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.

Fidelis Care is pleased to announce a new addition to the Provider Manual—the Quality Policy.

Fidelis Care’s Pharmacy Services would like to provide clarification on how medications are covered under member’s medical and pharmacy benefits.

Fidelis Care would like to remind providers that it is appropriate to bill a problem oriented E&M on the same day as a surgical or preventive service when the issue is separate and significant.

You asked and we listened! Fidelis Care is pleased to announce that Authorization Determination letters on Fidelis Care’s Provider Portal, will now indicate if the letter is an Initial Adverse Determination (IAD) or a Final Adverse Determination Letter (FAD).

NY State of Health has notified health plans and members of Essential Plan 200-250 (also known as Essential Plan 5) that plan coverage will end. The last day of coverage is June 30, 2026.