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LATEST NEWS


10/7/2024 • 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.
10/7/2024 • Posted by Provider Relations
To streamline the authorization process and expedite member care, the following Durable Medical Equipment (DME) codes no longer require prior authorization.
9/30/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal).
9/26/2024 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in October 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
9/25/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective November 1, 2024.
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Provider Access Online

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

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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.