The Fidelis Care Blog

Fidelis Care will host four Provider Office Hours in November 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

The Back to Basics session will include:

• Important Updates/Information
• Product Portfolio
• Credentialing and Demographic Changes
• Authorization Requirements
• Restricted Recipient Program (RRP) Overview
• Vendor Information
• Claims and Billing Information
• Access and Availability Standards
• Provider Tools & Resources

The Timely Access to Care session will include:

• Importance of Timely Care and Drivers
• Health Plan Monitoring
• Helpful Tools for Provider Survey Readiness
• Impacts of Non-Compliance
• Improving Access – Best Practices
• Provider Resources

The Quality Office Hours session will include:

• Importance of Directory Information
• Quality Provider Web Page
• Q4 CoC+ Push- High Complexity Patients

• Preparing for Year End Data Submission for Gap Closure
  • Medical Record Collection
  • M365
  • CCA tool
  • SuDS File Submission
• CPT II Best Practices
  • Documentation and coding tips to maximize measure performance

The Pharmacy session will include:

• Medication Formularies & Formulary Changes
• Prescribing Guidelines & Fidelis Care Pharmacy
• Medication Prior Authorization Best Practices
• Restricted Recipient Program (RRP) Overview

Fidelis Care will host four Provider Office Hours in November 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

The Back to Basics session will include:

• Important Updates/Information
• Product Portfolio
• Credentialing and Demographic Changes
• Authorization Requirements
• Restricted Recipient Program (RRP) Overview
• Vendor Information
• Claims and Billing Information
• Access and Availability Standards
• Provider Tools & Resources

The Timely Access to Care session will include:

• Importance of Timely Care and Drivers
• Health Plan Monitoring
• Helpful Tools for Provider Survey Readiness
• Impacts of Non-Compliance
• Improving Access – Best Practices
• Provider Resources

The Quality Office Hours session will include:

• Importance of Directory Information
• Quality Provider Web Page
• Q4 CoC+ Push- High Complexity Patients

• Preparing for Year End Data Submission for Gap Closure
  • Medical Record Collection
  • M365
  • CCA tool
  • SuDS File Submission
• CPT II Best Practices
  • Documentation and coding tips to maximize measure performance

The Pharmacy session will include:

• Medication Formularies & Formulary Changes
• Prescribing Guidelines & Fidelis Care Pharmacy
• Medication Prior Authorization Best Practices
• Restricted Recipient Program (RRP) Overview