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LATEST NEWS


9/11/2024 • Posted by Provider Relations
Reminder: Initial and re-assessment treatment planning activities should align with the description of code 97151 (below). Indirect services, such as ongoing treatment planning, are not separate billable services under the current CPT codes.
8/30/2024 • 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).
8/30/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in September 2024. During the webinars, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
8/29/2024 • Posted by Provider Relations
As a Fidelis Care network provider, you may find yourself in a position to provide trauma-informed care to Medicaid Managed Care (MMC) enrolled children/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies (VFCAs).
8/29/2024 • Posted by Provider Relations
Please join the Clinical Documentation Improvement team, as they present on the HCC Model Changes V24 vs V28.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

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

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

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