Welcome, Providers!

Fidelis Care will host two additional Provider Office Hours in March 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

As of March 1, 2024, non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus or MLTC plan are now arranged by the Statewide Transportation Broker - Medical Answering Services (MAS) and covered by Medicaid Fee-For-Service.

Fidelis Care will be hosting an educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes: Special Populations”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions.

Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024.

The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.

You asked and we listened! Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit claims disputes electronically. With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.