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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


Updated Evolent Authorization Requirements Effective July 1, 2026
5/28/2026 • Posted by Provider Relations in Provider News

Effective July 1, 2026, the following procedures will be removed from prior authorization.

 

The following RADIOLOGY AND DIAGNOSTIC CARDIOLOGY (RBM) codes have been removed from the Evolent’s Utilization Review Matrix and no longer require prior authorization for Medicaid.

 

Modality

Impacted CPT

CT ORBIT/EAR/FOSSA WITH O DYE

70480,70481,70482

CT MAXLOFCE AREA; W/O CONTRAST MATL

70487,70488, 70486, 76380

DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST

71250, 71260, 71270, 71271

CT UPPER EXTREMITY WITH O DYE

73200, 73201, 73202

MRI UPPR EXTREMITY WITH OAND WITH DYE

73218, 73219, 73220

CT LOWER EXTREMITY WITH O DYE

73700, 73701, 73702

MRI FETAL SNGL/1ST GESTATION

74712, 74713

CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST

75557, 75559, 75561, 75563

CT HRT WITH 3D IMAGE CONGEN

75573

MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL

77046, 77047, 77048, 77049

CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE

77078

MRI BONE MARROW BLOOD SUPPLY

77084

GATED HEART PLANAR SINGLE

78472, 78473, 78494

ECHOCRDGRPHY RL TM W/2D W/WO M-MODE, TRANSESOPHAGEAL

93312, 93313, 93314, 93315, 93316, 93317, 93318

 

The following RADIOLOGY AND DIAGNOSTIC CARDIOLOGY (RBM) codes have been removed from the Evolent’s Utilization Review Matrix and no longer require prior authorization for Medicare.

 

Modality

Impacted CPT

CT ORBIT/EAR/FOSSA WITH O DYE

70480,70481,70482

CT MAXLOFCE AREA; W/O CONTRAST MATL

70487,70488, 70486, 76380

CT SOFT TISSUE NECK WITH O DYE

70490, 70491, 70492

MRI IMAGING BRAIN; INCLUDING BRAIN STEM; WITHOUT CONTRAST MATERIAL

70551, 70552, 70553

MRI- SPINAL CANAL AND CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL

72141, 72142, 72156

MRI, SPINAL CANAL AND CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL

72146, 72147, 72157

MRI- SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL

72148, 72149, 72158

MRI PELVIS WITH DYE

72195, 72196, 72197

CT UPPER EXTREMITY WITH O DYE

73200, 73201, 73202

MRI UPPR EXTREMITY WITH OAND WITH DYE

73218, 73219, 73220

MRI JOINT UPR EXTREM WITH O DYE

73221, 73222, 73223

CT LOWER EXTREMITY WITH O DYE

73700, 73701, 73702

CT ABDOMEN WITH O DYE

74150, 74160, 74170

MRI ABDOMEN WITH O DYE

74181, 74182, 74183, S8037

MRI FETAL SNGL/1ST GESTATION

74712, 74713

CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST

75557, 75559, 75561, 75563

CT HRT WITH 3D IMAGE

75572

CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST

75574

MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL

77046, 77047, 77048, 77049

CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE

77078

MRI BONE MARROW BLOOD SUPPLY

77084

GATED HEART PLANAR SINGLE

78472, 78473, 78494

ECHOCRDGRPHY RL TM W/2D W/WO M-MODE, TRANSESOPHAGEAL

93312, 93313, 93314, 93315, 93316, 93317, 93318

 

The following RADIOLOGY AND DIAGNOSTIC CARDIOLOGY (RBM) codes have been removed from the Evolent’s Utilization Review Matrix and no longer require prior authorization for Ambetter From Fidelis Care and Essential Plans.

 

Modality

Impacted CPT

CT ORBIT/EAR/FOSSA WITH O DYE

70480,70481,70482

CT MAXLOFCE AREA; W/O CONTRAST MATL

70487,70488, 70486, 76380

DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST

71250, 71260, 71270, 71271

MRI PELVIS WITH DYE

72195, 72196, 72197

CT UPPER EXTREMITY WITH O DYE

73200, 73201, 73202

MRI UPPR EXTREMITY WITH OAND WITH DYE

73218, 73219, 73220

CT LOWER EXTREMITY WITH O DYE

73700, 73701, 73702

MRI FETAL SNGL/1ST GESTATION

74712, 74713

CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST

75557, 75559, 75561, 75563

CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE

77078

GATED HEART PLANAR SINGLE

78472, 78473, 78494

ECHOCRDGRPHY RL TM W/2D W/WO M-MODE, TRANSESOPHAGEAL

93312, 93313, 93314, 93315, 93316, 93317, 93318