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LATEST NEWS


Yesterday • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2022 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
Tuesday • Posted by Provider Relations
Fidelis Care has made changes to our Medicaid Managed Care/HealtherLife (HARP) and Child Health Plus (CHP) Formularies.
Tuesday • Posted by Provider Relations
The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.
Tuesday • Posted by Provider Relations
On 11/14/22, Fidelis Care received notice from the Department of Health (DOH) that the utilization management for the CHP line of business should mirror the Medicaid line of business.
Last Week • Posted by Provider Relations
Effective January 1, 2023, New York State (NYS) is carving additional Behavioral Health (BH) services into the Wellcare By Fidelis Dual Plus (MAP) plan.
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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.

Provider Access Online

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

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

Join Our Network

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