3/4/2024
• Posted by Provider Relations
Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024.
2/28/2024
• Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.
2/27/2024
• Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce a new functionality in the Provider Portal, allowing providers to submit claims disputes electronically. With this easy-to-use new tool, providers are able to submit COB resubmissions, claims appeals, or claims reconsiderations.
2/27/2024
• Posted by Provider Relations
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
2/22/2024
• Posted by Provider Relations
Fidelis Care would like to inform providers of an upcoming change to the Comprehensive Psychiatric Emergency Program (CPEP) rate code 4009 for Crisis Outreach Service Visits.
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