The Fidelis Care Blog

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

Each November is Prematurity Awareness Month. A premature birth is a baby born before 37 weeks gestation. In the U.S., about one in 10 births are premature. Babies that are born preterm can face serious health problems, so maternal healthcare is important to reduce risk and help babies be the healthiest they can be because there is no single cause of preterm birth.

NY State of Health has announced upcoming changes to the Essential Plan 5, effective July 1, 2026. To help current enrollees prepare, Fidelis Care members have started receiving official notifications from the state outlining these updates.

As we approach the final quarter of the year, we’re entering a critical phase of the Continuity of Care (CoC) program. Our shared goal remains clear: to ensure patients receive timely, high-quality care while closing the most impactful clinical gaps by December 31.

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

Fidelis Care would like to inform our providers of plan changes that will be effective January 1, 2026.

LONG ISLAND CITY, N.Y., Nov. 7, 2025 – Ambetter from Fidelis Care — offered by Fidelis Care, a Centene Corporation company — will offer a variety of affordable health insurance plans to New York residents in 56 counties for plan year 2026. The open enrollment period for the NY State of Health (the New York State Based Exchange) runs from Nov. 1, 2025, through Jan. 31, 2026. Enroll by Dec. 15, 2025, for coverage starting Jan. 1, 2026.

Fidelis Care is postponing the new Group and Family Therapy authorization requirements.

Managing diabetes can feel challenging — but you don’t have to do it alone. With the right care, daily habits, and support, you can live a healthy and active life. At Fidelis Care, we’re here to help you take meaningful steps toward better health.

Fidelis Care would like to remind providers of New York State Medicaid reimbursement policy for x-ray examinations performed during the same visit.