Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Fidelis Care and WellCare Continuity of Care Program
10/23/2025 • Posted by Provider Relations

As we approach the final quarter of the year, we’re entering a critical phase of the Continuity of Care (CoC) program. Our shared goal remains clear: to ensure patients receive timely, high-quality care while closing the most impactful clinical gaps by December 31. To support you in this effort, we’ve refined the appointment agenda to focus on the most urgent and actionable opportunities with a particular emphasis on risk adjustment conditions. This streamlined approach is designed to:

  • Prioritize the highest-value clinical care gaps for closure;
  • Maximize your time during each patient encounter to focus on the more critical clinical and care items; and
  • And ensure documentation efforts are aligned with confirmed and clinically relevant conditions.

By concentrating on these key areas, we can collectively improve care quality, enhance patient outcomes, and ensure accurate risk adjustment data capture.

We appreciate your continued partnership and dedication to delivering high-quality, patient-centered care. If you have any questions or need support, please contact your Quality Improvement Specialist.

Thank you for your dedication and collaboration.

 

Smiles-that-Shine

Provider Access Online

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

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. 

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.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.