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LATEST NEWS


11/27/2024 • 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).
11/26/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2025.
11/25/2024 • Posted by Provider Relations
As part of New York’s Medicaid Redesign Team (MRT) initiative, the NY 1115 Waiver introduced the Social Care Networks (SCN) Program, a transformative model focused on integrating social care into healthcare delivery.
11/22/2024 • Posted by Provider Relations
Fidelis Care has partnered with Ophelia to provide free, fully virtual opioid use disorder treatment for all Fidelis Care, Ambetter from Fidelis Care, and Wellcare by Fidelis Care members. Ophelia is available in every county in New York State.
11/15/2024 • Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in December 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
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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.