Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Fidelis Care Partners with Pomelo Care
6/20/2024 • Posted by Provider Relations

Fidelis Care has partnered with Pomelo Care to provide free 24/7 online pregnancy and infant care to eligible Medicaid Managed Care, HealthierLife (HARP), Essential Plan, and Ambetter from Fidelis Care Qualified Health Plan members. Effective June 1, 2024, Pomelo Care is available in the following counties: Bronx, Chautauqua, Erie, Greene, Lewis, Niagara, Putnam, Seneca, Steuben, Suffolk, Warren, and Westchester.

Pomelo Care is a program available at no additional cost to eligible Fidelis Care members who are pregnant or had a baby within the last three months. Pomelo provides 24/7 pregnancy and infant care via SMS, phone, or virtual visits.

 

Pomelo Care’s Services:

  • Extends care and reinforces care plans with 24/7 access to Pomelo’s multispecialty team
  • Collaborative and streamlined bidirectional referrals
  • Ongoing clinical updates via EHR notes and provider-to-provider calls as needed
  • One referral for comprehensive perinatal mental health support, nutrition counseling, social support and more.
  • Help with breastfeeding and bottle feeding
  • Doula and labor support
  • Pediatric care until baby is 3 months old

 

Pomelo Care’s services do not replace any in-person visits. Pomelo Care will work with your care team, and if a patient does not yet have established care, Pomelo Care can help refer patients to you as an in-network provider.

To learn more about Pomelo Care, please visit the Virtual Maternity Care page on fideliscare.org.

 

Smiles-that-Shine

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.