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LATEST NEWS


1/13/2025 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
1/10/2025 • 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.
1/8/2025 • Posted by Provider Relations
As you know, Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month.
1/6/2025 • Posted by Provider Relations
As part of New York’s Medicaid Redesign Team (MRT) initiative, the NY 1115 Waiver introduced the Social Care Networks (SCN) Program, a transformative model focused on integrating social care into healthcare delivery.
1/6/2025 • Posted by Provider Relations
Fidelis Care would like to inform providers of a change to our Behavioral Health discharge planning support process effective February 1, 2025.
1/2/2025 • Posted by Provider Relations
Fidelis Care would like to inform providers of an amendment to the The New York State Department of Health 1915(c) Children’s Waiver that requires all Health Homes Serving Children (HHSC), Care Management Agencies (CMAs), Children and Youth Evaluation Services (C-YES), and Children’s Home and Community Based Service (HCBS) Providers to complete Mandated Reporter Training annually, effective January 1, 2025.
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Provider Access Online

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

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.

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.