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HomeAbout usHealth EquityHealth Equity Alt

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


Billing Guidance Reminder: Correct HCPCS Code/NDC Matching for Medical Claims
3/23/2026 • Posted by Provider Relations in Provider News

Pursuant to past guidance by the New York Department of Health (NYDOH), claims submitted under the medical benefit for medications must include a valid National Drug Code (NDC). Claims that do not include an NDC, or that include an NDC that does not match the billed HCPCS code, may be denied and/or not eligible for reimbursement.

Billing Guidance Reminders

  • Submit the HCPCS code that accurately reflects the drug administered.
  • Report the 11-digit NDC (5-4-2 format, no spaces or hyphens) that corresponds to the actual product administered.
  • Ensure the NDC matches the HCPCS code and that both align to the service documented in the medical record.
  • Verify units and any required claim elements per your billing software/clearinghouse to avoid rejections.

Common Issues

  • Missing NDC on a drug claim billed under the medical benefit.
  • NDC does not correspond to the billed HCPCS (e.g., different medication, different strength, dosage form, or package size than the administered product).
  • Incorrect NDC format (not 11 digits).

Claim Denial Details

  • Denial Code: BMB
  • Explanation: HCPCS-NDC does not match

 

Reference: NYSDOH guidance on NDC reporting for physician-administered drugs can be found here: https://www.health.ny.gov/health_care/medicaid/program/update/medup-n-o.htm