Yesterday
• Posted by Provider Relations
The Department of Health has partnered with Public Partnerships LLC (PPL) as the single Statewide Fiscal Intermediary (SFI) for the Consumer Directed Personal Assistance Program (CDPAP). All Consumers and Personal Assistants in the CDPAP must change to PPL by March 28, 2025.
To avoid an interruption of services, members receiving CDPAP services must contact PPL as soon as possible. Providers are encouraged to share this enrollment information with all members receiving CDPAP Services.
How to Register with PPL:
·Option 1: Transition Over the Phone
Call the customer support center at 1-833-247-5346, and they will assist the Consumers through the process. Also available: 1-833-278-4829 (Arabic),
Tuesday
• Posted by Provider Relations
Fidelis Care would like extend an invitation to providers for an upcoming series of free provider webinars, designed to help maximize the benefits of Availity's powerful platform. This is a great opportunity to enhance Availity expertise and streamline practice operations. During the Availity led webinars, providers will learn how to leverage Availity’s tools to:
Unlock the Full Potential of Availity Essentials: Master the platform's navigation and tools to streamline their workflow and enhance efficiency.
Ensure Accurate Eligibility & Benefits Checks: Gain confidence in verifying patient information, reducing errors, and improving patient satisfaction.
Simplify Authorization Processes: Learn to submit and track
Monday
• Posted by Provider Relations
In an effort to streamline provider demographic changes and provider termination requests, Fidelis Care has created two new electronic forms for providers to use. Please use these forms to submit changes under a singular TIN. In order to expedite the request, all fields on the forms are required. If not complete, the request will be delayed.
Forms available on fideliscare.org:
Provider Demographic Change Request Form
Provider Termination Request Form
Once completed, the forms can be submitted electronically to SMProviderAttestationUpdates@fideliscare.org. In the subject line of the email, please enter Demographic Change/Termination Request for "Your Provider/Group Name" in "Your County" (i.e. Demographic Change Request
Monday
• Posted by Provider Relations
Fidelis Care would like to remind our providers of plan changes effective January 1, 2025, for Ambetter From Fidelis Care and Essential Plans. In order for members to obtain the in-network cost share benefit for Diabetes and Maternity Services, providers should follow the below guidance when sending prescriptions to pharmacies for applicable members.
As a reminder, members who become pregnant are required to report their pregnancy to the New York State of Health Marketplace Phone Number below to be eligible for the Pregnancy Cost-Share Waiver.
New York State of Health Marketplace Phone: (855) 355-5777 TTY: (800) 662-1220.
Last Week
• Posted by Provider Relations
Grants of $10,000 to $20,000 aim to improve behavioral health outcomes, especially in underserved communities
Deadline to apply is 5 p.m. EDT March 28, 2025
LONG ISLAND CITY, NY (March 5, 2025) Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, has opened the application process for its 2025 behavioral health grant program. The grants – ranging from $10,000 to $20,000 – are intended to enhance the integration of behavioral health and primary care through innovative strategies. These efforts aim to bridge care gaps for vulnerable populations by promoting comprehensive support. The application is
Last Week
• Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff. To foster this partnership, we have assigned a Provider Relations Specialist to communicate important information and provide support to our providers.
Please be sure to reference our Contact Your Designated Provider Relations Specialist web page if you do not know the name of the specialist assigned to your provider group. To note, there are times that we adjust territory assignments to better serve our providers, so it important to periodically verify your assigned specialist.
If you are unable to determine the identity
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