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Fidelis Care Authorization Grids Effective February 1, 2026
12/29/2025 • Posted by Provider Relations in Provider News

The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2026.

           

The following codes have been added to the Medicaid DME Authorization Grid and require prior authorization:

E0766  Electrical stimulation device used for cancer treatment, includes all accessories, any type

E2606  Positioning wheelchair seat cushion, width 22 inches or wider

 

Visit:  Authorization Grids

 

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Fidelis Care Authorization Grids Effective February 1, 2026
12/29/2025 • Posted by Provider Relations

The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2026.

           

The following codes have been added to the Medicaid DME Authorization Grid and require prior authorization:

E0766  Electrical stimulation device used for cancer treatment, includes all accessories, any type

E2606  Positioning wheelchair seat cushion, width 22 inches or wider

 

Visit:  Authorization Grids