Welcome, Brokers!

Access to quality care is important to eliminate health disparities and increase the quality and years of healthy life for all New Yorkers. The NYSDOH requires that certain Access and Availability Standards be met by PCPs, OB/GYNs, specialists, and behavioral health providers where applicable. Click here to view the full list of standards, including situations and timeframes.   For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here. 

Fidelis Care is pleased to announce that providers will soon have access to correct and resubmit a paid or denied claim, and view and reconcile remittances through their Availity Essentials account.   On April 21, Fidelis Care providers will have the following new functionality available on Availity Essentials. Claim Corrections - Correct and resubmit a paid or denied claim from the Claim Status Response page. Ask your Availity Essentials Administrator to assign you the Claim Status role if this task is appropriate for your role.   Remittance Viewer - Locate remittances with ease using the extensive search and filter options. You can

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

Fidelis Care would like to inform providers of updated requirements with the NYS Recipient Restriction Program. The goal of the Recipient Restriction Program (RRP) is to coordinate medical and/or pharmacy services and improve the quality of care for Medicaid recipients. Coordination of care reduces the potential over-utilization of health care services, prevents abusive or fraudulent behavior, and protects Medicaid recipients’ health and safety.   As of February 24, 2025, a restricted recipient must comply with the Recipient Restriction Program. If restricted to a pharmacy, the restricted recipient will be required to fill prescriptions at their designated pharmacy. Claims will not pay if

Fidelis Care will host three Provider Office Hours in April 2025. 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 – April 2025 Topic: Fidelis Care – Back to Basics When:  Thursday, April 10th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care - Credentialing and Data Maintenance Overview When:  Thursday, April 24th – 2PM – 3PM EST Click here