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LATEST NEWS


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.
8/28/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective October 1, 2024.
8/28/2024 • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide clarification on how medications are covered under member’s medical and pharmacy benefits.
8/28/2024 • Posted by Provider Relations
Fidelis Care would like to inform providers of a new Fidelis Care Visit Attestation Form for ABA (Applied Behavioral Analysis), that is used for Applied Behavioral Analysis authorization reviews.
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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.