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New Care Management Resource Webpage for Providers
4/25/2023 • Posted by Provider Relations

Fidelis Care offers Care Management services to help members who need extra health support. Care Management helps members coordinate their care, learn about their health conditions, and find helpful resources in their community.  To improve access to Care Management services, Fidelis Care has launched a new resource page for providers.

 

The resource page includes:

  • Detailed contact information for the Care Management Team based on coverage and available programs
  • Benefits of Care Management for members
  • Temporary and ongoing Care Management resources
  • Program specific eligibility and benefits

 

To learn if a Fidelis Care member has Care Management Services or to refer a member for Care Management Services, please call 1-800-247-1441 (TTY: 711) from 8:30 AM to 5 PM Monday through Friday.  Then, enter the member’s Fidelis Care ID and follow prompts based on member's line of business (i.e. HARP, Medicaid, etc.).

 

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Provider Access Online

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

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.

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.