Provider | Fidelis Care

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LATEST NEWS


Yesterday • Posted by Provider Relations
Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024.
Wednesday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.
Wednesday • Posted by Provider Relations
Beginning March 1, 2024, non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus or MLTC plan will be arranged by the Statewide Transportation Broker - Medical Answering Services (MAS) and covered by Medicaid Fee-For-Service.
Last Week • Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit claims disputes electronically. With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.
Last Week • Posted by Provider Relations
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
Older Articles


 

Smiles-that-Shine

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

 

 

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.