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LATEST NEWS


Today • Posted by Fidelis Care
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2020, and require prior authorization.
Last Week • Posted by Provider Relations
The Member - Primary Care Provider (PCP) Change Request Form has been updated and is available on this site.
2/10/2020 • Posted by Provider Relations
Effective 01/01/2020, OASAS licensed inpatient substance use disorder (SUD) treatment and OMH licensed inpatient mental health (MH) treatment authorization requirements have been updated in our authorization grids for all product lines of business.
2/5/2020 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2020 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 12/09/2019.
1/24/2020 • Posted by Provider Relations
As you may know, WellCare Health Plans is now part of Centene, which operates as Fidelis Care in New York State.
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Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

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