Member
Providers
Shop For a Plan

Health Equity

At Fidelis Care, we believe everyone should have the opportunity to live a healthy life. It’s our mission to ensure New Yorkers have access to high-quality healthcare, so they can get the care they need when they need it.

But many other factors contribute to an individual’s health and wellness beyond access to healthcare. Socioeconomic conditions can influence health risks and outcomes. Poverty, food insecurity, housing instability, education, employment, access to transportation and other circumstances contribute to health disparities among underserved and vulnerable populations.

Fidelis Care is committed to removing those barriers to health to improve access, quality, and affordability. It is an ongoing process that requires working together with our members, providers, and community-based organizations to support fair and just opportunities to equal access to healthcare.

Learn more about our different approaches to improve health equity:


Key partnerships

Wellness commitment to Buffalo Urban League

To nurture social entrepreneurship, facilitate wellness, and strengthen organizations focused on Black, Indigenous and People of Color in Buffalo’s East Side, Fidelis Care and the Centene Foundation donated $1.1 million to the Buffalo Urban League (BUL) to help establish its new headquarters and develop a Wellness and Entrepreneurial Center.

In addition, Fidelis Care partners with BUL through community programs and at events held in the city focused on health, family support and stabilization services, foster care, adoption, education, job training, employment, scholarships, and more.

Buffalo-Urban-League

Mental health alliance with The Jed Foundation

As part of our behavioral health efforts, Fidelis Care and the Centene Foundation awarded $1.1 million to The Jed Foundation (JED) to protect the mental health of New York State’s youth.

Through the funding, JED will expand its current services, providing at least five youth-serving community-based organizations (CBOs) with consultation or strategic planning services, including expert guidance, educational workshops, and training programs, equipping young people with life skills and connecting them to mental healthcare when they are in distress.

Fidelis-JED-Social


More Health Equity News


Medicare Prior Authorization Updates
8/1/2025 • Posted by Provider Relations in Provider News

The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.

 

The following code has been updated on the Medicare Authorization Grid and requires prior authorization:

 

Durable Medical Equipment/Supplies:           

E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

 

The following section of the Fidelis Care authorization grids have been updated effective July 1, 2025.

 

The following codes have been updated on the Medicare Authorization Grid and no longer require prior authorization:

 

Service Category

Services

Procedure Codes

Durable Medical Equipment

Orthotic & Prosthetic

A5500, L2820, L3908, L5685

Nutritional Services

B4034

Respiratory Devices

E0443, E1392, K0738

Neurostimulators

E0730

Supplies & Devices

E0849

Equipment & Accessories

E0951

Wheelchairs

E0955, E0956, E0961, E0971, E0973, E0990, E2210, E2365, E2601, E2607, E2624, K0001, K0019, K0040, K0195

Genetic Analysis

Genetic Testing

81257

Medical Supplies

Supplies

A4557, A4604

Wound Care

A6530

Other Medical Services

Other Services

G0249

Physician Services

Injections

20550, 20551

Infusion Services

96523

Office Visits

99243

Sleep Medicine

Sleep Studies

95806

                                                              

 

If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.