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Fidelis Care and the Centene Foundation Award $1.1 Million to The Jed Foundation to Protect the Mental Health of New York’s Youth

Funding will help expand emotional well-being resources, educational workshops, and training programs for community-based organizations that foster communities of care statewide

September 20, 2024, NEW YORK CITY —  Fidelis Care, a leading health insurer providing quality, affordable coverage to New Yorkers, and the Centene Foundation, the philanthropic arm of Centene Corporation, announced today a $1.1 million grant to The Jed Foundation (JED), a national nonprofit that protects emotional health and prevents suicide for teens and young adults.

With this grant, JED will expand its current services, providing at least five youth-serving community-based organizations (CBOs) with consultation or strategic planning services, including expert guidance, educational workshops, and training programs, equipping young people with life skills and connecting them to mental health care when they are in distress.

“We are thrilled to support the vital work of The Jed Foundation with this grant,” said Vincent Marchello, Chief Medical Officer at Fidelis Care. “At Fidelis Care, we recognize the importance of mental health services in creating healthier communities. This investment underscores our commitment to ensuring youth and adolescents have access to the critical support they need to thrive.”

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), it is currently estimated that nearly one in five 12- to 17-year-olds in the United States experience a major depressive episode every year, and almost half of teens 13 to 17 say they would seek out professional help only as a last resort. In New York State, the need for enhanced mental health support for school-aged youth is critical: in 2021, 57% of New York 12- to 17-year-olds with depression had not received any care in the last year.

“JED is grateful to Fidelis Care and the Centene Foundation for their commitment to supporting the emotional well-being of New York youth and for providing the resources to help them thrive,” said John MacPhee, JED Chief Executive Officer. “This partnership will allow us to bring JED’s lifesaving work to community-based organizations across the state and help them build on their mental health safety nets and approaches, while positively impacting the lives of thousands of young people.”

The inaugural group of CBOs includes Bottom Line, an organization that partners with degree-aspiring students from first-generation and low-income backgrounds as they get into and through college and launch mobilizing first careers; Hetrick-Martin Institute, which provides free, year-round programs and services for LGBTQIA+ youth and allies aged 13 to 24 in New York City; and Prep for Prep, which provides first-rate educational, leadership development and professional advancement opportunities for young people of color in New York City.

"Through decades of experience at Bottom Line, we have seen that the condition of a student's mental health plays a significant role in their overall journey to becoming a college graduate and professional,” said Sheneita R. Graham, Director of Culturally Responsive Programming at Bottom Line. “Our role at Bottom Line is to build strong relationships that assist us in determining need and connecting students to resources that will help them thrive personally to persist academically. Partnering with The Jed Foundation grants us the opportunity to expertly assess our mental health policies, processes, and resources to ensure we provide our students with thoughtful, high-quality support."

"Hetrick-Martin Institute is pleased to be working with The Jed Foundation to improve our ability to recognize young people in distress and conduct suicide risk assessments," said Bridget Hughes, Chief Program Officer at Hetrick-Martin Institute.

"We are so grateful to The Jed Foundation for hosting two workshops for our incoming college freshmen as part of our annual College Transition Retreat,” said Corey Rhoades, Director of Undergraduate Affairs at Prep for Prep. “The presenters shared their expertise and tailored the sessions in a way that was uniquely relevant and engaging for our students."

To learn more about ways to provide community-based organizations with consulting, evidence-based best practices, and data-driven guidance to protect youth mental health and prevent suicide, visit JED’s website.

Fidelis-JED-Social


Screener Program Provides Support to Families Impacted by Social Determinants of Health

SDoH-chart

Fidelis Care’s innovative SDoH screener program was launched two years ago as a grassroots health equity initiative to address conditions in the environments where people are born, live, work, and play that affect their health, well-being, and quality of life. Social Determinants of Health can affect a wide range of health risks and outcomes – particularly among vulnerable populations and in underserved areas.

The screener enables trained Fidelis Care representatives to assess an individual’s immediate needs and challenges related to SDoH through a brief series of questions covering areas such as access to transportation, food, and secure and safe housing. More than 450,000 Fidelis Care members have participated to date.


Click 
here to learn more about the different Social Determinants of Health and find available resources.


More News:


Authorization Requirement Inquiries Will Transition to Self-Service on March 1, 2025
1/31/2025 • Posted by Provider Relations in Provider News

Beginning March 1, 2025, all Fidelis Care providers inquiring about authorization requirements will need to use the Authorization Grids and the Authorization Requirement Lookup Tool available on fideliscare.org. The Authorization Requirement Lookup tool will help providers determine which procedure codes require pre-authorization for Medicaid (including Child Health Plus and HARP products), Medicare, Essential Plans, and Qualified Health Plans (Ambetter from Fidelis Care).  Authorization requirements will no longer be available by contacting the Call Center. 

 

Streamlined Access for Providers: Access the lookup tool on fideliscare.org:

  • Navigate to Providers
  • Under Provider Resources, find Authorization Resources then Authorization Grids
  • Click on the Medicaid, Child Health Plus, HealthierLife (HARP), Medicare, Essential Plan or Qualified Health Plan drop-down menu
  • Select Authorization Lookup Tool at the top of the menu

 

Benefits of the Authorization Requirement Lookup Tool:

  • Faster Determinations: Providers can more quickly determine whether or not a code requires a prior authorization.
  • Real-Time Procedure Code Updates: Experience quicker updates to both new and existing procedure codes, enabling more accurate and timely information.

 

Reference Guide:  For further information and instructions on using the tool, providers can review the Authorization Lookup Tool Reference Guide.

Authorization Grids: If a code is not found while using the tool, providers should refer to the authorization grids located here

  • How to quickly find codes within the authorization grids: With the authorization grid open, click "Ctrl" plus "F" to open up a find box.  Use the find box to type in the first 3 digits of the code; using the first 3 digits allows results to show those codes within a range.  Scroll through the results that populate until the code is found.  All codes listed require authorization.  If not listed on the grid, no authorization is required as long as the service is outpatient, and all providers participate with the plan. 
    • For example, if the code is 19375, type "193" where you will see the code is located within the range of 19370-19396 in Section II.C.

 

If still uncertain whether prior authorization is required, providers should submit a request for authorization through the Provider Portal or Availity Essentials.

If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

 

DISCLAIMER: While every effort is made to provide the most current information on the Pre-Authorization Tool, it is important to note that this does not guarantee payment or confirm patient eligibility. For specific details, please refer to the current authorization grids and provider manual. If you are uncertain whether prior authorization is needed, please submit a request for authorization through the Provider Portal or Availity Essentials.


Authorization Requirement Inquiries Will Transition to Self-Service on March 1, 2025
1/31/2025 • Posted by Provider Relations in Provider News

Beginning March 1, 2025, all Fidelis Care providers inquiring about authorization requirements will need to use the Authorization Grids and the Authorization Requirement Lookup Tool available on fideliscare.org. The Authorization Requirement Lookup tool will help providers determine which procedure codes require pre-authorization for Medicaid (including Child Health Plus and HARP products), Medicare, Essential Plans, and Qualified Health Plans (Ambetter from Fidelis Care).  Authorization requirements will no longer be available by contacting the Call Center. 

 

Streamlined Access for Providers: Access the lookup tool on fideliscare.org:

  • Navigate to Providers
  • Under Provider Resources, find Authorization Resources then Authorization Grids
  • Click on the Medicaid, Child Health Plus, HealthierLife (HARP), Medicare, Essential Plan or Qualified Health Plan drop-down menu
  • Select Authorization Lookup Tool at the top of the menu

 

Benefits of the Authorization Requirement Lookup Tool:

  • Faster Determinations: Providers can more quickly determine whether or not a code requires a prior authorization.
  • Real-Time Procedure Code Updates: Experience quicker updates to both new and existing procedure codes, enabling more accurate and timely information.

 

Reference Guide:  For further information and instructions on using the tool, providers can review the Authorization Lookup Tool Reference Guide.

Authorization Grids: If a code is not found while using the tool, providers should refer to the authorization grids located here

  • How to quickly find codes within the authorization grids: With the authorization grid open, click "Ctrl" plus "F" to open up a find box.  Use the find box to type in the first 3 digits of the code; using the first 3 digits allows results to show those codes within a range.  Scroll through the results that populate until the code is found.  All codes listed require authorization.  If not listed on the grid, no authorization is required as long as the service is outpatient, and all providers participate with the plan. 
    • For example, if the code is 19375, type "193" where you will see the code is located within the range of 19370-19396 in Section II.C.

 

If still uncertain whether prior authorization is required, providers should submit a request for authorization through the Provider Portal or Availity Essentials.

If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.

 

DISCLAIMER: While every effort is made to provide the most current information on the Pre-Authorization Tool, it is important to note that this does not guarantee payment or confirm patient eligibility. For specific details, please refer to the current authorization grids and provider manual. If you are uncertain whether prior authorization is needed, please submit a request for authorization through the Provider Portal or Availity Essentials.