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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


Fidelis Care Awards More than $195,000 in Behavioral Health Grants to 10 Providers and Organizations Across New York State
7/31/2024 • Posted by Fidelis Care in Corporate News, Member News

LONG ISLAND CITY, NY (July 31, 2024)  Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, has announced the distribution of more than $195,000 in behavioral health grants to 10 health care providers and community-based organizations across New York State. The grant recipients have demonstrated a strong commitment to addressing mental health needs through innovative programs and services. This funding gives them the opportunity to expand their reach and further their impact, providing essential resources and support to individuals struggling with behavioral health issues.

The 2024 Fidelis Care behavioral health grant recipients include:

  • Ardent Solutions, Inc., Allegany County
  • Clarence Central School District Family Support Center, Erie County
  • Crouse Health Addiction Treatment Services, Onondaga County
  • Exodus Transitional Community, New York County
  • Family Service League, Inc., Suffolk County
  • The HELP USA Fund, Inc., New York County
  • Huntington Youth Bureau Youth Development Research Institute, Inc., Suffolk County
  • National Education Alliance for Borderline Personality Disorder, New York County
  • Schenectady Family Health Services, DBA Hometown Health Centers, Schenectady County
  • Yelena Vayntrub Medical PC, Kings County


Fidelis Care Chief Medical Officer Dr. Vincent Marchello said, “Fidelis Care is excited to announce these behavioral health grants and to partner with providers and community organizations dedicated to mental health care and well-being. These grants demonstrate our commitment to supporting comprehensive, accessible and compassionate care. By working together, we can make a significant impact toward improving access to mental health services and behavioral health outcomes, while strengthening our relationships with our community partners that make this work possible.”

Family Service League (FSL), serving children and adults in Nassau and Suffolk Counties, offers more than 60 programs that include integrated care, addiction treatment, emergency housing, at-risk youth services, trauma counseling, and senior and caregiver support. FSL plans to use the Fidelis Care grant to fund its behavioral health crisis hotline, which is part of its critical 24-hour crisis stabilization center and Mobile Crisis Teams. 

Family Service League President and CEO Karen Boorshtein said, “This generous grant from Fidelis Care will help support additional staff hours for our 24-hour crisis hotline. Our hotline is a critical and impactful community resource for those experiencing suicidal thoughts, severe addiction issues or a mental health crisis. On behalf of the thousands of community members we serve, my thanks to Fidelis Care for its dedication to helping those in need.”

The Clarence Central School District Family Support Center has earmarked its grant to provide no-cost direct mental health support for students, addressing social determinants of health such as transportation, financial limitations and health literacy. As school-based mental health care becomes an increasing priority for New York State, the funding will have a direct impact on improving student access and parent education on the importance of mental health and wellness.

Clarence Central School District Family Support Center Coordinator Evan Vahratian said, “We are incredibly honored to be a recipient of the behavioral health grant from Fidelis Care. As our Family Support Center in Clarence has continued to grow and become increasingly utilized, our plans to expand and provide for our community will be greatly enhanced by this grant. This funding will allow us to better address some of the barriers many students and families face while seeking wellness-related and mental health services.”

The National Alliance on Mental Illness reports that one in five U.S. adults experience mental illness and one in six U.S. children ages 6 to 17 experience a mental health disorder each year. In addition, the Substance Abuse and Mental Health Services Administration notes that approximately 20.2 million adults age 18 or older had a substance use disorder in 2020. Meanwhile, access to behavioral health services is often not equitable across populations. The World Health Organization says people exposed to adverse circumstances including poverty, violence, disability and inequality are at higher risk of developing a mental health condition, underscoring the significant impact of mental illness and substance use disorder on individuals and society.


About Fidelis Care
Fidelis Care is a mission-driven health plan offering quality, affordable coverage for children and adults of all ages and at all stages of life, and a wholly owned subsidiary of Centene Corporation, a leading healthcare enterprise committed to helping people live healthier lives. With more than 2.5 million members statewide, Fidelis Care believes that all New Yorkers should have access to affordable, quality health insurance. Follow us on LinkedIn at linkedin.com/company/fidelis-care, on Twitter at @fideliscare, Instagram at @fideliscare, and on Facebook at facebook.com/fideliscare. For more information, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547) or visit fideliscare.org.