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LATEST NEWS


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.
10/21/2024 • Posted by Provider Relations
Fidelis Care would like to share important information regarding improvements to our provider payment methods.
10/18/2024 • Posted by Fidelis Care
Fidelis Care celebrates National Healthcare Quality Week October 20 – 26, 2024. This week, we thank our doctors, social workers, nurses, and other healthcare professionals who make sure our members get the best care possible. We are also working to make things even better by listening to our members’ healthcare experiences to improve their quality of care. We are certified by the National Committee of Quality Assurance to ensure the quality of care you receive is always improving. Plus, we teach our members how to stay healthy with tips and resources. By focusing on detecting health problems early and preventing them, Fidelis Care helps our members stay healthy and avoid serious illness.
10/15/2024 • Posted by Provider Relations
Fidelis Care has noted many recent requests for GLP-1 agonists (particularly Ozempic and Mounjaro) that appear to be intended for use outside of the FDA-approved indications for the product.
10/11/2024 • Posted by Provider Relations
To improve the quality of care for our members, Fidelis Care began requiring that Essential Plan members select a primary care provider (PCP) as of April 1, 2024.
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Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Required Cultural Competency Training

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Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

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Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.