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LATEST NEWS


Invitation to Fidelis Care’s January Provider Office Hours
Last Week • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in January 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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NEW! Provider Demographic Change and Termination Request Forms
12/9/2024 • 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.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
11/27/2024 • 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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Fidelis Care Authorization Grids Effective January 1, 2025
11/26/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2025.
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Introducing the Social Care Networks (SCN) Program under the NY 1115 Waiver Effective January 1, 2025
11/25/2024 • 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.
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Fidelis Care Partners with Ophelia
11/22/2024 • Posted by Provider Relations
Fidelis Care has partnered with Ophelia to provide free, fully virtual opioid use disorder treatment for all Fidelis Care, Ambetter from Fidelis Care, and Wellcare by Fidelis Care members. Ophelia is available in every county in New York State.
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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