The Fidelis Care Blog

LONG ISLAND CITY, NY (April 9, 2025) Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, is pleased to highlight the updated income guidelines for the Essential Plan through NY State of Health, adjusted to reflect changes in the federal poverty level. The federal poverty level determines income eligibility for public health insurance programs in New York State, including the Essential Plan. The Essential Plan aims to bridge the gap for those who may not qualify for Medicaid Managed Care but still need access to quality, low-cost health insurance.

Fidelis Care is pleased to announce that providers will soon have access to correct and resubmit a paid or denied claim, and view and reconcile remittances through their Availity Essentials account.

April is frequently regarded as a time of rebirth, heralding the arrival of spring. During this month, flowers begin to bloom, birds fill the air with song, and the sun shines brightly, symbolizing renewal, growth, and new beginnings. And April is recognized as Counseling Awareness Month, highlighting the importance of mental health and support.

Fidelis Care would like to inform providers of updated requirements with the NYS Recipient Restriction Program. The goal of the Recipient Restriction Program (RRP) is to coordinate medical and/or pharmacy services and improve the quality of care for Medicaid recipients.

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