2025/2/10
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
Articles in this issue:
Fidelis Care Provider Portal and Availity Essentials Transition
Encourage Patients to Get Screened for Hepatitis C
Family Planning and Reproductive Healthcare
Prevent Lead Poisoning
The Importance of Domestic Violence Screening
Please download Fidelis Care Provider Bulletin – Volume 11, Issue 1.
To view our Provider Bulletin Library, please visit: Provider Bulletins.
2025/2/6
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
Fidelis Care is committed to ensuring that our members have access to essential preventive services that promote overall well-being and enhance their quality of life. As a contracted provider with Fidelis Care, your role is vital in helping us achieve this commitment.
For over 25 years, Fidelis Care has provided incentive payments to participating providers for delivering routine preventive care and promoting health among members. The organization remains dedicated
2025/1/31
• Posted by Provider Relations
• in
Provider News,
Provider Quality
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). This information is indicative of all encounter data on file with Fidelis Care as of 12/10/2024. This report provides you with the opportunity to review preventative services for which Fidelis does not show your members as receiving in the measurement period. We strongly suggest that you review the report for opportunities to either render the service, schedule the service to be done before 12/31/24 or if previously performed, submit medical record supplemental data by 2/1/25.
2025/1/31
• Posted by Provider Relations
• in
Provider News
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. The Authorization Requirement Lookup tool will help providers determine which procedure codes require pre-authorization for Medicaid (including Child Health Plus and HARP products), Medicare, Essential Plans, and Qualified Health Plans (Ambetter from Fidelis Care). Authorization requirements will no longer be available by contacting the Call Center.
Streamlined Access for Providers: Access the lookup tool on fideliscare.org:
Navigate to Providers
Under Provider Resources, find Authorization Resources then Authorization Grids
Click on the Medicaid, Child
2025/1/29
• Posted by Provider Relations
• in
Provider News,
Provider Quality
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
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