Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!

Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


2025-Provider-Bulletin-Fall_image


LATEST NEWS


Invitation to Fidelis Care’s November Provider Office Hours
10/23/2025 • Posted by Provider Relations

Office Hours

Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – November 2025

 

Topic: Fidelis Care – Back to Basics

When:  Thursday, November 13th – 9AM – 10AM EST

Click here to register*

 

Topic: Fidelis Care and Wellcare - Quality Programs

When:  Wednesday, November 19th – 10 AM – 11 AM EST

Click here to register*

 

Topic: Fidelis Care – Pharmacy Overview

When:  Thursday, November 20th – 2 PM – 3 PM EST

Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 

The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Restricted Recipient Program (RRP) Overview
  • Vendor Information
  • Claims and Billing Information
  • Access and Availability Standards
  • Provider Tools & Resources

 

The Quality Office Hours session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • End of Year Push for Medical Records
    • Fax/Email  
    • M365 Upload
    • WellCare Provider Portal
    • Remote Access to QIS
    • Onsite Chart Collection
  • CPT II Coding Opportunities
    • Increase CPT II Admin Ratio
  • Connectivity
    • SuDS
    • Bi-directional feed
  • 2025 CoC Appointment Agenda Program
    • Submit remaining Agendas
    • Remediate Held

 

The Pharmacy session will include:

  • Medication Formularies & Formulary Changes
  • Prescribing Guidelines & Fidelis Care Pharmacy 
  • Medication Prior Authorization Best Practices
  • Restricted Recipient Program (RRP) Overview

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please click the links above.


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

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

Authorization Resources

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

Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Join Our Network

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