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LATEST NEWS


Monday • Posted by Provider Relations
The state disaster emergency in response to COVID-19 and the SARS-CoV-2 variant declared in Executive Order 11.9, expired on September 12, 2022.
Monday • Posted by Provider Relations
The New York State (NYS) Medicaid program requires enrollment of all licensed prescribers and pharmacies who serve Medicaid members, including prescribing practitioners identified on pharmacy claims per the Centers for Medicare and Medicaid Services (CMS) and federal regulations. This is applicable to all Fidelis Managed Medicaid members.
Last Week • Posted by Provider Relations
Effective October 1, 2022, Medicaid Managed Care (MMC) plans will reimburse postpartum maternal depression screening using a validated screening tool up to four times within the first 12 months after the end of the pregnancy.
Last Week • Posted by Provider Relations
As a reminder to our Fidelis Care providers, COB Claims can be submitted via Electronic Data Interchange (EDI) as of January 1, 2022.
Last Week • Posted by Provider Relations
Following the identification of a case of paralytic polio in an unvaccinated individual in Rockland County, and further evidence of additional circulating poliovirus, Governor Kathy Hochul has issued an Executive Order declaring a State Disaster Emergency on September 9, 2022.
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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.

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