Fidelis Care is partnering with Healthmap Solutions (Healthmap) to provide care coordination services within our kidney health management (KHM) program.

Update to Concurrent Review Process for Hospitalized Members

9/30/2025 • Posted by Provider Relations

Effective November 1, 2025, Fidelis Care will begin outreaching for additional clinical information if a member remains hospitalized beyond seven (7) days. This outreach will initiate a concurrent review to assess medical necessity and support discharge planning activities.

Fidelis Care Authorization Grids Effective November 1, 2025

9/29/2025 • Posted by Provider Relations

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

9/29/2025 • Posted by Provider Relations

Effective October 1, 2025, Ambetter from Fidelis Care will implement a Site of Care Optimization Program to promote cost-effective, high-quality care for members receiving infusion therapies.

Ensuring Timely Mental Health Follow-Up Care: Fidelis Care Partners with Brave Health

9/29/2025 • Posted by Provider Relations

Timely follow-up care after a mental health discharge is a vital component of recovery. Clinical guidelines recommend that individuals discharged from an emergency department (ED) or inpatient setting receive a follow-up visit within seven (7) days.

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