Member
Providers
Shop For a Plan

Submit Authorization Requests

This page explains the systems available to submit authorization requests

 

Doctors-Three-Bubbles

Helpful Resources | Utilization Management (UM)

Fidelis Care has engaged the following vendors to assist with utilization management for evaluation of medical necessity, appropriateness, and delivery of care to our members.  Below you will find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization submission resources.


 

Delegated Vendor Authorization Programs

Click to download provider tip sheets and follow links to Fidelis Care prior authorization submission resources. 

Evolent

Delegated vendor who manages prior authorization requestsfor: Radiology Cardiology, Radiation Oncology, MusculoskeletalSurgery, Physical Therapy Services, Occupational Therapy Services, andSpeech Therapy Services.

Submit Prior Authorizations via Evolent

2026

2025

2024


Fidelis Care Medical Specialty Solutions – Provider Training Guide

Fidelis Care Physical Medicine Program - Provider Training Guide

Fidelis Care Physical Medicine FAQ


Provider Tip Sheets

Provider Tip Sheet: Physical Medicine

Provider Tip Sheet: Spine MRI and Spine CT

Provider Tip Sheet: Cardiac Solution Program

Provider Tip Sheet: Transthoracic Echocardiography (TTE)


Quick Reference Guides (QRG)

Quick Reference Guide: Physical Medicine

Quick Reference Guide: Cardiac Imaging Studies

Quick Reference Guide: Medical Specialty Solutions | For Ordering and Rendering Providers

Pharmacy – Electronic Prior Authorizations
Use the links below for more information on how to submit electronic pharmacy prior authorizations via CoverMyMeds® and Surescripts®

Submit Prior Authorizations via:  

Evolent Oncology Program

Oncology Services - Medicaid Managed Care and HealthierLife


Oncology Services - Essential Plan and Metal-Level Products (QHP)


Oncology Services - Medicare | Wellcare by Fidelis Care

Behavioral Health & Utilization Management

For Prior Authorization of Behavioral Health services, please see the following contact information:

Phone: (718) 896-6500 ext. 16072 

Email: qhcmbh@fideliscare.org

Fax: (833) 561-0094


For Provider Manuals, Forms and Policies (Including Behavioral Health Request Forms), please click here



Authorization Resources

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

Forms and Applications

For a complete list of Treatment/Service Request Forms, please visit Forms and Applications

Pharmacy Services

Formularies, utilization management programs, and specialty drug programs.