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LATEST NEWS


Most Recent 2024 QARR/HEDIS Gap Report Now Available
Yesterday • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap Report has been posted on Provider Access Online (provider portal).
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Authorization Requirement Inquiries Will Transition to Self-Service on March 1, 2025
Yesterday • Posted by Provider Relations
Beginning March 1, 2025, all Fidelis Care providers inquiring about authorization requirements will need to use the Authorization Grids and the Authorization Requirement Lookup Tool available on fideliscare.org.
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Invitation to Fidelis Care’s February Provider Office Hours
Wednesday • Posted by Provider Relations
Fidelis Care will host four Provider Office Hours in February 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Fidelis Care Authorization Grids Effective March 1, 2025
Wednesday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective March 1, 2025.
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Fidelis Care Doula Services Benefit Available Effective April 1, 2025
Last Week • Posted by Provider Relations
Fidelis Care would like to inform providers that doula services will be included in the benefit package for Medicaid Managed Care, HIV Special Needs Plan, and Health and Recovery Plan members effective April 1, 2025.
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Fidelis Partners With Galileo to Support Its Providers in Patient Care
1/16/2025 • Posted by Provider Relations
Fidelis has partnered with Galileo to provide wraparound services for its network of providers. Galileo is a digital medical practice that delivers high quality, multidisciplinary care. In a single app, patients can receive 24/7 care by text, phone, or video.
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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