The Fidelis Care Blog

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 notify our providers of an update to our Children and Family Treatment and Support Services (CFTSS) Utilization Review Process.

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

To promote community health and wellness and the importance of staying connected with friends and neighbors, Fidelis Care has announced dates for its annual Unity street festival series. Beginning with the original “Unity in the Heights” event in 2011, the series has expanded across the state with a variety of local partners.

The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.

LONG ISLAND CITY, NY (July 16, 2025) Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, has opened the application process for its 2025 grants addressing food insecurity. The grants, open to healthcare providers and community-based organizations in New York, aim to fund programs that support food security and Food Is Medicine (FIM) practices. The FIM approach integrates access to nutritious food into healthcare delivery to prevent, manage, or treat diet-related diseases. These programs are increasingly supported by healthcare professionals to improve health outcomes, reduce healthcare costs, and address disparities in nutrition and chronic disease management.

Each July, National Minority Mental Health Awareness Month calls on us to recognize the disproportionate impact of mental illness on racial and ethnic minority communities—and to recommit to breaking down the systemic barriers that stand in the way of healing.

Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a Centene Corporation company, has opened the application process for its 2025 maternal health grant program. The grants, open to healthcare providers and community-based organizations in New York, aim to fund programs that support innovative strategies in postpartum care and maternal mental health.

Fidelis Care would like to remind providers of the appropriate coding modifiers to use when billing for a surgical or diagnostic procedure that was discontinued or stopped prior to completion for both facilities and physicians.

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