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LATEST NEWS


Member - Primary Care Provider (PCP) Change Request Form Update
2/18/2020 • Posted by Provider Relations

The Member - Primary Care Provider (PCP) Change Request Form has been updated and is available on this site.  Providers are asked to attest for a patient’s PCP change by signing, dating and faxing a completed form to fax number: 718-393-6635.

Please download:  Primary Care Provider Change Request Form. 

          Primary Care Provider Change Request Form (Spanish)

 

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Social Care Network

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

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

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

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Utilization Management (UM)

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