The Fidelis Care Blog

As a reminder, providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately. Through the Availity Essentials portal, CQV streamlines documentation and improves quality scores while reducing administrative burden.

Fidelis Care would like to remind providers of billing expectations related to contrast agents used in radiological testing, in alignment with New York State Medicaid guidance.

The following section of the Fidelis Care authorization grids has been updated effective July 1, 2026.

Effective July 1, 2026, the following procedures will be removed from prior authorization.

Effective January 1, 2026, providers were required to submit an authorization request for Group and Family Therapy services that exceed 30 visits in a calendar year.

Having open conversations about health can make a big difference and help break the stigma around asking for help or going to the doctor. Men’s Health Month is a perfect time to remind men and boys that taking care of both physical and mental health is important. Why Preventive Care Matters Many health problems can be treated more easily when they are found early. That’s why regular checkups and screenings are important. “A common myth I hear is, ‘If I feel fine, I don’t need to see a doctor,’” Senior Medical Director Dr. Jermel Hawkins said. “This is untrue. Many diseases are silent

As a reminder, providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately. Through the Availity Essentials portal, CQV streamlines documentation and improves quality scores while reducing administrative burden.

Fidelis Care would like to remind providers of billing expectations related to contrast agents used in radiological testing, in alignment with New York State Medicaid guidance.

The following section of the Fidelis Care authorization grids has been updated effective July 1, 2026.

Effective July 1, 2026, the following procedures will be removed from prior authorization.