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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


Women’s History Month: A Pioneering Influence
3/25/2024 • Posted by Andrea Hurley-Lynch, LMSW, Fidelis Care HARP Clinical Director in Diversity, Equity and Inclusion, In The Community

Women's History Month

As I reflect upon my life’s journey this Women’s History Month, I note several women who have influenced my career path. I am very blessed to have had a supportive mother, two grandmothers, and aunts who all prided themselves in working and caring for their families. They were active in the community and church as volunteers. I watched every single woman in my family hold a career and manage to take care of their household seamlessly. As a young girl, at every family event, I saw nurses, teachers, principals, researchers, political activists, and medical professionals all around me. Going to college was never a journey that I personally questioned. What I did question was, “What am I supposed to be?”

2024 marks my 20-year anniversary in the Social Work field. As a child, when I was asked, “What do you want to be when you grow up?” I remember not knowing the answer. In high school, when beginning the college application process, I met with my school counselor and was unsure of what I wanted to go to school for. I was given a questionnaire to take, and the questionnaire results pointed to the direction of social work. At that time, I did not even know what the field of social work truly meant. I volunteered at a soup kitchen in Buffalo and led canned good donation drives for my high school as a leader on the volunteer committee. I knew I felt a sense of purpose when helping others but did not realize this “feeling” would become my career path.

During my first year of college, I was ambivalent about my major. I knew that I liked learning about people, different cultures and belief systems, and enjoyed sociology, but there did not seem to be a career path for me in that realm. In the back of my mind, I remembered that questionnaire I had taken in high school that pointed to social work as a career and registered for Social Work 101 my sophomore year. It was in Social Work 101 that I learned of Jane Addams.

I think it is only fitting to reflect on Jane Addams, one of the pioneers in the social work field, and her impact on my career journey during the month of March, which happens to be not only Women’s History Month, but also National Social Work Month. Jane Addams was an American social worker and Nobel Peace Prize winner. She was a leader in the women’s suffrage movement and an advocate for the rights of the poor and immigrants. I connected with Jane’s story, as she also grew up in a family full of professionals, she was not sure of her career path, and ultimately decided she wanted to help people less fortunate than her. Jane lived in Chicago, where she opened Hull House, one of the first settlement houses in the United States. The home supported working class and immigrant families in a poor neighborhood that lacked access to education, childcare, and nutritious food. Families needed help and Hull House filled the gap.

The Fidelis Care HealthierLife – Health and Recovery Plan (HARP) program allows me to use my degree and my experience in case management and integrated care to provide help to our diverse membership. Continuing my career journey working with adults with health disparities at a macro level has allowed the opportunity to make a broader impact in my career across New York State. The membership that we serve often has medical, behavioral health, or substance use conditions combined with extremely complex social needs. Integration is key to supporting our members and I am grateful for my staff members who work tirelessly every day to advocate for our membership, set personalized member goals, coordinate care, and provide support during critical times in our members’ lives. My teams allow Jane Addams’ voice and vision to continue to be present in 2024 in continuous advocacy. Addams once said, “Nothing could be worse than the fear that one had given up too soon and left one unexpended effort that might have saved the world.”


Andrea Hurley-Lynch, LMSW, is the Fidelis Care HARP Clinical Director and oversees the HARP Care Management teams. The HARP teams provide telephonic care management to members living with various health conditions including severe and persistent mental illness, substance use, and chronic medical diagnoses. She holds a bachelor’s degree with a major in social work and minor in sociology from Nazareth University. She holds a master’s degree in social work from the State University at Buffalo.