The Fidelis Care Blog

Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

The Back to Basics session will include:

• Important Updates/Information
• Product Portfolio
• Credentialing and Demographic Changes
• Authorization Requirements
• Restricted Recipient Program (RRP) Overview
• Vendor Information
• Claims and Billing Information
• Access and Availability Standards
• Provider Tools & Resources

The Quality Office Hours session will include:

• Importance of Directory Information
• Quality Provider Web Page
• End of Year Push for Medical Records
  • Fax/Email  
  • M365 Upload
  • WellCare Provider Portal
  • Remote Access to QIS
  • Onsite Chart Collection
• CPT II Coding Opportunities
  • Increase CPT II Admin Ratio
• Connectivity
  • SuDS
  • Bi-directional feed
• 2025 CoC Appointment Agenda Program
  • Submit remaining Agendas
  • Remediate Held

The Pharmacy session will include:

• Medication Formularies & Formulary Changes
• Prescribing Guidelines & Fidelis Care Pharmacy 
• Medication Prior Authorization Best Practices
• Restricted Recipient Program (RRP) Overview

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please click the links above.

Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

The Back to Basics session will include:

• Important Updates/Information
• Product Portfolio
• Credentialing and Demographic Changes
• Authorization Requirements
• Restricted Recipient Program (RRP) Overview
• Vendor Information
• Claims and Billing Information
• Access and Availability Standards
• Provider Tools & Resources

The Quality Office Hours session will include:

• Importance of Directory Information
• Quality Provider Web Page
• End of Year Push for Medical Records
  • Fax/Email  
  • M365 Upload
  • WellCare Provider Portal
  • Remote Access to QIS
  • Onsite Chart Collection
• CPT II Coding Opportunities
  • Increase CPT II Admin Ratio
• Connectivity
  • SuDS
  • Bi-directional feed
• 2025 CoC Appointment Agenda Program
  • Submit remaining Agendas
  • Remediate Held

The Pharmacy session will include:

• Medication Formularies & Formulary Changes
• Prescribing Guidelines & Fidelis Care Pharmacy 
• Medication Prior Authorization Best Practices
• Restricted Recipient Program (RRP) Overview

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please click the links above.