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LATEST NEWS


Invitation to Fidelis Care’s July Provider Office Hours
6/26/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in July 2024.
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Children’s Waiver HCBS – E/V Modifications and AAT Requests Transition to Fee-for-Service Effective July 1, 2024
6/25/2024 • Posted by Provider Relations
Effective July 1, 2024, Children’s Waiver Home and Community Based Services of Environmental/Vehicle Modifications and Assisted and Adaptive Technology will transition out of Medicaid Managed Care and be paid through Fee-for-Service.
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Fidelis Care Partners with Pomelo Care
6/20/2024 • Posted by Provider Relations
Fidelis Care has partnered with Pomelo Care to provide free 24/7 online pregnancy and infant care to eligible Medicaid Managed Care, HealthierLife (HARP), Essential Plan, and Ambetter from Fidelis Care Qualified Health Plan members.
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REMINDER: Provider Portal Scheduled Outage June 14 and 15, 2024
6/14/2024 • Posted by Provider Relations
Fidelis Care would like to make providers aware of a scheduled outage of the Fidelis Care Provider Portal. Beginning at 10PM EST Friday, June 14, through 4PM EST Saturday, June 15, the Provider Portal will be unavailable due to an upgrade of supporting systems.
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NYSDOH Children’s Staff Compliance Tracker Updates for Waiver Year 2023-2024
6/6/2024 • Posted by Provider Relations
The New York State Department of Health (DOH) is required to verify provider qualifications, training, and staffing requirements (i.e., background checks) annually and report this information to the Centers for Medicare and Medicaid Services (CMS), under the terms of the 1915(c) Children’s Waiver.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
5/31/2024 • 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).
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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.

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Authorization Resources

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

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Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

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Utilization Management (UM)

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

UM Resources