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LATEST NEWS


New Medicaid Benefits – Effective October 1, 2019
8/21/2019 • Posted by Fidelis Care

New Medicaid Benefits – Effective October 1, 2019

Children Home and Community Based Services (HCBS) - Effective October 1, 2019

Starting October 1, 2019, Fidelis Care will cover children’s HCBS for members participating in the Children’s Waiver and provide care management for these services.

For more information, please click this link: Member Handbook Insert - Children's Home and Community Based Services (PDF).

Infertility Services – Effective October 1, 2019

If you are unable to get pregnant, Fidelis Care covers services that may help.

Starting October 1, 2019, Fidelis Care will cover some drugs for infertility. This benefit will be limited to coverage for 3 cycles of treatment per lifetime. For more information, please click this link: Member Handbook Insert - Infertility (PDF).

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Member Resources

View and download documents for Fidelis Care health plans. 

Family Planning

Learn more about updates to Fidelis Care’s family planning coverage starting January 1, 2019. 

Member Rights and Responsibilities

General Statement of Member Rights and Responsibilities (PDF)

Provider Directories - Availability of Printed Versions

You can request a printed copy of Fidelis Care's provider directory by calling Member Services at 1-888-FIDELIS
(1-888-343-3547), TTY 711.

Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

Learn about Fidelis Care's Quality Management Program


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HealthyNOW

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