

Major revisions to the Detainee Covered Services package are:
  • Removal of pre-existing conditions
  • Removal of focus on emergent or urgent care
  • Removal of list of covered and non-covered services
  • Responsibility borne by the provider(s) to certify medical necessity

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

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 IHSC by mailing claims to the following address with a copy of the MedPAR:
    ICE Health Service Corps
    VA Financial Services Center
    PO Box 149345
    Austin, TX 78714-9345
    800-479-0523
  • Final Treasury Rule: 31 CFR Part 208 published 12/22/2010. Effective May 1 2011, you have to sign up for EFT. Existing regulations at 42 CFR 424.510(e)(1)(2) require that at the time of enrollment, enrollment change request or revalidation, providers and suppliers that expect to receive payment from Medicare for services provided must also agree to receive Medicare payments through electronic funds transfer (EFT). Section 1104 of the ACA further expands Section 1862 (a) of the Social Security Act by mandating federal payments to providers and suppliers only by electronic means. As part of CMS’s revalidation efforts, all suppliers and providers who are not currently receiving EFT payments will be identified, and required to submit the SF 3581 EFT form.