ALBANY, NY [January 13, 2025] – Fidelis Care, a statewide health plan with more than 2.4 million members in New York State and a wholly owned subsidiary of Centene Corporation (NYSC: CNC), is pleased to announce a coverage area expansion of the Essential Plan into Clinton County, starting January 1, 2025. 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.

Now Available: 2025 Capitation Schedule

1/8/2025 • Posted by Provider Relations

As you know, Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month.

Behavioral Health Discharge Planning Support Process

1/6/2025 • Posted by Provider Relations

Fidelis Care would like to inform providers of a change to our Behavioral Health discharge planning support process effective February 1, 2025.

1/6/2025 • Posted by Provider Relations

As part of New York’s Medicaid Redesign Team (MRT) initiative, the NY 1115 Waiver introduced the Social Care Networks (SCN) Program, a transformative model focused on integrating social care into healthcare delivery.

Children’s Waiver Mandated Reporter Training Requirements

1/2/2025 • Posted by Provider Relations

Fidelis Care would like to inform providers of an amendment to the The New York State Department of Health 1915(c) Children’s Waiver that requires all Health Homes Serving Children (HHSC), Care Management Agencies (CMAs), Children and Youth Evaluation Services (C-YES), and Children’s Home and Community Based Service (HCBS) Providers to complete Mandated Reporter Training annually, effective January 1, 2025.

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