Welcome, Brokers!

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.

The Back to Basics session will include:

• Important Updates/Information
• Product Portfolio
• Credentialing and Demographic Changes
• Authorization Requirements
• Vendor Information
• Claims and Billing Information
• Provider Tools & Resources

The Quality Office Hours – Quality Initiatives session will include:

• Importance of Directory Information 
  • Demographic Changes
• How to Find Your Provider Partnership Associate (PPA)
• New! Quality Provider Web Page
• QARR/HEDIS Medical Record Chases
• 2025 Quality Incentive Programs
  • Upcoming 2025 Quality Care Incentive (QCI) Program
  • 2025 Partnership for Quality (P4Q) Program
  • Most Vulnerable Patients (MVP) Reporting
• Risk Adjustment & 2025 Continuity of Care (CoC+) Program
  • New! 2025 CoC+ Program
  • Monthly CDI Webinar sessions
• 2025 RxEffect Program/Pharmacy
  • Updated pharmacy data for both Medicare/Markeplace LOBs
  • Extended day supply

The Behavioral Health session will include:

• Introductions to the Provider Relations Team
• Provider Tools & Resources
• Demographic Changes
• HARP Enrollment, H Codes, HCBS and CORE
• Care Management
• Children’s HCBS
• Applied Behavioral Analysis (ABA)
• Pros Redesign- Addition based on the new regulatory requirements.
• Tip Sheets & Resubmission Requirements
• External Resources

The Utilization Management sessions will include:

• Prior Authorization Overview
• Authorization Resources
• Authorization Appeals Process
• Provider Tools & Resources

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Provider Partnership Associate. To find your designated representative, please visit Contact Provider Relations on our website.