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LATEST NEWS


6/28/2024 • 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).
6/27/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2024.
6/27/2024 • Posted by Provider Relations
Fidelis Care is implementing changes to our Peer-to-Peer process.
6/26/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in July 2024.
6/25/2024 • Posted by Provider Relations
Effective July 1, 2024, Children’s Waiver Home and Community Based Services of Environmental/Vehicle Modifications and Assisted and Adaptive Technology will transition out of Medicaid Managed Care and be paid through Fee-for-Service.
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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.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

 

 

 

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.