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As of January 1, 2024, Fidelis Care has partnered with MCG Health to implement the MCG Cite Guideline Transparency Tool. Providers can access this feature through the Fidelis Care Provider Portal. With the MCG Cite Guideline Transparency Tool, Fidelis Care shares clinical indications with providers. The tool is a secure resource that helps meet regulations around transparency for care delivery. Benefits include: Transparency: Delivers industry-leading medical determination transparency. Access: Allows the review of MCG clinical evidence used by payers to support         member care decisions. Security: Ensures easy and flexible access via secure web access. This Quick Reference Guide details how to

Providers, please remember to review content available in Provider Access Online (Fidelis Care's secure Provider Portal) and the rest of this Provider section of the Fidelis Care website.  Both locations are excellent resources of information about our programs and services.  One example of a resource contained in this site is our Provider Manual.  The Provider Manual contains details about our credentialing processes and our member rights and responsibilities statement.  It also includes information about the clinical criteria used in utilization management (UM) decision-making, our pharmacy authorization processes, and Fidelis Care's policy statement on how coverage decisions are made.   Other items you will find in

Fidelis Care will host two additional Provider Office Hours in March 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions. Provider Office Hours – March 2024 Topic: Back to Basics – Doing Business with Fidelis Care When:  Thursday, March 21st – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care Quality Programs When:  Thursday, March 28th - 3PM - 4PM EST Click here to register*

Beginning March 1, 2024, non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus will be arranged by the Statewide Transportation Broker - Medical Answering Services (MAS) and covered by Medicaid Fee-For-Service.   To arrange non-emergency medical transportation on or after March 1, 2024, the provider or the member must contact MAS at https://www.medanswering.com/ or call 844-666-6270 (Downstate) or 866-932-7740 (Upstate). If possible, transportation arrangements should be made at least three days before the medical appointment.  MAS will require the provider or member to provide the appointment information (date, time, address, and name of provider) and the member’s Medicaid identification

Fidelis Care will be hosting an educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes: Special Populations”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions. The webinars will offer a unique opportunity to learn more about Fidelis Care’s care management associated with HIV, HARP HCBS/CORE, and foster care special populations.  Each training event will focus one of these special populations.   Training Events: Topic: HIV Date:  April 3, 2024 Time:  10:00AM – 11:00AM, ET Registration Link:   https://centene.zoom.us/webinar/register/WN_WBZU4spdTM2uet2RWZL4ng   Topic:  HARP HCBS/CORE Date:  April 10, 2024 Time:  10:00AM – 11:00AM, ET Registration Link: https://centene.zoom.us/webinar/register/WN_6PpJeI87TxGG977EBqGWNQ    Topic: Foster Care Date:  April 17, 2024 Time:  10:00AM –