Compliance Requirements

All IMCare First Tier entities are required to comply with all applicable Federal and State laws and regulations to prevent, detect and correct fraud, waste and abuse and noncompliance in a timely and well-documented manner. Noncompliance may include inaccurate and untimely payment or delivery of items or medical services, complaints from members, illegal activities and unethical behavior. IMCare requires the implementation of a compliance program as a condition of contractual requirements.  

  1. Compliance Policies and Procedures (PDF)
  2. IMCare Compliance Plan 2019 (PDF)
  3. IMCare Standards of Conduct 2019 (PDF)
  4. Provider Compliance Attestation (PDF)
  5. Requirement for First Tier and Downstream Entities (PDF)