Welcome, Providers! Whether you’re one of our contracted service providers or someone who is interested in contracting with us, this is where you’ll find information about the Integral Care Provider Network.
Thank you for your interest in becoming a contracted provider at Integral Care. Below you will find a list of resources on how to apply. Additional information about required trainings, access to our manuals and more are available in the Current Providers area. If you ever have any questions, please contact us at providers@integralcare.org. We’re here to help.
Request for applications
Applications for new providers are accepted throughout the year from organizations and individual service providers. There are currently two Requests for Applications that are open.
More information about the RFA including requirements, instructions, services and rates.
In addition to the Application, prospective providers are also required to complete the following credentialing form(s).
- Form: Verification Checklist for Organization Group Member Providers
- Form: Background Check Form for Organization Group Member Providers
After submitting an application and in order to complete credentialing forms, click here to request provider training.
Below you will find a list of resources trainings, invoicing, reporting incidents and more. We’re here to help. If you ever have questions, please contact us at providers@integralcare.org. We’re here to help.
Provider manual
The Provider Manual contains information that is critical for our providers such as authorization processes, reporting and documenting serious incidents, client rights and contract compliance.
Service Definitions
If you have questions about a service that you have been authorized to provide or would like more information about requirements for different services, see our service definitions below to learn more.IDD
SAMSO Services
UM authorizations
Integral Care’s Utilization Management (UM) department authorizes many provider services. The following forms are related to authorizations and are helpful reference materials.Authorization Forms
To obtain a service authorization, providers must submit the required forms to UM.
- Download the Eligibility and Consent Form (ECF).
- Download the Authorization Request Form (ARF) for Treatment Services
- Download the Authorization Request Form (ARF) for Ancillary Services.
- Download a Referral Form.
Submitting Forms to Integral Care
Because authorization forms may contain client signatures or identifying information about the client, the forms must be submitted to Integral Care through our secure FTP site.
Visit the FTP site and upload your authorization forms.
Helpful Reference Materials
- A Clinical Guide to Completing Authorization Request Forms (ARFs)
- Transitional Housing Reference Document
For UM appeals or to contact a UM Resource Allocator, call 512-440-4044. You can also reach the UM Department at UM@integralcare.org. If you have questions about services that are authorized outside of UM, such as those authorized by service coordinators or care coordinators, please contact us at providers@integralcare.org.
Renewal Applications and Credentialing Forms
REQUEST FOR APPLICATIONS
Applications for contract renewals are accepted throughout the year from organizations and individual service providers. There are currently two Requests for Applications that are open.
More information about the RFA including requirements, instructions, services and rates.
Providers are also required to complete the following credentialing form(s). Organizations in need of credentialing assistance for new providers should use these forms.
invoice materials
Below are copies of our various invoice forms.
- Click here to access the PASRR Provider Invoice Form.
- Click here to access the ECI Provider Invoice Form.
- Click here to access the IDD Provider Invoice Form.
- Click here to access the YES Waiver Provider Invoice Form.
- Click here to access the other (Children’s Partnership, Children’s Continuum, YAFAC) Provider Invoice Form.
incident reporting
Do you need to file an incident report related to a critical incident that occurred with an Integral Care client or while an Integral Care client was in your care?
Examples of incidents include but are not limited to:
- Client or employee injuries and accidents
- Behavior incidents
- 911 EMS Mental Health Officer or Police involvement
- Medication errors
- Property damages
- Client rights violations
- Death
training
Ombudsman services
Integral Care values you as a provider. The Ombudsman offers Provider Liaison functions to our network of providers including managing appeals, complaints and concerns, answering questions and facilitating mediation.
Appeals
Providers have 15 calendar days from a denial to request an appeal.
- You may request an appeal by sending an email request to: Phyllis.Wolf@integralcare.org.
- Please include the reason why you disagree with the denial and any supporting documentation.
- If any client-identifying information is included, it needs to be sent encrypted.
- Please see the Provider Manual for more information.
- Appeals-related to Utilization Management/Resource Allocation is a separate process through Utilization Management.
The Ombudsman makes every effort to respond to complaints in a timely manner. The Ombudsman will keep providers informed of the process and provide additional details as needed.
Contact
Didn’t find the information you were looking for or still have questions about provider services? Contact us at providers@integralcare.org
You can access current provider directories for different service areas below. These are updated on a regular basis. Please note: the providers are not Integral Care staff but are contracted with our agency to extend the care we provide.