Bienvenidos, Corredores!

Fidelis Care would like to notify our providers that service Fidelis Care New Jersey members (previously WellCare of New Jersey) with updated information on claim submission and other important contact information.    Claim Submissions: Fidelis Care New Jersey wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. Additional information can also be found here.   Please Note:  Fidelis Care New Jersey encourages providers to submit claims electronically via electronic data interchange (EDI) or direct date entry (DDE).  Fidelis Care's preferred EDI gateway is Availity.  Providers can also use

Grants of $10,000 to $20,000 aimed at addressing maternal health disparities, especially in underserved communities   Deadline to apply is 5 p.m. ET on Friday, September 6, 2024   Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, has opened the application process for its second annual maternal health grant program. Health care providers and community-based organizations across New York State that address maternal health disparities, particularly in underserved communities, are encouraged to apply for the grants, which range from $10,000 to $20,000. The application deadline is 5 p.m. ET on Friday, September 6, 2024. “Fidelis Care

Did you know that all practitioners holding a standard DEA registration for the prescription of controlled substances can now prescribe buprenorphine for the treatment of Opioid Use Disorder?  There are no limitations on the number of patients who can be treated, and there is no special training required beyond the 8 hours necessary to obtain or maintain a DEA registration. This marks a pivotal shift addiction treatment, bringing crucial resources to the frontline of healthcare.   Primary care physicians (PCPs) can often be the first point of contact for individuals seeking medical attention. Now with the ability to prescribe medication assisted treatments

As part of a year-end push to improve medication adherence, WellCare and WellCare By Fidelis Care are offering an additional financial incentive (Incentive Payment Program) to its providers who use RxEffect® to identify and take action in the following Star ratings medication therapy areas in the treatment of their Wellcare and Wellcare By Fidelis Care members: - Diabetes - Blood Pressure - Cholesterol Incentive Payment Program Criteria: This Incentive Payment Program offers $200  per Qualifying Member Therapy (max of $600  per member depending on number of therapy areas) between August 8 , 2024  through December 31, 2024 . The Bonus is based on Eligible

Fidelis Care would like to inform providers of recent updates to the Fidelis Care Medication Request Form, that is used for requesting Medication Prior Authorizations under either the Medical or Pharmacy Benefit.   The updated Fidelis Care Medication Request Form is available on www.fideliscare.org/pharmacy, in the Utilization Management Programs section (labeled Medication Request Form for Medicaid, HARP, CHP, Essential Plans, and Qualified Health Plans).   Please ensure your practice has the updated Fidelis Care Medication Request Form on file, and uses it for any future Medical Benefit or Pharmacy Benefit Medication Prior Authorization submissions to Fidelis Care.   For additional questions, or if we can be