欢迎，纽约州医疗保健提供者！

Fidelis Care will host two additional Provider Office Hours in March 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions. Provider Office Hours – March 2024 Topic: Back to Basics – Doing Business with Fidelis Care When:  Thursday, March 21st – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care Quality Programs When:  Thursday, March 28th - 3PM - 4PM EST Click here to register*

Fidelis Care will be hosting an educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes: Special Populations”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions. The webinars will offer a unique opportunity to learn more about Fidelis Care’s care management associated with HIV, HARP HCBS/CORE, and foster care special populations.  Each training event will focus one of these special populations.   Training Events: Topic: HIV Date:  April 3, 2024 Time:  10:00AM – 11:00AM, ET Registration Link:   https://centene.zoom.us/webinar/register/WN_WBZU4spdTM2uet2RWZL4ng   Topic:  HARP HCBS/CORE Date:  April 10, 2024 Time:  10:00AM – 11:00AM, ET Registration Link: https://centene.zoom.us/webinar/register/WN_6PpJeI87TxGG977EBqGWNQ    Topic: Foster Care Date:  April 17, 2024 Time:  10:00AM –

Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024. Fidelis Care is prepared to support our members and providers throughout this transition and will communicate frequently with those affected. We are making every effort to ensure continuity of care by directly reaching out to high-risk

The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.   The following codes have been updated on the Medicare, Medicaid, Essential Plan, and Metal-Level Products Authorization Grids and require prior authorization: H.  Therapeutic Services:                                                            1.      Pain Management Codes (i.e. injections, TENS, therapeutic services): 20526, 20550, 20551, 20552, 20553, 21073, 27096, 62263-62264, 62273, 62280, 62281, 62282, 62290, 62320, 62321, 62322, 62323, 62324, 62325, 62326,  62327, 63622, 64400-64530, 64553-64595, 64600-64640, 64582, 64583, 64628, 64629                                         Note: 63622 does not require authorization for requests from

你問，我們聽！ Fidelis Care 很高興地宣布提供者入口網站中的一項新功能，允許提供者以電子方式提交索賠爭議。 借助這項易於使用的新工具，提供者能夠提交 COB 重新提交、索賠上訴或索賠重新考慮。