The Fidelis Care Blog

With all the increases in technology, it’s easy to forget that healthcare starts with the people who show up every day wanting to make a difference. At Fidelis Care, we are proud to work with caring and conscientious doctors across New York State.

The Centers for Medicare & Medicaid Services (CMS) require health plans to provide annual education and training regarding our Special Needs Plan (SNP) Model of Care to providers who treat our SNP members.

Fidelis Care is introducing the Apex 80 Award for eligible providers who ensure members receive timely preventive care in 2026.

Managing authorization follow-ups just got easier with request for additional information (RFAI). You can securely receive and respond to requests from Fidelis Care — right within Availity Essentials.

The following section of the Fidelis Care authorization grids has been updated effective September 1, 2026.

Effective September 1, 2026, Fidelis Care will implement the Leveling of Care: Emergency Department Evaluation and Management (E/M) Overcoding for Facility Services Policy (CC.PP.80) for applicable lines of business.