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LATEST NEWS


Fidelis Care Practices for Medications Billed Under the Medical Benefit
3/14/2025 • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide a reminder and clarity on how to submit claims for medications billed under the member’s medical benefit, as well as the appropriate Servicing Provider to document when submitting a Pharmacy Prior Authorization request for such medications.
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New! Claim Status Letters Now Available on the Provider Portal
3/13/2025 • Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce that claim status letters are now available on Provider Access Online, Fidelis Care’s Provider Portal, in the File Download section.
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ATTENTION: New York CDPAP Recipients and Caregivers Need to Take Action by March 28, 2025 to Continue Services
3/12/2025 • Posted by Provider Relations
The Department of Health has partnered with Public Partnerships LLC (PPL) as the single Statewide Fiscal Intermediary (SFI) for the Consumer Directed Personal Assistance Program (CDPAP).
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Reminder: Ambetter From Fidelis Care and Essential Plan - Diabetes and Maternity Services Cost-Share Changes as of January 1, 2025
3/10/2025 • Posted by Provider Relations
Fidelis Care would like to remind our providers of plan changes effective January 1, 2025, for Ambetter From Fidelis Care and Essential Plans.
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Fidelis Care Behavioral Health Grant Applications Now Open to Providers and Organizations Across New York State
3/5/2025 • Posted by Provider Relations
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 2025 behavioral health grant program.
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Invitation to Fidelis Care’s March Provider Office Hours
2/28/2025 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in March 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider 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.

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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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Join Our Network

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.

Attestation Form

Authorization Resources

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

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

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

UM Resources