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LATEST NEWS


Update: Durable Medical Equipment Authorization Requirements
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.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
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).
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Invitation to Fidelis Care’s October Provider Office Hours
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.
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Fidelis Care Authorization Grids Effective November 1, 2024
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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Update and Reminder: Medicaid Policy Loss of Records Due to Unforeseen Event
9/18/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers of Medicaid requirements when medical records are lost due to an unforeseen event.
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Coordination of Benefits - Essential Plans and Metal-Level Products
9/17/2024 • Posted by Provider Relations
Fidelis Care would like to remind providers of claim submission guidelines regarding Coordination of Benefits (COB) for Essential Plans and Metal-Level products.
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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