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LATEST NEWS


Last Week • Posted by Provider Relations
Effective January 1, 2026, providers are required to submit an authorization request for Group and Family Therapy services that exceed 30 visits in a calendar year.
Last Week • Posted by Provider Relations
Fidelis Care will host four Provider Office Hours in February 2026.
1/13/2026 • Posted by Provider Relations
Fidelis Care is pleased to announce that providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately.
1/12/2026 • Posted by Provider Relations
Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers.
1/12/2026 • Posted by Provider Relations
Recent changes for the 2026 Health Insurance Marketplace may affect eligibility for members at health plans across the nation.
1/12/2026 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.