Member
Providers
Shop For a Plan

Provider Quality

Provider-Quality


To ensure a continued focus on quality, Fidelis Care is dedicated to engaging with providers to ensure our members get the best care possible. Quality is a critical component of the work we do at Fidelis Care. The Provider Relations Department works diligently to support providers in quality improvement initiatives.


Hearthands

Quality Care Incentives (QCI) Program

Fidelis Care's QCI Program rewards groups/practices for providing recommended preventive care, for caring for members with chronic disease, and for comprehensive obstetrical care. As your health plan partner, we remain committed to rewarding our providers for achieving high-quality outcomes and have made significant changes to the program for measurement year 2024 to align with our shared goals, encourage participation, and recognize regional differences within New York State.

Fidelis Care’s Quality Care Incentives (QCI) Program is available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.

Within the brochure, we are providing a summary of the components of our QCI Program, along with the associated coding specifications, to help you drive improvements in quality and to reward you for your efforts. Fidelis Care also provides monthly care gap reports to track your incremental performance, and identify those patients who may benefit from needed care and services.

If you have any questions regarding Fidelis Care’s Quality Care Incentives, please contact your Provider Partnership Associate.



Provider Access Online

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

Provider Partnership Associates - Quality
NYC Region:

Name Coverage Area Assigned Counties and/or Providers
 OPEN
Brianni Blue Loftlin (Covering)

✉ Email Address

Zinaida Khavasova (Covering)    ✉ Email Address

Brooklyn County ZIP Codes: 11201, 11203, 11205, 11206, 11207, 11212, 11217, 11211, 11213, 11221, 11226, 11220, 11237, 11238, 11239, 11243, 11249 Brooklyn County
 Yen Min Yau

✉ Email Address

Brooklyn County ZIP Codes: 10013, 10002, 11220, 11219, 11204, 11214 Brooklyn County
 Zinaida Khavasova

✉ Email Address

Kings County ZIP Codes: 11204, 11209, 11210, 11214, 11218, 11219, 11223, 11224, 11228, 11229, 11230, 11232, 11234, 11235, 11236, 11239  Kings County
 Michael Gayle

✉ Email Address

Bronx County ZIP Codes: 10456, 10458, 10461, 10459, 10465, 10475, 10455, 10454, 10464, 10471, 10474, 10470, 10803, 10499, 10453, 10468, 10468, 10457, 10452, 10469, 10462, 10466, 10473 Bronx County


 Stanley Laforest

✉ Email Address

Manhattan County ZIP Codes: 10003, 10004, 10005, 10006, 10007, 10009, 10010, 10011, 10012, 10014, 10016, 10017, 10018, 10019, 10020, 10021, 10022, 10023, 10024, 10025, 10026, 10027, 10029, 10030, 10031, 10032, 10033, 10034, 10035, 10036, 10038, 10039, 10040, 10041, 10044, 10047, 10048, 10128 Manhattan County
OPEN
Taylor Panzarella (Covering)

✉ Email Address

Osaruyi Eduwen (Covering)

✉ Email Address

Rosemond Guillaume (Covering)

✉ Email Address

Brooklyn County ZIP Codes: 11238, 11212, 11236, 11234
Providers: NYU, Mt.Sinai, NY Presby, NYNM
 Osaruyi Eduwen

✉ Email Address

Queens County ZIP Codes: 11101, 11102, 11103, 11104, 11105, 11106, 11368, 11369, 11370, 11371, 11372, 11373,1 1374, 11375, 11377, 11378, 11379, 11385 Queens County
 Kellimar James-Nixon

✉ Email Address

Queens County ZIP Codes: 11004, 11354, 11355, 11356, 11357, 11358, 11360, 11361, 11362, 11363, 11364
Queens County
 Rosemond Guillaume

✉ Email Address

Queens County ZIP Codes: 11365, 11366, 11367, 11411, 11412, 11413, 11414,
11415, 11421, 11422, 11430, 11433, 11434, 11435; 11416, 11417, 11419, 11420,
11423, 11426, 11427, 11428, 11429, 11432, 11418, 11436, 11691, 11692, 11693,
11694, 11697
Queens County

 OPEN
Rosemond Guillaume (Covering) ✉ Email Address

Haneefah Mahdi (Covering)
✉ Email Address


Rockland and Westchester County ZIP Codes: 10977, 10952, 10956, 10901, 10954, 10965, 10980, 10970, 10960, 10989, 10927, 10994, 10923, 10920, 10962, 10983, 10913, 10993, 10974, 10984, 10986, 10968, 10964, 10976, 10931, 10911, 10982, 10701, 10801, 10573, 10705, 10583, 10550, 10704, 10562, 10598, 10710, 10558, 10566, 10557, 10708, 10552, 10703, 10567, 10605, 10543, 10591, 10603, 10805, 10549, 10580, 10804, 10538, 10606, 10528, 10514, 10530, 10803, 10604, 10553, 10570, 10536, 10601, 10520, 10707, 10522, 10523, 10595, 10510, 10709 Rockland and Westchester County

 Haneefah Mahdi

✉ Email Address

Richmond County ZIP Codes: 10301, 10302, 10303, 10304, 10305, 10304, 
10305, 10306, 10307, 10308, 10309, 10310, 10311, 10312, 10313, 10314
Richmond County
 Leidy Mejia

✉ Email Address

Nassau County ZIP Codes: 11096, 11509, 11510, 11516, 11518, 11520, 11550, 11552, 11553, 11554, 11555, 11557, 11558, 11559, 11563, 11565, 11566, 11570, 11572, 11575, 11580, 11581, 11598, 11709, 11710, 11756, 11758, 11762, 11783, 11793,11001, 11020, 11021, 11023, 11024, 11030, 11040, 11042, 11050, 11501, 11507, 11514, 11530, 11542, 11545, 11548, 11560, 11568, 11576, 11577, 11579, 11590, 11596, 11714, 11732, 11735, 11753, 11771, 11791, 11797, 11801 Nassau County
 Susan Jacob

✉ Email Address

Suffolk County ZIP Codes: 11702, 11706, 11705, 11716, 11717, 11719, 11933, 11934, 11720, 11721, 11722, 11724, 11725, 11727, 11729, 11730, 11731, 11772, 11941, 11738, 11946, 11788, 11743, 11746, 11749, 11751, 11752, 11754, 11755, 11948, 11757, 11949, 11950, 11951, 11763, 11747, 11954, 11766, 11767, 11701, 11703, 11713, 11777, 11961, 11901, 11778, 11779, 11962, 11782, 11784, 11733, 11787, 11780, 11790, 11704, 11795, 11796, 11977, 11978, 11798, 11980  Suffolk County


Upstate Regions:

Name Coverage Area
Assigned Counties and/or Providers
 Jane Sanderson

✉ Email Address

Rensselaer County ZIP Codes: 12180, 12144, 12182, 12061, 12033, 12198, 12090, 12179, 12018, 12123, 12196, 12154, 12138, 12121, 12094, 12185, 12168, 12062, 12052, 12156, 12140, 12153, 12028 ,12057, 12022 12169, 12063, 12082, 12181, 12089, 12133, 12040                                                                                   

Saratoga County ZIP Codes
: 12065, 12866, 12020, 12010,  12831, 12118, 12019, 12188, 12828, 12803, 12148, 12822, 12170, 12871, 12025, 12833, 12134, 12027, 12850, 12074, 12859, 12835, 12151, 12863, 12086,  12884 

Schenectady County ZIP Codes:  12008, 12053, 12056, 12137 , 12141, 12150, 12301, 12302, 12303 ,12304, 12305 , 12306 ,12307, 12308, 12309, 12325, 12345 

Washington County ZIP Codes:  12839, 12828, 12834, 12832, 12887, 12827, 12816, 12865, 12809, 12154, 12094, 12821, 12185, 12028, 12057, 12837, 12873, 12861, 12819, 12823, 12838, 12849, 12841, 12844, 12848, 12854     
Counties: Rensselaer, Saratoga, Schenectady, Washington
 Barbara Bentley-Morrill

✉ Email Address

Albany County ZIP Codes: 12309, 12203, 12205, 12303, 12047, 12208, 12304, 12110, 12189, 12054, 12206, 12211, 12210, 12209, 12009, 12202, 12159, 12204, 12077, 12158, 12186, 12143, 12084, 12053, 12083, 12111, 12183, 12262, 12222, 12023, 12067, 12207, 12193, 12059, 12087, 12469, 12046, 12120, 12147, 12226, 12460, 12041, 12234, 12085, 12007, 12201, 12212, 12214, 12220, 12223, 12224, 12225, 12227, 12228, 12229, 12230, 12231, 12232, 12233, 12235, 12236, 12237, 12238, 12239, 12240, 12241, 12242, 12243, 12244, 12245, 12246, 12247, 12248, 12249, 12250, 12255, 12257, 12260, 12261, 12288, 12107, 12128, 12161, 12045, 12055

Clinton County ZIP Codes:  12901, 12972, 12962, 12918, 12992, 12919, 12944,  12981, 12910, 12958, 12921, 12935, 12912, 12903, 12979, 12929 ,12959, 12985, 12934, 12923, 12955, 12952, 12911, 12924, 12978, 12933 

Columbia County ZIP Codes: 12534, 12571, 12184, 12526, 12037, 12075, 12546, 12106, 12529, 12583, 12567, 12060, 12173, 12516, 12521, 12523, 12156, 12125, 12029, 12502, 12136, 12565, 12503, 12017, 12130, 12513, 12517, 12115, 12024, 12165, 12132, 12593, 12174, 12530, 12195, 12172, 12050, 12541, 12544

Essex County ZIP Codes: 12983, 12946, 12883, 12944, 12928, 12912, 12870, 12941, 12960, 12974, 12996, 12932, 12997, 12993, 12943, 12950, 12851, 12936, 12987, 12913, 12956, 12857, 12852, 12942, 12998, 12964, 12961, 12855, 12858, 12975, 12977, 12872, 12879 

Greene County ZIP Codes: 12414, 12051, 12143, 12083, 12015, 12413, 12192, 12496, 12058, 12463, 12431, 12468, 12451, 12087, 12430, 12423, 12473, 12427, 12436, 12442, 12405, 12480, 12418, 12470, 12424, 12450, 12444, 12485, 12492, 12482, 12422, 12454, 12407, 12460, 12042, 12176, 12439, 12490, 12452, 12124   

Warren County ZIP Codes: 12804, 12801, 12845, 12885, 12846, 12817, 12853, 12814, 12856, 12843, 12815, 12824, 12878, 12808, 12836, 12810, 12860, 12874, 12844, 12862, 12886, 12811, 12820  
Counties: Albany, Clinton, Essex, 
Columbia, Greene, Warren
 Jaime Laube

✉ Email Address

Orange County ZIP Codes: 10950, 12550, 10940, 12553, 10990, 12589, 10941, 10924, 12771, 10918, 12566, 12549, 10980, 12586, 10930, 10992, 10928, 12721, 12518, 10963, 10916, 10998, 10921, 10987, 10925, 12575, 10958, 10926, 12577, 12780, 12520, 10973, 10986, 12729, 12746, 12543, 10969, 10996, 10917, 10919, 10975, 10914, 10922, 10933, 12785, 10911, 10943, 10985, 10910, 10912, 10915, 10932, 10949, 10953, 10959, 10979, 10981, 10988, 10997, 12551, 12552, 12555, 12584  

Putnam County ZIP Codes: 10541, 10512, 10509, 12563, 10579, 10516, 10524, 12531, 10588, 10537, 10542

Sullivan County ZIP Codes: 12701, 12721, 12754, 12790, 12758, 12788, 12747, 12776, 12783, 12775, 12764, 12723, 12789, 12729, 12768, 12740, 12748, 12737, 12779, 12763, 12734, 12726, 12719, 12733, 12759, 12732, 12777, 12765, 12751, 12760, 12762, 12786, 12725, 12766, 12742, 12743, 12770, 12785, 12778, 12741, 12720, 12745, 12738, 12750, 12724, 12749, 12736, 12769, 12787, 12791, 12792, 12752, 12767, 12781, 12784, 12722, 12727  

Ulster County ZIP Codes:  12401, 12477, 12561, 12589, 12528, 12566, 12428, 12446, 12542, 12758, 12443, 12487, 12498, 12404, 12525, 12547, 12449, 12484, 12466, 12458, 12548, 12455, 12440, 12491, 12461, 12740, 12486, 12515, 12409, 12494, 12472, 12464, 12406, 12481, 12410, 12480, 12456, 12457, 12433, 12725, 12411, 12419, 12435, 12495, 12416, 12412, 12448, 12475, 12429, 12465, 12493, 12490, 12471, 12441, 12489, 12483, 12782, 12402, 12417, 12420, 12432, 12453, 12568, 12588  
Counties: Orange, Putnam,
Sullivan, Ulster
 Penny Patterelli

✉ Email Address

Oneida County ZIP Codes: 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13483, 13157, 13455, 13352, 13162, 13301, 13435, 13341, 13362, 13401, 13313, 13123, 13442, 13449, 13479, 13503, 13504, 13505, 13599  

Otsego County ZIP Codes:  13820, 13326, 13849, 13439, 13491, 13411, 13825, 12197, 13843, 13320, 12155, 13809, 13807, 13810, 13335, 13315, 13808, 13750, 12116, 13485, 13348, 13796, 13361, 13337, 13468, 13861, 12064, 13776, 13450, 12036, 13342, 13333, 13415, 13488, 13859, 13860, 13457, 13482, 13747, 13834   

Schoharie County ZIP Codes: 12043, 12053, 12122, 12157, 12149, 12023, 13459, 12066, 12093, 12167, 12092, 12076, 12469, 12160, 12187, 12175, 12035, 12064, 12031, 12036, 12194, 12071, 12131, 12073

Counties: Oneida, Otsego,
Schoharie
 Jeannie Vanhoeven

✉ Email Address

Fulton County ZIP Codes: 12010, 12078, 12095, 12025, 13452, 13329, 12117, 12070, 12032, 12086, 13470 

Franklin County ZIP Codes: 12953, 12983, 12986, 12966, 13655, 12920, 12926, 12916, 12957, 12937, 12917, 12980, 12989, 12914, 12970, 12945, 12930, 12976, 12913, 12955, 12969, 12995, 12915, 12939, 13683   

Hamilton County ZIP Codes: 12134, 13324, 12842, 13454, 12856, 12032, 12108, 12847, 12190, 13360, 12139, 13436, 12812, 12164, 13353, 12864

Montgomery County ZIP Codes: 12010, 13339, 13452, 13317, 12068, 12072, 12070, 12066, 12166, 12137, 13428, 12086, 12177, 13410, 12069, 12016  

Saint Lawrence County ZIP Codes: 13662, 13676, 13669, 13617, 13642, 12986, 13667, 13668, 13658, 13646, 13613, 13654, 13697, 13625, 13648, 13679, 13660, 13652, 13630, 13684, 13694, 13680, 13681, 12980, 13621, 12967, 13635, 12914, 13690, 13687, 13672, 13670, 13633, 12927, 12965, 13614, 13666, 13695, 13664, 12922, 13639, 12973, 13649, 12949, 13623, 13645, 13647, 13677, 13678, 13696, 13699 
Counties: Fulton, Franklin, Hamilton,
Montgomery, Saint Lawrence
 Sarah Freyer

✉ Email Address

Dutchess County ZIP Codes: 12603, 12601, 12590, 12533, 12508, 12524, 12538, 12569, 12571, 12572, 12540, 12564, 12570, 12582, 12522, 12545, 12580, 12531, 12594, 12546, 12581, 12514, 12501, 12583, 12578, 12567, 12592, 12585, 12507, 12604, 12574, 12602, 12504, 12506, 12510, 12511, 12512, 12527, 12537
Dutchess County
 Maureen Hudson

✉ Email Address

Erie County ZIP Codes: 14004, 14026, 14031, 14043, 14051, 14059, 14086, 14094, 14202, 14203, 14206, 14209, 14212, 14214, 14215, 14216, 14217, 14220, 14225, 14226 Erie County

Providers: Kaleida, General Physicians 

VBP IPAs:  CINQ, CIPA, and GLIN
 Christine Pinelli

✉ Email Address

Allegany County ZIP Codes: 14895, 14727, 14813, 14739, 14880, 14807, 14806, 14735, 14715, 14804, 14770, 14803, 14065, 14744, 14717, 14709, 14711, 14846, 14836, 14060, 14822, 14536, 14897, 14754, 14777, 14714, 14708, 14884, 14802, 14721, 14707, 14774, 14029, 14745, 14786

Cattaraugus County ZIP Codes
: 14760, 14141, 14779, 14070, 14009, 14706, 14727, 14737, 14042, 14719, 14738, 14772, 14755, 14741, 14770, 14138, 14747, 14171, 14101, 14726, 14743, 14129, 14065, 14731, 14060, 14753, 14729, 14748, 14783, 14173, 14041, 14788,14133, 14168, 14730, 14751, 14766, 14778    

Chautauqua County ZIP Codes: 14701, 14048, 14063, 14136, 14750, 14787, 14733, 14062, 14710, 14738, 14081, 14712, 14757, 14775, 14724, 14781, 14767, 14716, 14138, 14782, 14747, 14726, 14718, 14723, 14728, 14784, 14769, 14740, 14720, 14722, 14736, 14135, 14166, 14742, 14785, 14702, 14732, 14752, 14756, 14758 

Erie County ZIP Codes
: 14006, 14043, 14047, 14052, 14057, 14075, 14111, 14127, 14141, 14218, 14224 

Wyoming County ZIP Codes: 14004, 14011, 14569, 14530, 14009, 14525, 14550, 14040, 14427, 14024, 14591, 14167, 14145, 14066, 14037, 14536, 14113, 14082 14039, 14549, 14083, 14130        
Counties: Allegany, Cattaraugus,
Chautauqua, Erie, Wyoming
 Christine Jendraszek

✉ Email Address

Erie County ZIP Codes:  14001, 14032, 14150, 14201, 14208, 14219, 14221, 14223, 14227 and 14228

Genesee County ZIP Codes: 14020, 14482, 14036, 14125, 14416, 14422, 14525, 14005, 14058, 14040, 14591, 14013, 14054, 14143, 14056, 14021 and 14557  

Livingston County ZIP Codes: 14454, 14437, 14472, 14414, 14510, 14487, 14572, 14423, 14485, 14435, 14517, 14533, 14560, 14466, 14481, 14846, 14836, 14822, 14462, 14480, 14486, 14556, 14545, 14592, 14488, 14539 and 14558           

Steuben County ZIP Codes: 14830, 14843, 14810, 14437, 14870, 14801, 14572, 14871, 14823, 14840, 14821, 14812, 14807, 14806, 14873, 14826, 14809, 14879, 14898, 14858, 14820, 14839, 14819, 14855, 14885, 14815, 14877, 14874, 14808, 14893, 14827, 14831, 14529 and 14856                                                                                                                              Wyoming County ZIP Codes:  14004, 14011, 14569, 14530, 14009, 14525, 14550, 14040, 14427, 14024, 14591, 14167, 14145, 14066, 14037, 14536, 14113, 14082 14039, 14549, 14083 and 14130        

Counties: Erie, Genesee, Livingston,
Steuben, Wyoming
 Nicole Helsdon

✉ Email Address

Monroe County ZIP Codes: 14580, 14450, 14609, 14624, 14612, 14534, 14621, 14626, 14606, 14618, 14623, 14616, 14620, 14617, 14468, 14526, 14420, 14615, 14559, 14607, 14611, 14613, 14619, 14610, 14622, 14608, 14586, 14605, 14467, 14625, 14428, 14472, 14664, 14445, 14464, 14546, 14673, 14514, 14543, 14604, 14627, 14614, 14683, 14506, 14511, 14645, 14508, 14515, 14410, 14430, 14694, 14602, 14603,14638, 14639, 14642, 14643, 14644, 14646, 14647, 14649, 14650, 14651, 14652, 14653, 14692

Niagara County ZIP Codes:  14094, 14120, 14304, 14305, 14301, 14092, 14303, 14132, 14174, 14105, 14131, 14108, 14067, 14172, 14012, 14008, 14028, 14126, 14095, 14107, 14109, 14144, 14302, 14222 

Orleans County ZIP Codes: 14411, 14103, 14470, 14105, 14098, 14476, 14058, 14477, 14571, 14479, 14429, 14452   
Counties: Monroe, Orleans, Niagara

Providers - Erie County: Jericho
 Road Ministries, Genesee Transit Pediatrics,
and Paul DeJac                                                                                         
VBP IPAs: SNAPCAP
 Robert Chantra

✉ Email Address

Ontario County ZIP Codes: 14424, 14456, 14564, 14425, 14522, 14469, 14432, 14487, 14548, 14512, 14532, 14485, 14561, 14471, 14560, 14544, 14466, 14504, 14475, 14537, 14585, 14461, 14463, 14518, 14443, 14453, 14547
Ontario County

Providers: GRIPA (all counties) & Guthrie
and University of Rochester     

VBP IPAs:  FLIPA, GRIPA, Guthrie 
 Andre Burton

✉ Email Address

Seneca County ZIP Codes:  14850, 14456, 13165, 13148, 14886, 14532, 14521, 13146, 14847, 14541, 14860, 14841, 13065, 14588

Schuyler County ZIP Codes: 14886, 14837, 14891, 14812, 14865, 14818, 14864, 14869, 14878, 14824, 14805, 14841, 14815, 14876, 14887, 14863

Wayne County ZIP Codes:  14513, 14519, 14502, 14522, 14489, 14589, 14568, 14551, 14505, 14433, 14590, 13143, 13146, 14516, 14555, 13154, 14520, 14538, 14542, 14413, 14449, 14563 
Counties:  Seneca, Schuyler, Wayne

Providers: Arnot                                                                   

VBP IPAs:  NCI   
 Karen Yonkers-Santy

✉ Email Address

Cortland County ZIP Codes: 13045, 13077, 13159, 13803, 13053, 13040, 13101, 13835, 13052, 13158, 13141, 13863, 13841, 13087, 13738, 13056, 13784

Oswego County ZIP Codes: 13126, 13069, 13036, 13114, 13142, 13135, 13074, 13167, 13132, 13131, 13044, 13042, 13493, 13076, 13111, 13083, 13661, 13302, 13145, 13144, 13028, 13437, 13103, 13426, 13093, 13107, 13115, 13121                                

Tioga County ZIP Codes:
  13760, 13827, 14892, 13732, 13811, 14883, 13743, 13812, 13736, 13734, 13835, 13864, 14859, 13840, 13845            

Tompkins County ZIP Codes: 14850, 13068, 14886, 13073, 14867, 13053, 14883, 14882, 13736, 14817, 13864, 14853, 14881, 14852, 13062, 13102, 14851, 14854
Counties: Cortland, Oswego, Tioga,
Tompkins
 Peter Stone

✉ Email Address

Onondaga County ZIP Codes: 13027, 13090, 13210, 13208, 13212, 13088, 13204, 13039, 13203, 13205, 13206, 13031, 13104, 13057, 13219, 13215, 13207, 13041, 13066, 13209, 13078, 13260, 13224, 13152, 13214, 13029, 13202, 13077, 13108, 13211, 13135, 13159, 13084, 13082, 13080, 13120, 13030, 13116, 13110, 13164, 13060, 13063, 13112, 13141, 13122, 13020, 13153, 13201, 13217, 13218, 13220, 13221, 13225, 13235, 13244, 13250, 13251, 13252, 13261, 13290, 13051, 13089, 13119, 13137, 13138 Onondaga County                                                                                         
APP Groups (Wellcare ONLY): 
Family Care Medical Group                                               

VBP Group:  Summerwood Peds


Provider Office Hours

Fidelis Care hosts webinars called “Provider Office Hours” several times each month to share information and answer any of your questions. 

Provider Satisfaction Survey

Your provision of quality care and services to our members contributes greatly to Fidelis Care’s success. One of the ways Fidelis Care prioritizes quality is making sure you are satisfied with your experiences. Our annual Provider Satisfaction Survey identifies areas to focus on for further improvement in the coming year. The Provider Relations Department works diligently to identify an action plan to address areas of improvement, while continuing to develop actions and interventions to improve the provider experience.

Resources

Fidelis Care offers resources including Provider Bulletins, tip sheets, educational materialsblog posts, and more to keep you informed.


 

WINTER 2025 PROVIDER BULLETIN


  • Social Care Networks Program (SCN) Now Live
  • Fidelis Care Provider Portal and Availity Essentials Transition
  • Encourage Patients to Get Screened for Hepatitis C
  • Family Planning and Reproductive Healthcare
  • The Importance of Domestic Violence Screening

 

 

Provider Quality News


Fidelis Care and the Centene Foundation Award $1.1 Million to The Jed Foundation to Protect the Mental Health of New York’s Youth

Fidelis-JED

 Funding will help expand emotional well-being resources, educational workshops, and training programs for community-based organizations that foster communities of care statewide

September 20, 2024, NEW YORK CITY —  Fidelis Care, a leading health insurer providing quality, affordable coverage to New Yorkers, and the Centene Foundation, the philanthropic arm of Centene Corporation, announced today a $1.1 million grant to The Jed Foundation (JED), a national nonprofit that protects emotional health and prevents suicide for teens and young adults.

With this grant, JED will expand its current services, providing at least five youth-serving community-based organizations (CBOs) with consultation or strategic planning services, including expert guidance, educational workshops, and training programs, equipping young people with life skills and connecting them to mental health care when they are in distress.

“We are thrilled to support the vital work of The Jed Foundation with this grant,” said Vincent Marchello, Chief Medical Officer at Fidelis Care. “At Fidelis Care, we recognize the importance of mental health services in creating healthier communities. This investment underscores our commitment to ensuring youth and adolescents have access to the critical support they need to thrive.”

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), it is currently estimated that nearly one in five 12- to 17-year-olds in the United States experience a major depressive episode every year, and almost half of teens 13 to 17 say they would seek out professional help only as a last resort. In New York State, the need for enhanced mental health support for school-aged youth is critical: in 2021, 57% of New York 12- to 17-year-olds with depression had not received any care in the last year.

“JED is grateful to Fidelis Care and the Centene Foundation for their commitment to supporting the emotional well-being of New York youth and for providing the resources to help them thrive,” said John MacPhee, JED Chief Executive Officer. “This partnership will allow us to bring JED’s lifesaving work to community-based organizations across the state and help them build on their mental health safety nets and approaches, while positively impacting the lives of thousands of young people.”

The inaugural group of CBOs includes Bottom Line, an organization that partners with degree-aspiring students from first-generation and low-income backgrounds as they get into and through college and launch mobilizing first careers; Hetrick-Martin Institute, which provides free, year-round programs and services for LGBTQIA+ youth and allies aged 13 to 24 in New York City; and Prep for Prep, which provides first-rate educational, leadership development and professional advancement opportunities for young people of color in New York City.

"Through decades of experience at Bottom Line, we have seen that the condition of a student's mental health plays a significant role in their overall journey to becoming a college graduate and professional,” said Sheneita R. Graham, Director of Culturally Responsive Programming at Bottom Line. “Our role at Bottom Line is to build strong relationships that assist us in determining need and connecting students to resources that will help them thrive personally to persist academically. Partnering with The Jed Foundation grants us the opportunity to expertly assess our mental health policies, processes, and resources to ensure we provide our students with thoughtful, high-quality support."

"Hetrick-Martin Institute is pleased to be working with The Jed Foundation to improve our ability to recognize young people in distress and conduct suicide risk assessments," said Bridget Hughes, Chief Program Officer at Hetrick-Martin Institute.

"We are so grateful to The Jed Foundation for hosting two workshops for our incoming college freshmen as part of our annual College Transition Retreat,” said Corey Rhoades, Director of Undergraduate Affairs at Prep for Prep. “The presenters shared their expertise and tailored the sessions in a way that was uniquely relevant and engaging for our students."

To learn more about ways to provide community-based organizations with consulting, evidence-based best practices, and data-driven guidance to protect youth mental health and prevent suicide, visit JED’s website.