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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. Provider Office Hours – February 2025   Topic: Fidelis Care – Back to Basics When:  Thursday, February 13th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, February 19th – 10AM – 11AM EST Click

The following codes have been removed from the Medicaid and  Essential Plan Authorization Grids and do not require prior authorization: J0739 cabotegravir inj  J0741 cabotegrvir and rilpivirine inj  J0750 emtricitabine tenofovir df, oral for PReP  J0751 emtricitabine tenofovir alafenamide, oral for PReP  J0799 unclassified FDA approved PReP drugs  J1746 ibalizumab-uiyk (Trogarzo)  J1961 lenacapavir (Sunlenca)  Q0521 Pharmacy supplying fee for HIV pre-exposure prophylaxis FDA approved prescription S0104 zidovudine oral  S0140 saquinavir oral    Visit:  Authorization Grids

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.  Doula services can include up to eight (8) visits by a doula during and after pregnancy and continuous support during labor and childbirth.  If a member becomes pregnant within 12 months following a prior pregnancy, the eligibility for doula services will start over with the new pregnancy.  Any unused doula services from the prior pregnancy will not carry over.   Perinatal Visits Up to eight (8) perinatal

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. Galileo is focused on wrapping around a population of Medicaid lives with chronic and complex BH needs in the Finger Lakes & Central Regions. Galileo can support identified Fidelis members through: After Hours and Acute Care: Galileo providers are available 24/7, all year round, to care for patients, minimizing ED and Urgent Care utilization. After a patient has been seen by the

Annual cultural competency training for participating providers is required by the New York State Department of Health.  At this time, The New York State DOH will only accept the approved training offered by the United States Department of Health and Human Services (HHS), Office of Minority Health education program, Think Cultural Health, to fulfill the requirement for provider annual cultural competency training.*   Once the cultural competency training has been completed, providers need to verify completion of the program by emailing the Cultural Competency Attestation Form to: CulturalCompetencyTrainingAttestation@fideliscare.org.   The required Cultural Competency Training needs to be completed annually by December 31st. Providers that completed

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