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Fidelis Care will host three Provider Office Hours in March 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – March 2026   Topic: Fidelis Care – Back to Basics When:  Thursday, March 12th – 9AM – 10AM EST Click here to register*   Topic: Fidelis Care and WellCare Quality Programs When:  Wednesday, March 18th – 10:00AM – 11:00AM EST Click

Nutrition plays a vital role in managing chronic conditions and supporting whole-person care. Through a partnership with Foodsmart, Fidelis Care now offers eligible Medicaid Managed Care members access to personalized telenutrition support from registered dietitians — fully covered by their health plan. Foodsmart’s registered dietitians can help your patients: Manage chronic conditions like diabetes, hypertension, and obesity through ongoing, personalized nutrition coaching.   Create practical, healthy habits with culturally tailored meal planning tools and thousands of budget-friendly recipes via the Foodsmart platform.   Access grocery support, allowing eligible patients to use Foodsmart Bucks (grocery funds) to purchase fresh groceries delivered directly

Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers. Effective April 2020, for New York State (NYS) Social Services Law (SSL) §363-d, and effective December 28, 2022, for the corresponding regulations at 18 New York Codes, Rules and Regulations (NYCRR) Subpart 521-1, NYS Medicaid providers shall adopt, implement, and maintain effective compliance programs aimed at detecting fraud, waste, and abuse in the NYS Medicaid program.   Who is Required to Have a Compliance Program? NYS Social Services Law (SOS) § 363-d and Title 18 of the New York Codes, Rules

In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED). Additionally, Medicaid does not reimburse any supplies or procedures used to treat SD/ED for persons required to register as sex offenders. Before providing services to Fidelis Care Medicaid members, providers must first obtain authorization for any prescription or physician-administered drugs and procedures or supplies related to SD or ED. Peyronie’s Disease (N48.6) is also classified as a SD diagnosis by the New York State Department

Access to quality care is essential to reducing health disparities and improving the quality and length of life for all New Yorkers.   The New York State Department of Health (NYSDOH) and CMS require that specific Access and Availability Standards be met by Primary Care Providers (PCPs), OB/GYNs, Specialists, and Behavioral Health Providers.   To ensure compliance, Fidelis Care conducts regular Access & Availability surveys to confirm providers meet these state-mandated standards for all Fidelis Care members.   The survey evaluates: Timeliness of appointment scheduling by appointment type Accuracy of provider directory listings Responsiveness of phone systems and office staff   Common issues leading to non-compliance include: Appointment