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7.4.2 ICM MCO Model
HHSC has selected Evercare of Texas, LLC as the health plan for ICM. Evercare is affiliated with UnitedHealth Group. Evercare provides service coordination for ICM members and maintains a provider network. Medicaid providers in the Tarrant and Dallas SAs who are interested in participating in the ICM program must complete a separate contract with Evercare.
All acute care providers must be enrolled as Texas Medicaid providers and have an NPI. For information and instructions on contracting with Evercare, providers can call UnitedHealthcare Network Management at 1-866-915-6474.
Providers of long-term services and support who are interested in receiving an Evercare ICM contract should call Evercare at 1-866-915-6474.
Evercare does not process claims or negotiate rates. ICM claims are processed and reimbursed according to the Texas Medicaid fee-for-service fee schedule.
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