Mental Illness Awareness Week is a time to learn how mental health affects every part of our lives, including our physical health. People living with serious mental illness often face big challenges when it comes to staying healthy. Many don’t get regular checkups or see a doctor when they need to. This can lead to health problems that go unnoticed and untreated.

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.

The Critical Role of Care Coordination Between PCPs and Specialists

9/29/2025 • Posted by Provider Relations

In today’s healthcare landscape, effective coordination between primary care providers (PCPs) and specialists is essential for delivering safe, timely, and patient-centered care.

...

...