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9/1/2026 • Posted by Provider Relations • in Provider News
Effective October 1, 2026, first-level Utilization Management (UM) appeals for ENT and cardiovascular surgeries and procedures will be managed by TurningPoint, our specialty benefits management partner.
8/31/2026 • Posted by Provider Relations • in Provider News
Fidelis Care is notifying providers of key updates to the Applied Behavior Analysis (ABA) Clinical Policy (FC.CP.BH.104)
8/31/2026 • Posted by Provider Relations • in Provider News
Fidelis Care has updated its 30-Day Readmission Payment Policy which establishes reimbursement guidelines for hospital readmissions occurring within thirty (30) days of discharge.
8/31/2026 • Posted by Provider Relations • in Provider News
As part of our ongoing work to improve the prior authorization (PA) process for both providers and members, Fidelis Care wants to share some important updates to our PA requirements.
8/31/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host two Provider Office Hours in September 2026.
8/20/2026 • Posted by Provider Relations • in Provider News
The Centers for Medicare & Medicaid Services (CMS) require health plans to provide annual education and training regarding our Special Needs Plan (SNP) Model of Care to providers who treat our SNP members.
8/20/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is introducing the Apex 80 Award for eligible providers who ensure members receive timely preventive care in 2026.
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