欢迎，纽约州医疗保健提供者！

Fidelis Care will host three Provider Office Hours in August 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 – August 2025   Topic: Fidelis Care – Back to Basics When:  Thursday, August 14th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and WellCare Quality Programs When:  Wednesday, August 20th – 10AM – 11AM EST Click

The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.   The following code has been updated on the Essential Plan and Metal-Level Products Authorization Grids: Durable Medical Equipment/Supplies:                                1.      These DME codes do not require an authorization: A7046                                                       The following codes have been updated on the Medicare Authorization Grid: A.    Durable Medical Equipment/Supplies:            1.      These DME codes do not require an authorization: A4557, A5500, A6530, A7046, E0443, E0730, E0849, E0951, E0955, E0956, E0961, E0971, E0973, E0990, E1392, E2210, E2365, E2601, E2607, E2624, K0001, K0019, K0040, K0195, K0738, L5685              2.       The following orthotic codes

Fidelis care would like to inform all participating providers that we will be conducting an Access & Availability Survey in the coming weeks. This survey ensures that providers are meeting NYS mandated Access & Availability standards for all Fidelis Care members. The survey will assess: Timeliness of appointment scheduling based on appointment type.  For example: Routine Care Urgent Care Non-Urgent Sick Visit After Hours Availability  Accuracy of provider directory information. This applies to Primary Care Providers, OB/GYNs, Oncologists, and Behavioral Health Providers. Typical reasons for non-compliance include: Appointment scheduling timeframes do not meet state guidelines. Office

As part of New York’s Medicaid Redesign Team (MRT) initiative, the NY 1115 Waiver introduced the Social Care Networks (SCN) Program, a transformative model focused on integrating social care into healthcare delivery. The SCN program encourages partnerships across health and social services to address Medicaid members' diverse needs, such as food insecurity, housing instability, and lack of transportation. Many of these services may become reimbursable to a member under the provision of this waiver.   How the SCN Program Works: Eligible Medicaid, MAP, MLTC, and HARP Members have access to a wide range of free services through the local Social Care Network (SCN),

Fidelis Care would like to inform providers of a postpartum visit incentive being offered through the New York State (NYS) Medicaid program. This program will provide an additional payment to the current NYS Medicaid reimbursement for comprehensive, timely postpartum visits provided to Medicaid Managed Care (MMC)/Fidelis Care Medicaid members. The incentive payment will apply to postpartum visits for deliveries that occurred from July 1, 2024, through March 31, 2025. Providers who delivered a person-centered comprehensive postpartum visit as outlined by the American College of Obstetricians and Gynecologists clinical guidelines, including a postpartum depression screen, to Fidelis Care members within 12 weeks

紐約長島市（2025年6月10日）飛達利斯保健是一個在全州營運的健康計劃，在紐約州擁有逾240萬名會員，是Centene公司的旗下公司，已啟動2025年產婦健康補助金計劃的申請流程。 該補助金面向紐約州內的醫療服務提供者及社區組織開放，旨在為支援產後護理及產婦心理健康創新策略的計劃提供資金支援。該申請表可在fideliscare.org/maternal-grant上找到。申請截止時間為2025年7月8日下午5點。