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LATEST NEWS


Submit Pharmacy Prior Authorization Requests Electronically
1/14/2020 • Posted by Provider Relations

Fidelis Care has made submitting pharmacy prior authorizations easier and more convenient.

We have partnered with CoverMyMedsand Surescriptsto make it easy for you to request and access electronic prior authorizations (ePA) via the ePA vendor of your choice.

ePA is Fidelis Care’s preferred way to receive prior authorization requests.  Submitting prior authorizations via ePA can:

  • Reduce the need for faxes and phone calls;
  • Often decrease the time it takes to receive a decision, allowing patients to start therapy sooner; and
  • Be easily accessible through a web-based portal or may be integrated into your electronic health record (EHR) platform

Read more on how to get started by selecting your ePA vendor of choice.

 

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

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

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