Welcome, Providers!

Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month.

Fidelis Care is pleased to announce we have partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. The program will make it easier for providers to effectively deliver quality patient care.

The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2021

Fidelis Care is closely monitoring the COVID-19 developments across New York State and is following guidance from the New York State Department of Health (SDOH) and Department of Financial Services (DFS).

The following codes have been published as of November 10, 2020.