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LATEST NEWS


SADC Non-Emergent Medical Transportation Changes Effective January 1, 2025
11/6/2024 • Posted by Provider Relations
Effective January 1, 2025, Social Adult Day Care (SADC) transportation will remain a covered benefit under MLTC Plans and SADCs will no longer have the option of their transportation being carved out to fee-for-service.
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Child Health Plus Twelve Month Continuous Eligibility
11/5/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers of a federal amendment to the Consolidated Appropriations Act, 2023, that requires states to provide 12-months of continuous eligibility (CE) for children enrolled in Child Health Plus (CHP) plans and under the age of 19.
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Most Recent 2024 QARR/HEDIS Gap Report Now Available
10/31/2024 • 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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Invitation to Fidelis Care’s November Provider Office Hours
10/28/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in November 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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Fidelis Care Provider Bulletin - Volume 10, Issue 4 – Fall 2024
10/23/2024 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Reminder: New Provider Payment Method Beginning November 2024
10/21/2024 • Posted by Provider Relations
Fidelis Care would like to share important information regarding improvements to our provider payment methods.
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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