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10/13/2026 • Posted by Provider Relations • in Provider News
Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers.
10/12/2026 • Posted by Provider Relations • in Provider News
Fidelis Care would like to remind our providers of a claim denial reason code that is used when COB claim resubmission requirements are not met.
10/7/2026 • Posted by Provider Relations • in Provider News
September is National Substance Use Prevention Month, a time to raise awareness, reduce stigma, and promote prevention, harm reduction, treatment, and recovery resources for individuals and families affected by substance use disorders.
10/6/2026 • Posted by Provider Relations • in Provider News, Provider Quality
The HEDIS® behavioral health F-series measures focus on timely transitions of care following behavioral health and substance use-related hospitalizations or emergency department visits.
10/6/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Depression is one of the most common behavioral health conditions affecting adolescents and adults, yet many individuals remain undiagnosed and untreated.
10/5/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Women's preventive screenings are essential for detecting health conditions early, improving outcomes, and supporting lifelong health.
10/1/2026 • Posted by Fidelis Care • in Provider News
Beginning with the mid-year risk score run in PY2027, CMS will exclude DOS 2026 diagnosis submissions on unlinked Chart Review Records (CRRs) from Medicare Advantage risk score calculations. Diagnoses not linked to an eligible encounter may no longer be reflected in member risk scores.
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