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LATEST NEWS


Monday • Posted by Provider Relations
Fidelis Care would like to inform providers of updated requirements with the NYS Recipient Restriction Program. The goal of the Recipient Restriction Program (RRP) is to coordinate medical and/or pharmacy services and improve the quality of care for Medicaid recipients.
Monday • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in April 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
Friday • Posted by Fidelis Care
Doctors play an important role in keeping people healthy. They provide expert care, guidance, and compassion to patients every day. In honor of National Doctors’ Day, Fidelis Care thanks doctors everywhere who make a difference in our communities. We visited with doctors from provider partners Compassionate Family Medicine in Syracuse, Polaris Healthcare Visiting Docs in Spring Valley, and WNY Medical in Buffalo to get their thoughts in observance of National Doctors’ Day.
Thursday • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective May 1, 2025.
3/17/2025 • Posted by Provider Relations
Fidelis Care would like to alert providers of an important change to the NYRx Pharmacy Program’s coverage, effective 04/01/2025.
3/14/2025 • Posted by Provider Relations
Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

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.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.