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LATEST NEWS


Updated Medicaid Hospital Inpatient Reimbursement Rates Effective October 1, 2024
Wednesday • Posted by Provider Relations
Fidelis Care would like to remind providers of the updated calculation of hospitals’ initial inpatient acute, exempt hospital, and exempt unit reimbursement rates for Medicaid Fee-for-Service (FFS) and Medicaid Managed Care (MMC), which were effective October 1, 2024.
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MCG Cite Guideline Transparency Tool Upgrade Effective April 26, 2025
Monday • Posted by Provider Relations
Fidelis Care would like to notify providers that the MCG Cite Guideline Transparency Tool is scheduled to be upgraded to the 29th edition effective Saturday, April 26, 2025. Providers can access this tool through the Fidelis Care Provider Portal.
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Reminder: 2025 Cultural Competency Training Requirements
Last Week • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Transition of School Based Health Center Benefit and Population into Medicaid Managed Care Effective May 1, 2025
4/10/2025 • Posted by Provider Relations
Effective May 1, 2025, the provision of School-Based Health Center (SBHC) and SBHC-Dental (SBHC-D) services will be incorporated into the Mainstream Medicaid Managed Care (MMC) and HIV Special Needs Plan (HIV SNP) benefit package.
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Provider Demographic Change and Termination Request Forms
4/10/2025 • Posted by Provider Relations
In an effort to streamline provider demographic changes and provider termination requests, Fidelis Care has created two new electronic forms for providers to use.
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Access and Availability Standards
4/9/2025 • Posted by Provider Relations
Access to quality care is important to eliminate health disparities and increase the quality and years of healthy life for all New Yorkers. The NYSDOH requires that certain Access and Availability Standards be met by PCPs, OB/GYNs, specialists, and behavioral health providers where applicable.
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Provider Access Online

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Required Cultural Competency Training

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