Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Invitation to Fidelis Care’s December Provider Office Hours
11/15/2024 • Posted by Provider Relations

Office Hours

Fidelis Care will host two Provider Office Hours in December 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

Provider Office Hours – December 2024

 

Topic: Pharmacy Overview
When:  Thursday, December 5th – 2PM – 3PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs
When:  Tuesday, December 10th – 1PM – 2PM EST
Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 


The Pharmacy session will include:

  • Medication Formularies & Formulary Changes
  • Prescribing Guidelines & Fidelis Care Pharmacy
  • Medication Prior Authorization Best Practices

 

The Quality session will include:

  • Annual Preventative Visit (APV)/Member Without Visit (MWOV)
  • 2024 Peak Performance Program
  • 2024 Quality Boost Program
  • Medicare Focus- Triple-Weighted Measures
  • RxEffect
  • SuDS

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Provider Partnership Associate. To find your designated representative, please visit Contact Provider Relations on our website.

 

Smiles-that-Shine

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.