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LATEST NEWS


NYRx Pharmacy Program: Changes to Over-the-Counter Medication Coverage
Monday • 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.
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Fidelis Care Practices for Medications Billed Under the Medical Benefit
Last Week • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide a reminder and clarity on how to submit claims for medications billed under the member’s medical benefit, as well as the appropriate Servicing Provider to document when submitting a Pharmacy Prior Authorization request for such medications.
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New! Claim Status Letters Now Available on the Provider Portal
Last Week • Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce that claim status letters are now available on Provider Access Online, Fidelis Care’s Provider Portal, in the File Download section.
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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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ATTENTION: New York CDPAP Recipients and Caregivers Need to Take Action by March 28, 2025 to Continue Services
Last Week • Posted by Provider Relations
The Department of Health has partnered with Public Partnerships LLC (PPL) as the single Statewide Fiscal Intermediary (SFI) for the Consumer Directed Personal Assistance Program (CDPAP).
Read More
Provider Demographic Change and Termination Request Forms
Last Week • 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.
Read More
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Provider Access Online

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

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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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Join Our Network

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

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

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

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

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

UM Resources