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Effective December 1, 2023, NYS is implementing a billing change that will allow claims for Children’s Home and Community Based Services (HCBS) and Children and Family Treatment Support Services (CFTSS) to be paid based on the county in which services were provided, rather than a provider’s corporate headquarters or central office address. This update is necessary to align with the Centers for Medicare and Medicaid Services (CMS) billing requirements, which dictate that services must be reimbursed based on the location of service delivery. The State has assigned a Federal Information Processing Standards (FIPS) code and a proxy locator code to each

Fidelis Care is requesting our providers’ assistance in identifying potential HealthierLife (Health and Recovery Plan - HARP) members to participate in our Quarterly Regional Stakeholder Subcommittee meetings in 2024. The subcommittee, which includes providers, members, and other key stakeholders, enables Fidelis Care to gain insight and develop new strategies around the utilization and delivery of behavioral health services. Topics may include discussion of improvement projects, partnerships, and/or process development/enhancement. To participate, members must be: An active member in the Fidelis Care HARP plan Currently receiving behavioral health services Willing to represent their peers Selected members will receive a $25 participation payment in the

Provider Access Online, Fidelis Care’s secure Provider Portal, gives your office access to many powerful tools. To learn more about the functionality available to you, please read below. Provider can also visit our Provider Access Online Resource page for additional information and instructional videos. Provider Access Online User Roles To fully benefit from Provider Access Online, it is important to grant the right access to your staff. The following represents the current available portal role options that can be added or removed from a user account: Account Administrator: Full access & user management role Authorizations Viewer: Access to view & create authorization

New York State Health Commissioner Dr. James McDonald has issued a statewide non-patient-specific standing order for pharmacists in New York State to administer the respiratory syncytial virus (RSV) vaccination to individuals ages 60 and older and to pregnant individuals. Patients will not need a separate prescription from providers to receive an RSV vaccine at participating pharmacies. This is an important update to the New York State Department of Health’s (NYSDOH) original standing order previously issued for older adults. As per the NYSDOH, you are encouraged to recommend that all eligible patients receive the vaccine, especially since RSV can cause serious illness

Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 10/17/2023.  Please refer to the most recent "Non-Compliance Report" instruction letter to understand the information being provided on each tab of the Excel Spreadsheet.  Please notify any staff involved with quality management and advise that these documents have been posted. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).